CQC report explained · a residential care home
What the CQC found at Lake View Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed, staff were available to meet assessed needs, medicines were managed safely and action had been taken to reduce falls.
- Effective?
- Good
- This question was not inspected during this focused visit. The previous comprehensive inspection rating was used, and inspectors said no concerns had been identified from the information they held.
- Caring?
- Good
- This question was not inspected during this focused visit. The previous comprehensive inspection rating was used, and inspectors said no concerns had been identified from the information they held.
- Responsive?
- Good
- This question was not inspected during this focused visit. The previous comprehensive inspection rating was used, and inspectors said no concerns had been identified from the information they held.
- Well-led?
- Good
- Inspectors found clear management, effective quality checks and action when problems were identified. People and staff knew who was running the home.
What inspectors found, April 2020
Lake View Residential Care Home was rated Good; inspectors found people were safe and the home was well-led, with some limits on staff time for people.
This was an unannounced focused inspection on 2 March 2020. Inspectors looked only at Safe and Well-led after the local authority raised concerns about accidents, mainly falls. They spoke with three people, four care staff and the registered manager, and reviewed care, medicine, accident and quality records.
The home was rated Good for Safe and Good for Well-led. Inspectors found enough staff to meet assessed needs, suitable risk assessments, safe medicine arrangements and action to reduce falls. People said they felt safe, and staff knew how to report possible abuse.
Inspectors found a registered manager, regular quality checks and action when audits identified shortfalls. The overall rating stayed Good. Effective, Caring and Responsive were not inspected during this visit, so their ratings from the previous comprehensive inspection were used.
Action to reduce falls
The home responded to concerns about accidents by reviewing risks, providing mobility equipment, using alarm sensors and increasing staff presence at times when accidents were more likely.
“The provider had taken action to reduce the risk of further accidents.” from the report
People felt safe
People told inspectors they felt safe, and staff understood their safeguarding responsibilities and how to report concerns.
“People told us they felt safe living in the home and with the service provided to them.” from the report
Good management checks
The home used audits to identify shortfalls and showed inspectors that action had been taken, including reviewing a care plan and addressing staff supervision.
“The provider's governance was effective to assess, monitor and drive improvements.” from the report
Support for personal needs
Inspectors found the culture was person-centred and that staff understood people's diverse needs. People were also supported to maintain community and faith links.
“We found the culture of the home was person-centred.” from the report
Limited time for people
minorStaff said staffing levels met assessed care needs, but that more staff would allow them to spend more quality time with people. This was not given a separate rating or recorded as a breach.
“However, additional staffing levels would enable them to spend more quality time with people.” from the report
- 01How do you monitor and respond to the pattern of falls, including during the times when accidents are more likely?
- 02How many staff are normally on duty, and how do you make sure people still receive enough time and attention?
- 03How do you check that each person's walking aid, nurse call alarm and other mobility support remain suitable and within reach?
- 04How are staff trained and checked as competent to manage medicines?
- 05How often are care plans reviewed with the person and their relative, especially after a hospital stay or a change in needs?
This was an unannounced focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 21 April 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2019
Lake View Residential Care Home was rated Good; inspectors found kind, safe and well-organised care, with some mixed views about staffing and food.
This was an unannounced, planned inspection on 27 June 2019. Two inspectors and an expert by experience spoke with people, relatives and staff. They observed care and checked care plans, medicines, training, staffing and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that staff knew people well, supported their choices and treated them with kindness. Medicines, risks, healthcare and activities were managed well.
There were different views about staffing and meals. Some people said they waited for help or found food cold and bland. The inspectors found enough staff on duty, and the manager was working to improve the food.
The overall rating remained Good, as it had been at the previous inspection. Safe improved from Requires Improvement to Good because inspectors saw correct moving and repositioning techniques.
Safe moving and repositioning
Inspectors saw staff using the correct techniques when helping people move. This was an improvement from the previous inspection.
“At this inspection we saw staff correctly moving and repositioning people according to their personal risk assessments.” from the report
Safe medicines
Staff were trained to give medicines, records were checked and medicines were stored securely. Inspectors found that people received them safely and on time.
“People received their medicines on time and in a safe way.” from the report
Kind and familiar staff
Staff knew people's preferences and supported their dignity, choices and independence. No agency or temporary staff were being used.
“People were supported by staff who knew them and knew how people wanted to be supported.” from the report
Activities and personal choice
People could choose how they spent their time and were supported to join activities in the home and community.
“We saw activities were planned in advance and timetables were posted around the home for people to see.” from the report
Waiting for help
needs fixingSome people said they waited 15 minutes or more for assistance, although others said they did not wait long and inspectors found enough staff on duty.
“I have to wait 15 minutes or more for help.” from the report
Mixed views about food
minorSome people were unhappy with the food and described it as bland or cold. The manager knew about these concerns and had begun making changes.
“The food is bland and cold and not very nice.” from the report
- 01How long do people usually wait when they press the call bell or ask for help?
- 02What changes have been made to the food since the inspection, and how do you check that meals are hot and suitable?
- 03How are manual handling risk assessments kept up to date when a person's needs change?
- 04How will families be involved in reviewing care plans and decisions about care?
- 05What activities are currently available, including trips outside the home?
This was an unannounced inspection covering all five CQC questions, including the care provided and the premises, with all five ratings given. This explanation was written from the published report of 31 August 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Lake View Residential Care Home
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- April 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lake View Residential Care Home →
- August 2019Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Lake View Residential Care Home →
- May 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Registered with the Care Quality Commission on 15 August 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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