Lakeside View Nursing Home

We assessed 4 quality statements in the safe key question and found both areas of good practice and areas where improvement was required. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Our rating for this key question remains good.

Appropriate systems were in place to identify, record and report safeguarding concerns. Staff described the action they would take to protect people from abuse and provided reassurance that they would not hesitate to speak up if they observed poor practice or people being mistreated in any way. The registered manager understood their safeguarding responsibilities and told us they regularly revisit good safeguarding practice with staff in team meetings and supervisions.

Risk was effectively identified, monitored and mitigated. An appropriate system was in place to record and analyse safety related incidents. We were assured the analysis of incidents led to staff taking action to reduce the risk of harm.

There were enough staff deployed to safely meet people's needs. Staff were recruited safely and undertook a wide range of training courses to equip them with the knowledge needed to carry out their roles. Staff told us they received an induction and training when they started their employment and described how this prepared them to carry out their roles.

People received their medicines as prescribed. People's medicines administration records were generally well completed. However, we found some improvement was required as not all medicines dosage information was recorded correctly and a medicine required to manage the symptoms of a person who was receiving end of life care was out of stock.

We were assured the principles of the Mental Capacity Act 2005 were applied in practice. However, we identified shortfalls with the completion of mental capacity assessments as they did not always relate to a specific decision.

We assessed one quality statement in the caring key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Our rating for this key question remains good.

People were treated with kindness and respect. Staff told us they had time to talk and listen to people and described in detail how they cared for people in a way that promoted their dignity and privacy. Our observations confirmed this.

We obtained feedback from professionals who visited the home and they felt people were well treated. A visiting professional told us, "I haven’t been concerned about the way staff treat people in the service. The manager is compassionate and makes every effort to try and ensure the staff are too."

We assessed one quality statement in the responsive key question and found both areas of good practice and areas where improvement is required. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Our rating for this key question remains good

People and their relatives were involved in planning for the future. Staff told us they received training on how to provide compassionate end of life care and described how they work in conjunction with the local healthcare professionals to ensure people received pain free and dignified care. However, we found some inconsistencies in the quality of information included within care plans and found the detail in the providers end of life care policy could be improved to better guide staff.