This inspection took place on 8 August 2018 and it was unannounced.

Lakeview Lodge Care Home 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.

The service can accommodate up to 66 people, at the time of our inspection 30 people were using the service.

A registered manager was in post. 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.

The registered manager and staff team were committed to following the vision and values of the service in providing high quality care. The registered manager was fully aware of their legal responsibilities and provided effective leadership and support to staff. Quality assurance systems were effectively used to monitor and assess the quality of the service to drive continuous improvement. The provider worked in partnership with other healthcare professionals and external agencies to continuously meet people’s needs. The registered manager ensured the Care Quality Commission (CQC) were kept informed of serious incidents and other events they were required to notify to CQC.

People received a personalised service which was responsive to their individual needs and there was an emphasis on each person's identity and what was important to them. There was a commitment to ensuring strong links with the community and an emphasis on enhancing people's lives through the provision of meaningful, imaginative activities and opportunities.

The services at Lakeview Lodge Care Home were tailored to meet the needs of individual people and they were delivered in a way to ensure flexibility, choice and continuity of care. There was a full and varied programme of activities and day trips for people to join in as they wished. The feedback we received from people using the service and their relatives was extremely positive about the activities provided at the service. Staff went the extra mile to find out about people’s individual backgrounds, hobbies and interests, to accommodate activities that were person centred, meaningful and engaging.

The registered manager and staff had an excellent understanding of people’s social and cultural diversity, values and beliefs. People’s diverse needs were celebrated, and their human rights were respected. Health professionals were impressed with the knowledge of staff and their attention to providing high quality care.

People were involved in all aspects of their care. People were pleased with how staff provided their care and they had developed positive trusting relationships with staff. There was a strong culture of treating people with dignity and respect. The staff and the registered manager were always visible and listened to people and their relatives/friends, offered them choice and made them feel that they mattered. This high standard of care enhanced people's quality of life and wellbeing. The whole staff team were extremely passionate about providing people with support that was based on their individual needs, goals and aspirations.

There was a culture of openness and transparency. Staff were extremely positive about the management and leadership which inspired them to deliver a high-quality service. Exceptional leadership was demonstrated by the registered manager who welcomed and fostered ideas from people using the service, relatives and staff to further benefit the care people received. The staff and management all shared the same goal in working to the organisational vision and values to ensure people benefitted from the best possible care. Feedback from people who used the service