Updated 9 November 2023
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection team comprised two inspectors, a physiotherapist, an occupational therapist and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Victoria House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Victoria House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed all the information we had received about Victoria House since the last inspection, including the most recent provider information return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
Inspection activity started on 11 July 2023 and ended on 17 July 2023. We visited the service location on 11 July 2023. We spoke with 10 people using the service and 3 relatives both in person and by phone. We observed care and support people received in the shared areas of the home. We observed people’s therapy sessions, with their consent. We spoke with 6 staff including the registered manager. We reviewed records relating to people’s care including care plans, minutes of multi-disciplinary team meetings, and medicines records. We reviewed other records relating to the management of the service including fire risk assessments and recruitment records. We reviewed all the evidence we gathered and used it to make rating judgements based on our published assessment framework.