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Victoria House Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 4 December 2020

During an inspection looking at part of the service

Victoria House is a residential care home that provides personal care and support for up to six people with a learning disability, autism or who have complex needs associated with their mental health. At the time of the inspection there were six people living at the service.

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

People told us they were happy and felt safe living at Victoria House. We found whilst the service had made a number of improvements following the last inspection the service was not operating in accordance with the regulations and best practice guidance. This meant people were at risk of not receiving care and support that promoted their wellbeing and protected them from harm.

Quality assurance and governance systems were in place to assess, monitor, and improve the quality and safety of the services provided. However, we found the systems in place had been ineffective in identifying some elements of poor practice. For example, people were not always protected from the risk of avoidable harm. We found risks, such as those associated with the environment, had not been managed safely or within a timely manner.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not fully able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The culture within the service did not always promote a positive and person-centred culture. This meant we could not be assured that people who use the service were able to live as full a life as possible and achieve the best possible outcomes that include control, choice and independence or that they were being supported to be the best version of themselves.

Whilst we did not find people were being disadvantaged, people were not supported to have maximum choice and control of their lives and staff were not supporting people in the least restrictive way possible.

People were not always protected from the risk and spread of infection. We were not assured the arrangements in place to ensure the service was kept clean were sufficiently robust to control and prevent the spread of infection.

People's medicines were managed safely. However, where people had been prescribed medicines they only needed to take occasionally, guidance for staff was not always provided. We have made a recommendation in relation to medicines.

Risks such as those associated with people's complex mental, physical and/or health needs had been assessed and were being managed safely.

Staff were recruited safely and there were sufficient numbers of staff deployed to meet people's needs.

People were encouraged to share their views through regular house meetings and relatives felt able to raise concerns, although we received mixed feedback about how the service responded to concerns raised with them.

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 on 28 January 2020) 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 enough improvement had not been made/sustained, and the provider was still in breach of regulations.

This service has been in Special Measures since January 2020. 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.