CQC report explained · a residential care home
What the CQC found at Lakeview Rest Homes
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection safely. They found arrangements for PPE, testing, isolation, admissions, visitors, cleaning and outbreak management.
- 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, December 2020
Inspected but not rated; inspectors found strong infection control arrangements during the coronavirus outbreak.
This was an announced, targeted inspection on 26 November 2020. It looked only at infection prevention and control because of coronavirus outbreaks in care homes.
Inspectors were assured that the home was managing visitors, new admissions, hospital returns, testing, isolation, PPE and cleaning safely. They also saw staff using PPE properly and found the infection control policy was up to date.
The home supported people to keep in touch with family and friends by telephone and video calls. Visiting was restricted, and a garden visitors pod was being built for face-to-face visits.
The service was inspected but not rated. This means the inspection did not provide a new overall rating or a full rating for all five areas of care.
Infection control arrangements
The home had current infection prevention policies, coronavirus risk assessments and a business continuity plan. Inspectors found the home clean and hygienic.
“We saw up to date infection prevention policy, covid risk assessments and a business continuity plan.” from the report
PPE and testing
Staff had processes for using and disposing of PPE, including extra measures for people who had tested positive. Testing for people and staff was taking place regularly.
“We were assured that the provider was using PPE effectively and safely.” from the report
Safe admissions and isolation
New admissions and people returning from hospital were risk assessed. People who tested positive were quarantined and cared for in their bedrooms.
“New admissions and people who had returned from hospital were risk assessed and their immediate care and support followed government guidance.” from the report
Keeping in touch with families
People were supported to maintain relationships through telephone and video calls. The home was building a garden visitors pod for face-to-face visits.
“People received support to maintain their relationships with their families and friends.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current visiting arrangements, and is the garden visitors pod now available?
- 02How are new admissions and people returning from hospital risk assessed and supported during any isolation period?
- 03How often are people living at the home and staff tested for Covid-19 now?
- 04How is PPE used when staff support someone who has, or may have, an infection?
- 05How would the home manage a new infection outbreak?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 8 December 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, February 2020
Lakeview Rest Homes was rated Good overall, with kind and safe care and a manager who was still applying for registration.
The inspection was unannounced and took place on 4 February 2020. One inspector spoke with people, relatives, managers and staff. They observed care, checked the building, and reviewed care, medicines, staffing and other records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staff were trained, and healthcare needs were met promptly.
People described staff as kind and respectful. The home provided personalised care, activities, trips out and support for communication needs. The overall rating was unchanged from the previous Good rating published in March 2017.
Safe staffing and medicines
Inspectors found enough staff to meet people's assessed needs. Medicines were administered by trained staff and checked regularly.
“The manager had good systems and procedures to manage people's medication safely.” from the report
Kind and respectful care
People were treated with dignity and kindness. Staff respected privacy and supported people's different needs.
“People were treated with respect and kindness by competent staff.” from the report
Personalised support
Staff knew people's preferences and supported them to make everyday choices. Communication needs were recorded so staff knew how to understand people.
“People continued to receive care and support which was personalised to them.” from the report
Activities and outings
The home offered daily activities, entertainment and trips out, including visits to cafes and garden centres.
“The manager provided a range of activities to improve people's wellbeing.” from the report
Quality monitoring
The manager used audits, meetings and feedback to monitor the home. Inspectors saw evidence that actions were taken when issues were found.
“We saw evidence they had acted upon any findings from the audits.” from the report
Manager registration pending
minorAt the inspection, the home did not have a manager registered with CQC. The new manager had started in December 2019 and was applying for registration.
“The service did not have a manager registered with the Care Quality Commission (CQC).” from the report
- 01What progress has been made with the manager's CQC registration since this inspection?
- 02How will you assess and support my relative's communication needs, especially if they live with dementia?
- 03What activities and outings would be suitable for my relative, and how often could they take part?
- 04How will you involve me and my relative in reviewing the care plan if their needs change?
- 05How do you check medicines are given safely and deal with any discrepancies?
This was an unannounced inspection covering all five CQC questions, including the premises and care, but inspectors were unable to speak with most people living with dementia and used observation instead. This explanation was written from the published report of 25 February 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.
Every inspection of Lakeview Rest Homes
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
85 live-in carers within about an hour of Lancashire
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. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.