CQC report explained · a nursing home
What the CQC found at Lakeside Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found robust care plans and risk assessments, enough suitable staff, safe medicines systems and effective infection prevention arrangements. Safeguarding systems were in place and staff knew how to report abuse.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found positive leadership, regular audits and action when problems were identified. People, relatives and staff were involved in improving the home, and managers worked with other professionals.
What inspectors found, June 2023
Rated Good; inspectors found safe care and strong leadership, but this inspection only directly assessed Safe and Well-led.
The inspection was unannounced. One inspector and one Expert by Experience visited on 25 January 2023. They spoke with 10 relatives and 8 staff, and reviewed care, staff and management records.
The home was rated Good for Safe and Well-led. Inspectors found detailed risk assessments, safe medicines practice, enough staff and suitable infection control arrangements. Staff understood safeguarding and knew people's needs well.
Inspectors found a friendly, person-centred culture. People and families were involved in decisions, activities and improvements. Managers used audits, feedback and professional networks to develop the service.
This was not a full assessment of all five questions. The Effective, Caring and Responsive ratings were not inspected and the overall Good rating used ratings from the previous inspection, published in 2017.
Detailed risk planning
People had detailed care plans and risk assessments. Staff received regular updates through handovers and meetings so they knew what to monitor.
“People had risk assessments and care plans in place with specific and detailed information for staff about what care and support to provide and how to manage risks.” from the report
Safe medicines
Medicines records were completed correctly. Staff had training and checks, and the home carried out monthly medicines audits.
“People received their medicines safely and as prescribed.” from the report
Stable staffing
Inspectors found enough suitable staff and a stable core team. The home usually used the same agency staff when agency cover was needed.
“There was a stable core staff team and when the provider used agency staff, they mainly used the same staff.” from the report
Person-centred culture
People had choices about their routines, activities and personal spaces. The home supported independence and offered activities based on people's interests.
“There was a positive, person-centred culture that was open, inclusive, empowering and achieved good outcomes for people and staff.” from the report
Family involvement
The home sought views from people, families and staff and acted on suggestions. Managers also gave families regular updates after a person moved in.
“The provider engaged and involved people, their families and staff in the development of the service and the improvement of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's risks and care plan after they move in?
- 02How will you meet my relative's particular nursing, dementia and medicines needs, including any medicines needed only when required?
- 03Which staff would usually care for my relative, and how would staffing work at weekends or when agency staff are used?
- 04What activities and daily routines could be adapted to my relative's interests, abilities and preferences?
- 05How will you keep me informed about changes in my relative's health, medicines, care or risks?
This was a focused inspection of Safe and Well-led, including infection prevention and control under Safe; the other ratings were carried forward from the previous inspection published in 2017. This explanation was written from the published report of 10 June 2023 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, November 2017
Rated Good; inspectors found safe, kind and well-organised care, with medicines management improved since the previous inspection.
The inspection was unannounced and took place on 24 October 2017. One inspector spoke with people, relatives, staff and visiting professionals. They observed care and checked care plans, staff records, medicines records and other service records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, respectful care, personalised care plans and activities that people enjoyed.
At the comprehensive inspection in April 2015, the overall rating was Good but Safe required improvement because medicines were not always managed safely. The provider took immediate action, and inspectors found the legal requirements had been met at this inspection.
Safer medicines
The home had improved its medicines systems since the previous inspection. Inspectors found medicines were stored, given and recorded safely.
“Medicines were stored, managed and administered safely.” from the report
Kind and respectful care
People and relatives spoke highly of the care. Inspectors saw staff protect privacy, dignity and people's right to make choices.
“During the inspection we saw the conversations and interactions between people and staff were caring, warm, friendly and respectful.” from the report
Personalised support
Care plans included people's needs, preferences, strengths and goals. People and, where needed, relatives were involved in planning care.
“People were involved in planning their care and their views were sought and planned for as a central and important part of the process.” from the report
Activities and relationships
People could take part in varied activities, including music, quizzes, reminiscence sessions and trips. Relatives were welcomed and encouraged to stay involved.
“People were encouraged and supported by staff to maximise their abilities through the activities programme they told us they enjoyed.” from the report
Supportive management
The home was described as calm and well organised. Managers used audits, meetings and feedback surveys to monitor quality.
“There were systems in place to continually monitor the quality of the service and people were asked for their opinions via feedback surveys.” from the report
Inspectors raised no specific concerns in this report.
- 01How are medicines checked now, and how often are the competency assessments for nurses who administer medicines completed?
- 02How will my relative and our family be involved in creating and reviewing their care plan?
- 03How often will my relative's risks and care needs be reviewed if their health or abilities change?
- 04What activities are available, and how will you match them to my relative's interests and abilities?
- 05How can we raise a concern or complaint, and how will we be told what action was taken?
This was an unannounced comprehensive inspection of the overall service; all five CQC questions were assessed and rated Good. This explanation was written from the published report of 17 November 2017 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 Lakeside Nursing Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- June 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodWell-led: Good
- June 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 9 May 2011.
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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