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Archived: Victoria Lodge Residential Care Home

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All reports

Inspection report

Date of Inspection: 18 December 2010 and 4 January 2011
Date of Publication: 21 April 2011
Inspection Report published 21 April 2011 PDF

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Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Not met this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

How this check was done

Our judgement

People who use services are not supported to access advocacy services. The home has not demonstrated how people with dementia care needs are involved in decision making.

User experience

People who use the service indicated that they were happy and felt listened to.

People told us that the staff were very good and they saw the Doctor and Optician when they needed to.

One person told us that “some of the ladies get upset” and added “that’s not something that anyone would tell you though”.

Other evidence

We found no written evidence that people who use the service had consented to their care.

We were concerned that where relatives were making decisions for people, that, neither support from an advocate or an agreement from a multi-disciplinary team had been sought. The manager was not able to evidence that the person themselves had agreed to these decisions and where they were not able to give consent, that other professionals had been involved.

The manager told us that they believed the relative would always have the individual’s best interests at heart.

People are not always protected under the Mental Capacity Act 2005 by the implementation of a Formal Capacity Test.

Staff told us that one person with dementia care needs had gone missing from the building on the evening of 01/01/11. This person had been reported as missing to the local Police and had been located nearby and taken to hospital where they spent the night. Havering Safeguarding Team were informed and a Deprivation of Liberty Test is to be carried out to prevent this person from leaving the home without supervision. On our next visit we found this had been followed through appropriately.

We saw that health care appointments had been recorded but only the basic information had been recorded such as “Chiropodist - nails cut, Continence Nurse – review needs”. Records did not evidence if people’s needs were being met.