Care Home: Lakeside Rest And Nursing Home

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What the care home does well The staff are very good at caring for people who need a lot of nursing and personal care. The way that the medicines are handled is safe. This helps ensure the health and welfare of the residents is protected. Management make sure that the staff receive training in the safeguarding of vulnerable people so that they can, as far as possible, protect the residents from mistreatment and harm. What the care home could do better: The staff must make sure that every aspect of a residents` care needs is written down in their care plan. This will ensure that every staff member is aware of how the residents are to be cared for, ensuring their needs are met at all times. Random inspection report Care homes for older people Name: Address: Lakeside Rest And Nursing Home Chorley Road Worthington, Standish Wigan Lancashire WN1 2XN three star excellent 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: Grace Tarney Date: 2 2 0 6 2 0 1 0 Information about the care home Name of care home: Address: Lakeside Rest And Nursing Home Chorley Road Worthington, Standish Wigan Lancashire WN1 2XN 01257422931 01257422723 LakesideNh1@AOL.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mary Ellen Morley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Millennium Care U.K. Ltd care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home with Nursing -- code N, to people of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of service users who may be accommodated is 50. Date of last inspection Brief description of the care home Lakeside provides nursing and personal care for 50 older people. It is located close to Worthington Lakes and Standish town centre, and is set in its own, extensive grounds. The home has three floors and there is a passenger lift to all levels. A variety of aids Care Homes for Older People Page 2 of 8 Brief description of the care home and adaptations around the building allow residents to move about independently. Forty-two bedrooms are single; thirty-seven have an en-suite toilet. There are six communal bathrooms. Communal toilets are provided on each floor. Fees range from 395.00 pounds to 698.70 pounds per week. The fees charged depend on the type of care provided and whether the resident pays for their own care. This information was received on the 22/06/2010. Care Homes for Older People Page 3 of 8 What we found: The staff at the home were not told that this inspection was to take place although many weeks before the inspection we (The Care Quality Commission) asked the Manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We received the completed AQAA form in March 2010. We also sent out survey forms to some of the residents and also to the staff. These survey forms asked them to give us their opinions about the care and facilities provided. We received 9 surveys back from the residents and 6 from the staff. Some of the comments from the residents were: They look after everyone very well. The home is well run with a good steady routine and there is a welcoming, friendly atmosphere. The Manager and staff are very obliging. It could not be any better than it is. The staff told us that they were well trained and felt well supported by the Manager. We spent just over 2 hours at the home and during this time we examined care and medicine records to make sure that people were being cared for safely and properly. We looked at 3 care plans. A care plan details the individual care and support needs that a resident may have and also shows how those needs are to be met by the staff. The care plans that we looked at contained a lot of information and showed what the residents could do for themselves and what they needed help with. They also provided a lot of information about the residents past life, their daily routines and their interests. We did see however that there was not enough information in 2 of the care plans about what the staff had to do to reduce the risk of the residents either developing pressure sores or what to do to prevent further deterioration of a pressure sore. There was also a lack of information in 1 of the care plans about another aspect of the residents care. A discussion with the Manager however, showed that despite some of the information about how the residents were to be cared for not being written down, they were being cared for properly and safely. It is important to write down in the care plan every aspect of a residents care needs so that every staff member knows what care, help and support, needs to be given. We saw that there was specialised equipment in place to make sure that every comfort and care was being delivered. Equipment necessary for the prevention and treatment of pressure sores was available and in use. We then looked at how the medicines, including controlled drugs, were managed. Medicines were stored securely and an accurate record of when and how they were given out to the residents was kept. Only the qualified nurses in the home handle the medicines. We did have a discussion with the Manager about the best way to record the applying of creams and lotions that have been prescribed by their GP. This was because we saw that the trained nurses tick on the medication administration sheet to show that the prescribed treatment has been applied but in fact it is mostly the care staff who apply it. The Manager agreed to look at putting in place a system of more accurate recording for this sort of medication. A safe system of medication management was in place. Care Homes for Older People Page 4 of 8 We also looked at how complaints are handled to ensure that people know how to and to whom they can complain. A complaints procedure was displayed within the home and was also included in the Service User Guide. It was easy to understand and tells people that their complaints will be responded to and a full written response will be given within 28 days. We asked the Manager if a complaints log was kept in the home. We were told that there was no complaints log as there had been no complaints. We discussed the fact that it is important to keep a record of any complaint that may be made in the future. This should include details of any investigation and any action that the management may take to put things right. This can help improve the service and facilities provided. The Manager agreed to do this. The Manager informed us that no complaints have been made to them in the last 12 months. No complaints have been made to us in the last 12 months. We also looked at the staff training files to check if they had received training in the safeguarding of vulnerable people. This training helps reduce the possible risk of harm or mistreatment to the residents. We saw that all the staff had been trained in the safeguarding of vulnerable people. Documents were also in place to assist and guide the staff in the event of any safeguarding incident occurring. No safeguarding incidents have occurred in the last 12 months. What the care home does well: 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 £ No R 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 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 7 15 Every aspect of a residents care needs must be written down in their care plan. This will ensure that every staff member is aware of how the residents are to be cared for, ensuring their needs are met at all times. 02/07/2010 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. 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