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New Victoria Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 August 2021

About the service

New Victoria Nursing Home is a care home providing personal and nursing care to 25 people at the time of our inspection. The service can support up to 30 adults living with dementia or mental and physical health conditions. Accommodation consists of single room accommodation with additional communal spaces for people’s comfort and enjoyment. New Victoria Nursing Home will be referred to as New Victoria within this report.

People’s experience of using this service and what we found

Staff did not always follow safe recordkeeping associated with medicines management.

We have made a recommendation about the safe management and recording of medicines.

The provider was in the process of a renovation and redecoration programme to enhance people’s safety and welfare. They deployed sufficient staffing levels to meet people’s needs in a timely way. Staff were able to describe good practice in safeguarding principles to protect people from harm, injury or unsafe care. Staff followed current guidance to maintain good infection control measures.

The registered manager implemented personalised care to assist staff to prevent malnutrition. Staff further promoted healthy living by working alongside external health and social care professionals. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The registered manager trained staff to develop their skills.

The registered manager demonstrated they had taken sufficient action in the ongoing improvement of care and quality assurance records. They led the home in a programme of development and reflection focused on continuous learning. Staff confirmed the registered manager was a strong, competent leader.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 April 2021) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The service remains rated requires improvement.This service has been rated requires improvement for the last two consecutive inspections.We found action had been taken to improve the leadership and safety of the home. However, we rated the key areas as requires improvement because the management team and staff need to demonstrate consistent good practice over time.

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels; environmental safety; staff training; supporting people living with dementia to have meaningful lives; nutrition; personalised care planning; and leadership. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.

Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from

Inspection areas

Safe

Requires improvement

Updated 20 August 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 August 2021

The service was not always effective.

Details are in our safe findings below.

Caring

Good

Updated 20 August 2021

Responsive

Good

Updated 20 August 2021

Well-led

Requires improvement

Updated 20 August 2021

The service was not always well-led.

Details are in our well-led findings below.