CQC report explained · a residential care home
What the CQC found at Lakelands Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and controlling infections. They found arrangements for visitors, protective equipment, testing, cleaning, social distancing and managing outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection prevention and control arrangements.
This was an announced, targeted inspection on 3 February 2021. It checked how well the home was prepared to prevent and control coronavirus infections.
Inspectors were assured that the home managed visitors, shielding, social distancing, admissions, protective equipment, testing, cleaning and possible outbreaks safely. The home had updated its infection control policies and carried out regular audits.
The home was inspected but not rated. This means the visit did not provide ratings for the home's overall quality or for most of the five key questions.
Safer visiting
The home had created a dedicated visiting area with separate entry points, a screen and cleaning after visits.
“The provider had implemented a visitation area in the service to facilitate safe visits for people and their relatives.” from the report
Protective equipment and training
Protective equipment was available throughout the building, and staff had received infection control and protective equipment training.
“All staff had received training in IPC and PPE in relation to COVID-19.” from the report
Audits and follow-up
The home carried out regular infection control audits and followed up actions, including replacing carpet in some areas.
“The service was conducting regular infection control audits, to ensure infection prevention and control (IPC) processes were robust.” from the report
Testing and cleaning
People and staff received regular coronavirus tests. High-touch surfaces were cleaned regularly and checklists were in use.
“People and staff received regular COVID-19 tests.” from the report
Inspectors raised no specific concerns in this report.
- 01Have the infection prevention and control arrangements described in the report been maintained since February 2021?
- 02How are visits arranged now, and what cleaning takes place between visits?
- 03Are staff still trained in infection prevention, control and the safe use of protective equipment?
- 04How often are people and staff tested, and how are possible outbreaks managed?
- 05Was the planned recruitment of additional night cleaning staff completed?
This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 17 February 2021 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, July 2018
Rated Good; inspectors found safe, kind and personalised care, with effective management and no major concerns identified.
Inspectors visited on 22 and 25 June 2018. The first visit was unannounced and the second was announced. They spoke with people living at the home, visitors, staff and a health professional. They also observed care, looked around the building and checked care and staff records.
They found people felt safe and were treated with kindness, dignity and respect. Staff were trained, medicines were managed safely, care plans reflected people's needs and preferences, and people's food, health and cultural needs were considered.
All five areas inspected were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the home was re-registered in November 2017 following a company restructure.
People felt safe
People told inspectors they felt safe and that staff listened to worries. Staffing levels were considered adequate, with people saying call bells were answered promptly.
“People told us they felt safe and were cared for in a safe way.” from the report
Trained staff
New staff received an induction, and staff had training in areas including medicines, safeguarding, food hygiene and mental capacity. All staff had completed mandatory training at the inspection.
“All staff at time of inspection had completed mandatory training.” from the report
Kind and respectful care
Inspectors saw warm interactions and staff who knew people well. People were offered choices about their daily routines, meals and where they spent their time.
“We saw staff interaction with people was warm and friendly and it was apparent staff knew people well and had formed positive relationships.” from the report
Personalised care plans
Care records included people's history, preferences, communication needs, cultural or religious needs and daily routines. Staff used this information to provide individual support.
“Care files were person centred and contained information that was personal to each person's circumstances and history.” from the report
Visible management
The management team was easy for people to find and approach. Audits covered areas such as medicines, care files, health and safety and staffing.
“Each person we spoke with told us there was a good presence of management who they could approach whenever required.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular health conditions and when would you involve outside health professionals?
- 02How do you make sure medicines, including as-required medicines and creams, are given and recorded correctly?
- 03How would you support my relative if they needed nursing care or end of life care?
- 04What activities and communication support would be available for my relative's interests and abilities?
- 05How can my relative or our family raise a concern, and how would we be kept informed about the response?
This was an inspection of all five CQC areas and included care, the building and records; it was the first inspection since re-registration in November 2017. This explanation was written from the published report of 13 July 2018 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 Lakelands Residential Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Lakelands Residential Care Home →
- July 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lakelands Residential Care Home →
- October 2017
Registered with the Care Quality Commission on 30 October 2017.
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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What to check when you visit
At least 100 live-in carers within about an hour of Wigan
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.