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Victoria House (Wallasey) Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 October 2020

About the service

Victoria House is a residential care home providing personal care to 50 people aged 65 and over at the time of the inspection. The service can support up to 56 people.

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

At the last inspection, the provider was in breach of a number of regulations. This inspection reviewed three of these regulations to establish whether improvements had been made.

Although improved systems were in place to monitor the quality and safety of the service, systems didn’t always identify all the issues we found to ensure there was sufficient oversight and evaluation of risk to people. This is a continued breach of regulation 17 (Good Governance).

The management of medication had improved. Storage was robust and appropriate systems were in place to manage controlled drugs. Further development was needed strengthen the guidance available to staff in relation to ‘as required’ medicines. We have made a recommendation about this.

The provider had addressed the issues identified in previous inspections in relation to infection control and environmental safety. Additional and improved shower facilities had been installed as well as new sluice facilities. The garden area was secure and the smoking room had been made safe. Additional smoking facilities were available outside of the building.

Systems to investigate accident and incidents had improved and these were being regularly reviewed to learn from these events to prevent them from happening again in the future. Where the provider was required to report accidents and incidents to CQC, we found these records were complete and well maintained.

Staff members employed at the service were recruited safely. The number of staff on duty was sufficient to meet people's needs. Staff had received sufficient training and support and knew how to safeguard people from the risk of abuse.

Improvements had been made to ensure legal requirements were followed where a person was unable to consent to their care. 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 now supported this practice.

People received enough to eat and drink and health needs were being met. There were a range health and social professionals involved in people's care.

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 inadequate (published 16 October 2019) and there were multiple breaches 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 some improvements had been made, however the provider was still in breach of regulations.

This service has been in Special Measures since 16 October 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20 August 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, need for consent, privacy and dignity, person centred care and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements in relation to safe care and treatment, needs for consent and good governance. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not

Inspection areas

Safe

Requires improvement

Updated 2 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 2 October 2020

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 2 October 2020

Responsive

Requires improvement

Updated 2 October 2020

Well-led

Requires improvement

Updated 2 October 2020

The service was not always well-led.

Details are in our well-Led findings below.