Archived: Lakewood Court

Updated 22 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection visit took place on 23 October 2018. The inspection team consisted of one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with seven people who used the service and two relatives. We also spoke with the registered manager and eight staff.

We observed the delivery of care and support provided to people living at the location and their interactions with staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed the care records of two people. We also looked at other records relating to the management of the service including quality audits and medicine administration records.

Updated 22 November 2018

This inspection took place on 23 October 2018 and was unannounced. At the last inspection completed on 15 March 2016 we rated the service Good. At this inspection the service continues to be rated as Good.

Lakewood Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Lakewood Court accommodates up to 18 people in one adapted building which is split into three small units and two flats which are used for people to receive short stay respite care. At the time of the inspection there were 15 people using the service. Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The home was meeting the principles of this policy.

There was a registered manager in post at the time of our inspection. A Registered Manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe and were protected from abuse. People received support from sufficient safely recruited staff. Medicines were administered as prescribed. Risks to people were managed safely and systems in place ensured people were protected from the risk of cross infection. The provider learned when things went wrong.

People had their needs assessed and plans in place. Health needs were understood and people received the support with food and drinks that they needed. Staff received training; and felt supported in their role this helped them to provide consistent care. The environment was suitable for people’s needs. People had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible; the policies and systems in the service were supportive of this practice.

People were supported by staff that knew them well and were caring in their approach. People could make their own choices and were supported to maintain their independence. Communication needs were assessed and plans in place to enable people to communicate. People had their privacy protected and were valued by staff.

Peoples needs and preferences were understood by staff and they were supported to take part in activities of their choice. these. People were clear about how to make a complaint and these were responded to. People’s end of life wishes were documented.

Notifications were submitted as required and the registered manager understood their responsibilities. We people and their relatives were engaged in the service. Governance systems were effective in identifying concerns and driving improvements. The provider sought to continuously improve the service.