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Archived: Victoria Lodge Residential Care Home

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All reports

Inspection report

Date of Inspection: 1, 8 May 2013
Date of Publication: 29 January 2014
Inspection Report published 29 January 2014 PDF

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

Enforcement action taken

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 1 May 2013 and 8 May 2013, observed how people were being cared for and talked with staff. We reviewed information given to us by the provider, reviewed information sent to us by commissioners of services and talked with commissioners of services.

Our judgement

The provider did not have an effective system to assess and monitor the quality of service that people receive.

The provider did not have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others. Where the service had identified risks relating to health and safety, they were failing to manage or reduce these risks.

Reasons for our judgement

We asked what systems were in place to check on the quality of care that was being provided to people. The registered manager told us that there were no arrangements in place to monitor or assess the quality of services being provided to people. We were told that they would make sure care was maintained to a standard. It was also demonstrated that they were working to improve assessment and care planning systems which meant they had looked at systems in place and how to improve these. However there were no arrangements in place to monitor or assess the quality of services being provided to people. This meant people were not sufficiently protected against the risks of inappropriate or unsafe care.

We asked if anyone had walked through the building and carried out an audit with regard to the suitability of the premises given that fixtures and fittings such as carpets, paintwork, doors and furniture were old, worn and in need of renewal. We were told by the manager that this had not happened.

The registered manager told us that the owner of the service had visited two weeks ago with a builder and walked around the premises. The registered manager and maintenance man did not have knowledge of what the purpose of this visit was or what action the owner might be taking as a result.

Risk management reports had been supplied by a qualified health and safety company. There were a number issues reported on that were in need of action in order for the service to comply with health and safety legislation. This included completing risk assessments and formulating policy and procedures. These had not been acted on. This meant that where the service had identified risks through assessment and monitoring, they were failing to manage those risks. This meant that the service was failing to protect service users.