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Victoria Cottage Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 17 January 2020

About the service:

Victoria Cottage is a care home which provides care and support for people with physical disabilities, learning disabilities or autistic spectrum conditions.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. 10 people were using the service at the time of the inspection. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.

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

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

We received extremely positive feedback about the service and the care people received. People, relatives and professionals commented positively about the caring and responsive approach of the staff. Everyone said the service was excellent because of how well it was managed. There was evidence that people achieved good care outcomes, and everyone’s comments about the service supported this. This was reflected in a professional’s feedback which said, “I’m very impressed with the care home setting. The management and the staff are very good, caring, and respond to the residents’ needs. High class service!”

People were protected from harm by staff who were trained to identify and report concerns. People were safe because risks had been managed well. There were enough staff to support people safely. People were supported to take their medicines safely. Efforts had been made to reduce the amount of medicines people took to promote their wellbeing. Lessons were learnt from incidents to prevent recurrence. Staff followed effective processes to prevent the spread of infections.

People received effective care to meet their needs. People were supported by very skilled and knowledgeable staff. People were supported to eat well to maintain their health and wellbeing. Working closely with other professionals was central to the good care provided to people.

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.

Everyone said staff were exceptional at promoting a caring environment for people. Staff had respectful, caring and friendly relationships with people. Staff upheld people's dignity and privacy, and they promoted their independence.

People received exceptionally personalised care and support which met their needs, reflected their preferences and promoted their wellbeing. People’s views mattered and the service valued relatives' contributions to discussions about people's care. The registered manager listened to suggestions, concerns and complaints. They used this information to continually improve the service.

There was a positive, open and empowering culture. Staff roles and responsibilities were clear, and staff were supported and encouraged to use creative and individualised methods to support people to achieve their personal goals. The provider's values were reflected in the way staff supported people. The provider's quality monitoring processes were robust, and they evidenced what they did to continually improve the service.

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

Rating at last inspection:

The last rating for this service was good (published 31 May 2017).

Why we inspected:

This was a planned i

Inspection areas

Safe

Good

Updated 17 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 17 January 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 17 January 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 17 January 2020

The service was exceptionally well-led.

Details are in our well-led findings below.