Updated 25 November 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection site visit was carried out by one inspector. Two inspectors supported the inspection remotely by speaking to relatives and staff.
Service and service type
Lake and Orchard Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
At the time of our inspection one of the units at the service was being used. The provider had taken the decision to close one of the units to refurbish it. One floor specialised in providing nursing care, the other provided residential care.
The service did not have a manager registered with the CQC. A manager was working at the service, they left the service following our site visit. We have referred to them as ‘the manager’ throughout this report. For services with a registered manager, this means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced less than 24 hours prior to arriving at the service.
What we did before the inspection
We reviewed information we had received about the service and the information the provider had sent us since the last inspection. We sought feedback from the local authority, clinical commissioning group and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took the information we had into account when we inspected the service and made the judgements in this report. We also used all of this information to plan our inspection.
During the inspection
The inspection was carried out by conducting a site visit, speaking to relatives and staff remotely and reviewing a range of records remotely. We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with ten members of staff including the manager, the provider, nurse, care workers, housekeepers and a maintenance worker.
We reviewed a range of records. This included five people’s care records in part and three medication records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.