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Archived: Victoria Lodge Residential Care Home

The provider of this service changed - see new profile

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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The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

People who use services are not protected by safe and robust quality monitoring systems.

User experience

On this occasion we did not speak to people about this outcome area.

Other evidence

There was no evidence that any assessment or monitoring of the quality of care offered was undertaken by the manager of the home or the provider.

We looked at the staff rota for November and December. The rota showed that the manger has been present in the home on 7 occasions working a 9am to 5pm shift. The manager told us that they had been in but had not put themselves on the rota.

The Deputy Manager, who was promoted from carer to senior carer and deputy manager within 6 months, has been in day to day control of the home for an extended period of time whilst the manager was on annual leave and off sick.

The Deputy Manager said they undertook medication audits and addressed issues in care practices as and when they were noted. We did however find a medication error which had not been picked up. This were later investigated by the Deputy Manager and explained as a further recording error.

The manager told us that they would be applying to be registered as the manger for the home. The provider must ensure compliance with their condition of registration to have a registered manager by 01 April 2011.

The manager told us that they have an annual questionnaire for people who use the service, relatives and outside professional. We were told that any issues raised were dealt with on an individual basis. There was however no system in place to use this information as part of a quality assurance review or offer any feedback.

The manager of the home has failed to make appropriate notifications to the Care Quality Commission, as is their legal responsibility.