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Archived: Victoria Lodge Residential Care Home

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All reports

Inspection report

Date of Inspection: 26 February and 8 March 2013
Date of Publication: 28 January 2014
Inspection Report published 28 January 2014 PDF

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 26 February 2013 and 8 March 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with commissioners of services.

Our judgement

There were not sufficient numbers of domestic and administrative staff to support the work of the carers and manager.

Reasons for our judgement

There were five people living at Victoria Lodge at the time of our visit and staffing levels had been set to meet the needs of this relatively low number of people (the service is registered to accommodate 17 people). We were provided with a staffing matrix that indicated staffing levels would rise when more people were admitted. For instance, it showed that when occupancy levels rose to seven, staffing would increase to three carers for both the morning and afternoon shifts and when occupancy rose to 13, this would increase to four carers. There was currently one carer on duty at night which would rise to two when occupancy rose to seven. We were told by the manager that one carer on duty at night time adequately met the needs of the current needs of the service. We were also told that if this were to change, an extra carer would be put on night duty. Records showed that this had happened on one occasion recently.

We were told by the Registered Manager that the service used to have a cleaner but they had now been appointed as the cook. They told us that cleaning duties were now carried out by carers who had to fit both cleaning and laundry duties in with their care duties. They were not given any extra time to fulfil these duties. We asked the Registered Manager if there was a cleaning schedule for staff to follow, they told us there was not. They told us that they felt carers could comfortably meet these duties. However, we found that care staff had walked away and left a sink dirty after tipping dirty water down that had been used to clean the floor. Paper towel dispensers in all toilets had not been replenished and were empty. We found that assessments and care plans had not been completed appropriately and that the service did not have suitable arrangements in place to work with people’s consent. Care staff we spoke with told us they had to work hard to complete all of their tasks. They told us that it was not always possible and that domestic duties sometimes took them away from providing the care and support they felt people needed.

The local authority’s safeguarding and quality monitoring teams visited on 14 March 2013 and found that the physical environment had an offensive odour, and lacked a hygienic cleanliness. This meant that there were insufficient numbers of staff to safeguard people’s health, safety and welfare because both caring and cleaning duties were not being completed properly.

We also spoke to the Registered Manager about their managerial tasks and duties. We were told that they had replaced the structure of the owner managing the service, supported by two deputies. The manager was responsible for carrying out all of the service improvements and managed the service without administrative or secretarial support. The manager stated that the days were currently very long but saw this easing as improvements were implemented. Improvements to the service such as implementing appropriate CRB checks, updating assessment methodology, ensuring capacity assessments were in place and carrying out quality/audit checks on the service were all the responsibility of the manager and had not been done. This meant that there were insufficient numbers of staff to safeguard people’s health, safety and welfare.