20 February 2019
During a routine inspection
Victoria House is a residential care service providing personal care and accommodation for up to six people living with a learning disability. At the time of our inspection six people were using the service.
People’s experience of using this service:
• The service was not always clean. We recommended the service ensure there were systems in place to prevent the risk of infection.
• The service did not record and learn from accidents and incidents. We recommended the service follow best practice guidance and demonstrate a culture of continuous improvement.
• People's risks were not always assessed to ensure staff could provide adequate care and support. We recommended the service assessed people’s risks to ensure risks was mitigated.
• People were protected from potential harm and abuse.
• There were enough staff to provide support and staff had been recruited in a safe manner.
• People received their medicines in a safe way.
• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service did not support this practice. We recommended the service review their systems to manage this in line with best practice.
• The service was adapted to meet the needs of people living in the service.
• The service supported people to maintain a healthy lifestyle and access support from other health and social care professionals.
• Staff were provided with adequate training and support to provide effective care.
• People received support that was caring and met their needs.
• People were supported to be independent and their privacy and dignity was respected.
• People and their relatives were involved in their care package and knew how to raise a complaint.
• The quality assurance systems in place did not identify the shortfalls we found during our inspection. This demonstrated a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, ‘Good Governance.’
• People and their relatives spoke positively about the registered manager and the service worked well in partnership with others to improve the quality of care provided.
Rating at last inspection:
At the last inspection the service was rated Good, (published: 1 September 2016).
Why we inspected:
This was a planned inspection based on the rating at the last inspection.
Enforcement:
Please see the ‘action we have told the provider to take’ section towards the end of the report.
Follow up:
We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk