This inspection was carried out on 4th June 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Lakeland View Nursing & Residential Home 220-224 Heysham Road Morecambe Lancashire LA3 1NL two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Plant Date: 0 4 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Lakeland View Nursing & Residential Home 220-224 Heysham Road Morecambe Lancashire LA3 1NL 01524410917 01524833216 lakev@gotadsl.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Frank George Gregory Nicholls care home 33 Number of places (if applicable): Under 65 Over 65 0 33 dementia old age, not falling within any other category Conditions of registration: 33 0 The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE. The maximum number of service users who can be accommodated is: 33. Date of last inspection Brief description of the care home Lakeland View is registered with the Commission to provide nursing and residential care for older people and for people with dementia. The maximum number of people who can be accommodated is 33. The home is located in the Heysham Road area of Morecambe, close to bus routes and
Care Homes for Older People Page 2 of 8 Brief description of the care home shops. Lakeland View has three floors and there is a passenger lift in place. There is parking space and a small garden area to the front of the building, with a patio to the rear of the dining room. The home provides a range of communal living rooms including two main lounges, a small conservatory, a separate lounge for those people who smoke and a large airy dining room. There is a Statement of Purpose, Service Users Guide and Information Pack that is given to all prospective residents; this is a set of written information that tells you about the care service that is offered and what the resident can expect if he or she decides to live at the home. The home is owned by Mr Frank Nicholls and the registered manager is Mrs Bernadette Wallbank. Details of the current fees can be obtained by contacting the home. Care Homes for Older People Page 3 of 8 What we found:
This visit was carried out in response to a concern which had been raised regarding the number of people accommodated at the home and the service user category of those accommodated. The information received stated that the home had 34 people resident and is only registered to accommodate 33 and that people with mental health problems as their main area of need were being admitted to the home, which is only registered to accommodate older people and people with dementia. On the 20th May the registered provider had been informed of the concern regarding accommodating more than 33 people and had confirmed that there were currently 33 people staying at the home and had provided the names of these residents. The registered provider and the registered manager of the home were spoken with during the visit and assessment documentation was viewed.The registered provider confirmed that there had been one recent occasion when 34 people had been accommodated at Lakeland View. An individual who had been staying at the home was discharged to hospital and was then due to be accommodated elsewhere. On the day of discharge the hospital had contacted the home as they were not aware that the individual was going to a different setting. The Social Worker was not available and the necessary arrangements had not been put in place. As this was late in the afternoon the registered provider agreed that the individual could return to Lakeland View for one night and be accommodated in a spare bedroom and this took the number of people accommodated at the home above 33. The following day staff from Lakeland View helped to make the necessary arrangements for this person to move to the assigned accommodation, which included buying food and essential items.The registered provider explained that he had felt a moral obligation to receive this person back into the home for one night. The registered provider was informed that exceeding registration numbers was an offence under the Care Standards Act 2000 (Section 24. Failure to comply with conditions) and that any non compliance in the future could result in legal action being taken against him. The registered provider was also reminded that there had been opportunity to disclose information regarding this situation, during the recent telephone conversation informing him of the concern. The assessment information for eight people who had been admitted to the home during 2009 was examined. Although it was evident that some of these people had additional mental health needs and in some cases a diagnosis of mental disorder, the records viewed showed that these people all had a diagnosis of dementia or identified nursing needs relating to old age. There was no evidence to show that people who had a primary care need resulting from a mental health diagnosis other than dementia were being accommodated at the home. The registered provider was reminded of the need to meet the needs of all those accommodated at Lakeland View, including those with a duel diagnosis and to be mindful of changing needs which may require a reassessment to ensure that Lakeland View is the best place for them to be. What the care home does well:
Care Homes for Older People Page 4 of 8 This inspection visit was carried out to look into specific areas of service provision and did not look at others areas. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 19 23 All parts of the home must be reasonably furnished and decorated. Staff must not commence duty until all the necessary checks have taken place. (previous timescale of 07/08/06 not met) Cleaning products must be safely stored. 30/09/2008 2 29 19 31/05/2008 3 38 13 31/05/2008 Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 31 43 The Registered Person must comply with all conditions of registration. To fail to do so would be an offence under the Care Standards Act 2000. 12/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
