About the service Victoria Hall is a residential care home providing personal care to 34 people aged 65 and over at the time of the inspection. The service can support up to 37 people in one adapted building.
People’s experience of using this service and what we found
The registered manager was working on making some improvements in the service in regard to safety and records.
We have recommended the provider consider the current guidance on legionella testing in care homes and ensure their policy reflects the guidance provided.
People told us they felt safe. Staff had assessed people's needs and completed risk assessments. People received their medicines safely although some omissions were to be addressed within these records.
Some relative's told us they were not kept up to date about their family’s needs and felt some improvements were needed in the provider’s communication The registered manager assured us action will be taken to address this issue.
Staff received an induction when starting at the service. Regular training, specific to their role, was delivered and refreshed when needed. Staff received supervision and felt supported by the management team.
People said staff were very caring and kind and treated them well. They told us staff maintained their privacy and provided the care they wanted. Staff spoke to people politely and with respect.
Staff had access to sufficient personal protective equipment and used it appropriately. Visitors underwent COVID-19 checks to minimise the risk of spreading of infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
Since the last inspection there has been a change to the provider's registration from a partnership to a limited company. This is the first inspection under their new registration.
The last rating for the service under the previous legal entity was good, (published on 22 June 2018).
Why we inspected
The inspection was prompted in part due to concerns received about a range of issues affecting the safety of people using the service. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.