Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd September 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for The Victoria Lodge.
Annual service review
Name of Service: The Victoria Lodge The quality rating for this care home is: The rating was made on: two star good service 2 9 0 9 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Annette Campbell-Currie Date of this annual service review: 0 3 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 48-50 Shakespeare Road Worthing West Sussex BN11 4AS 01903201006 Telephone number: Fax number: Email address: Provider web address:
vcare@freenet.co.uk Name of registered provider(s): Name of registered manager (if applicable) Victoria Care Elite Ltd Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The registered manager has handed in her notice. 2 9 0 9 2 0 0 8 Number of places (if applicable): Under 65 Over 65 0 23 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Victoria Lodge is registered to provide accommodation and personal care for twenty-three residents in the category OP. It is owned by Victoria Care Elite Ltd. Annual Service Review Page 2 of 7 The home is situated near the centre of town, close to shops and the railway station. The bedrooms are situated on three floors with access provided by a passenger lift. Due to the layout of the home wheelchair users cannot be accommodated. Mr P Burtenshaw is the responsible individual for the company and the post of registered manager is now vacant. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included:The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people interested in the service. Information we have about how the service has managed complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. A requirement was made at the previous inspection for the home to ensure that everyone should be provided with a statement of the terms and conditions of the home or a contract for people who are self-funding, when they move in. It was not clear in the AQAA whether or not this is now in place. At the time the AQAA was completed there were eighteen people living in the home and twenty-one care staff employed there. We also sent out surveys to people living in the home, to staff and health and social care professionals to find out what people think about the service provided. Nine people living in the home returned surveys, some people were supported by relatives to fill them in and to make comments. Nine staff returned surveys and one professional who knows the home returned a survey. The manager said in the AQAA that she or senior staff talk to people living in the home on a daily basis to find out how they are. She said that residents meetings are held and that a regular service user audit is carried out. The results are displayed on the notice board. There is a complaints policy and people who returned surveys said that they know how to make a complaint if they need to. The manager said in the AQAA that four complaints have been received in the past twelve months, 25 have been resolved within 28 days and two complaints were waiting for an outcome. Annual Service Review Page 4 of 7 The manager said that people usually have an assessment of their needs before they move to the home, however she also indicated that this has not always happened so that at least one person whose needs she feels the home cannot fully meet has been admitted and that this placement is being reviewed. We need to monitor the client types being admitted to the home as recently there have been some people with dementia who are challenging and displaying abusive unsettling behaviour which has upset other residents and led to a couple of complaints. The manager said that people have a plan of their care and that this is kept under review. The professional who returned a survey indicated that while they feel very happy with the way the service is provided, they have concerns that there appears to be a culture of dependency rather than one of maximising independence in the home. The manager said that the home tries to provide a varied programme of activities and that planned entertainment is displayed on the notice board. Seven people living in the home who returned surveys said that there are always or usually activities in the home; two people said this happens sometimes. Two members of staff said there is not enough entertainment in the home. One relative said: There appears to be little extra activities. People who returned surveys indicated that they like the food and one person said the chef has been particularly helpful in making sure they have the diet that they need. Comments that people living in the home made about their care include: The home provides a safe and caring haven, Friendly caring home and staff, Hospitable to visitors, Friendly atmosphere, Very caring staff who take interest in their residents and The home is tidy, clean and welcoming. The manager said in the AQAA that staff recruited in the past twelve months have had the necessary checks carried out before they started work in order to protect people. Ten of the twenty-one staff have achieved the National Vocational Qualification (NVQ) in care at level two or above. The manager said in the AQAA that a new training provider is being used for staff training. Six of the nine staff who returned surveys said that the training they receive meets their needs. Seven staff and two relatives made comments that there are not sufficient numbers of staff on duty to meet the needs of people living at The Victoria Lodge. Comments made by relatives include: With more staff there would be a quicker response to the bell......too much for staff to do presently and Extra home care needed as it is more a nursing home now than a residential one. Eight of the nine staff who returned surveys made comments about the service. Eight people made comments that the staff team provide good care however seven members of staff made comments to indicate that the current staffing levels are not sufficient to meet the high care needs of people living in the home. Comments include: I believe that more staff are needed to give each service user quality time with them instead of rushing to get things done. Every shift needs at least one extra carer, More carers, (home) has dementia people, The home is running with the minimum number of staff. Most of our service users are highly dependent and dementia sufferers who need individual attention because of the number of staff on duty it is impossible to meet their needs, Some shifts difficult with staff levels reduced and clients needing a constant high, demanding level of care, We now have 3/4 fully nursing residents and
Annual Service Review Page 5 of 7 4/5 dementia care residents, which we feel is not acceptable and We are working under a lot of pressure. We are not able to provide the care that these people need. The previous inspection report stated that The provider should continue to routinely review staffing levels in the home to ensure that peoples needs can continue to be met. It would appear from the feedback received that staffing levels have not been kept under review. In view of the comments made by the manager in the AQAA and by staff in the surveys about the nature of the care needs of people living in the home and the current staffing levels we have decided to change our inspection plan in order to make sure that everyone in the home is receiving the care that they need. What are we going to do as a result of this annual service review? Following the annual service review we have changed our inspection plan. Annual Service Review Page 6 of 7 Reader Information
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