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CQC warns Victoria House (Wallasey) Limited that they are failing to protect the safety and welfare of people
6 July 2012
Regulator demands immediate improvement at Merseyside care home.
The Care Quality Commission has issued two official warnings to Victoria House (Wallasey) Limited registered provider of Victoria House,Church Street Wallasey,Merseyside, stating that they must make urgent improvements or face further action.
In respect of the first warning the registered person must take proper steps to ensure that each service user is protected against risks of receiving care or treatment that is inappropriate or unsafe, by means of carrying out of an assessment of the needs of service users.
On the 17 May 2012 a CQC Compliance Inspector and Pharmacist Inspector) carried out a visit to Victoria House. This visit was to check on the progress of the service to meet compliance actions made following a previous inspection on the 7 March 2012
Of the six care records examined, two were for people admitted to the service on 12 January 2012 for respite care and both remained living at the service on 7 March 2012. There were no records of assessment of their needs carried out by the service upon admission or since admission. There was limited information in place about their health and social care needs to enable care workers to provide safe and appropriate care and support. What information there was had been supplied by Wirral Department of Adult Social Services.
For example, one service user had undergone a medical procedure prior to admission to the service. There was no risk assessment, care plan or guidance for the staff team to follow to ensure they offered the most appropriate and safe care and treatment. There were no records to evidence that the service user’s healthcare needs were being monitored. This meant the person was at risk of not receiving safe and appropriate treatment for their healthcare needs.
A further care record examined showed that a person admitted to the service on 3 August 2011 had been diagnosed with severe confusion by a Psychiatrist. There were no care plans or risk assessments in place to enable the staff team to offer appropriate and safe support.
CQC inspectors spoke with two care workers, who reported this person could become very physically aggressive and hit, kick and bite care workers when offering them personal care. Daily records viewed confirmed this information. There were no risk assessments or behaviour support plans in place to protect the individual, other people who used the service or the staff team.
In respect of the second warning the registered person must protect service users against the risks associated with the unsafe use and management of medicines, by means of the making of appropriate arrangements for the obtaining, recording, handling, using, safe keeping, dispensing, safe administration and disposal of medicines used for the purposes of the regulated activity.
The CQC Pharmacy Inspectorlooked at how medicines were handled and found they were not safely administered. One service user was prescribed nicorandil 10mg tablets, one to be taken twice a day. On the Medication Administration Record (MAR) starting 14th May 2012 only one tablet was recorded as administered each day from 14th May 2012 to 16th May 2012 at 8am. The acting manager informed us that this was a mistake because the MAR was not set up correctly at the beginning of the month meaning the second dose at 6pm had not been administered on these days. Failing to safely administer service user’s nicorandil 10mg tablets places their health and wellbeing at unnecessary risk.
On further examination of service user’s records, CQC found a number of discrepancies clearly putting the health and wellbeing of service user’s at unnecessary risk.
Anne Ford, CQC Head of Regional Compliance for the North West region, said:
“These standards are not acceptable. The law says that these are the standards that everyone should be able to expect. Providers have a duty to ensure they are compliant.
“This warning sends a clear and public message that Victoria House (Wallasey) Limitedneeds to address this issue as a matter of urgency or face serious consequences.
“Our inspectors will return to Victoria House in the near future and if we find that the provider is not making the required progress we won’t hesitate to use our legal powers to protect the people who use this service."
For further information please contact the CQC Regional Communications Team, David Fryer 07901 514 220 or Kirstin Hannaford 0191 233 3629.
The CQC press office can be contacted on 0207 448 9401 or out of hours on 07917 232 143.
Notes to editors
CQC will publish further details of the inspectors’ findings in a review of compliance on its website at a later date.
CQC has issued a warning notice to Victoria House (Wallasey) Limitedrequiring action to meet:
- Regulation 9 Health and Social Care Act (Regulated Activities) Regulations 2010, Care and Welfare of people who use services
- Regulation 13 Health and Social Care Act (Regulated Activities) Regulations 2010, Management of Medicines
The company has been given a deadlinefor improvements to be made. If this deadline is not met, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards. Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.