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Victoria Court Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 2 October 2020

Victoria Court is a nursing home providing nursing care to nine people at the time of the inspection. The service can support up to 16 people. Victoria Court accommodates people across three separate wings, each of which has separate adapted facilities including a kitchen and living area.

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

Whilst people reported feeling safe and cared for in the home, there was not a consistent approach to assessing people’s risks and taking action to reduce these.

People were not always protected from risks relating to the environment where they were at risk of self-harm.

People received their medicines safely from trained staff, however, medicines audits had not always identified where the service had not disposed of medicines where people had left the service.

Quality assurance tools had failed to identify where improvements were required in people’s care and documentation.

We have made a recommendation about people socially isolating in line with government guidance when newly admitted to the home.

Staff were knowledgeable about safeguarding and people felt able to raise concerns.

The home was clean and staff understood their infection control responsibilities.

People told us that staff were responsive to their needs and we received consistently positive feedback about staff and the management team.

People were encouraged to be involved in their care planning and making decisions around their care.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was requires improvement (published 19 April 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made or sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to people’s safety and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 2 October 2020

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 2 October 2020



Updated 2 October 2020


Requires improvement

Updated 2 October 2020

The service was not always responsive.

Details are in our safe findings below.


Requires improvement

Updated 2 October 2020

The service was not always well led.

Details are in our safe findings below.