Latest Inspection
This is the latest available inspection report for this service, carried out on 7th August 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 Victoria House.
Annual service review
Name of Service: Victoria House The quality rating for this care home is: The rating was made on: two star good service 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?
No 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: Frederick Rawlins Date of this annual service review: 1 2 0 8 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Low Grange Crescent Belle Isle Leeds West Yorkshire LS10 3EG 01132708529 01132765090 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Mrs Mary Margaret Lavelle Number of places (if applicable): Under 65 Over 65 0 36 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Victoria House provides personal care to 36 older people. Nursing care is not provided. It is set in its own grounds, situated centrally in Belle Isle, a suburb of Leeds. There are three floors. The main living accommodation is on the ground and first floors and consists of a large reception area, three lounges, three dining areas, and a small library/visiting room. An activity/games room is planned for the lower ground floor. There is a passenger lift between the ground and first floor, with plans being considered to extend this to the lower ground floor. There are 33 bedrooms, 30 single and 3 double rooms, all of which have en-suite facilities. Local amenities, such as shops and a post office are nearby. The home is on a bus route with buses running regularly into the centre of Leeds. Outdoor seating is provided at the front of the home. In July 2009 the weekly fees ranged from 420 to 450 pounds. Additional service such as hairdressing and chiropody are not included in the fees. Copies of previous inspection reports are available in the reception area of the home.
Annual Service Review Page 2 of 6 Annual Service Review Page 3 of 6 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 or annual service review. 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. - Information we have about how the service has managed any 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 and the results of any other visits that we have made to the service in the last 12 months. - Relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? The home did not send us their Annual Quality Assurance Assessment (AQAA) when it was first request. We looked at the information in the AQAA, which showed what improvements to the service had been made in the last twelve months and further development plans The AQAA showed that the home has made improvements as a result of suggestions from the people who use the service and their families. This includes looking at the possibility of a covered outdoor seating area for people. New wide screen TVs (40inch) in the main lounges now allow those who are sat furthest from the TV to see the screen better. People raised their concerns regarding one of the entertainers, they felt he was a bit grumpy/arrogant and didnt listen to their views. As a result this entertainer is no longer used by the home. The home has purchased new blinds in all of their lounges. As a result of listening to people the home has incorporated a drinks afternoon every Friday. The Accounts and Administration said in the returned AQAA that in the last 12 months they have made one of the Senior Carers solely responsible for reviewing the care plans on a monthly basis. He said this ensures that nothing is missed from the care plans and as a result the persons file is both comprehensive and current. They make sure very person has a copy of the Term & Conditions and have completely changed their admission procedure and pre-admission assessment. This ensure that they have a complete overview of peoples needs, like and dislikes and lifestyle. Victoria House is currently auditing its Drugs Administration team to ensure that the homes Policies & Procedures are being adhered to. Annual Service Review Page 4 of 6 Previously no record was made of any complaints as picked up in the last key inspection. Since this was noted all complaints no matter how small are documented in the complaints book which can be found in the main office. The file shows all complaints have been logged, investigated and resolved. The AQAA said the hairdresser room has been completely renovated and several bedrooms have been refurbished and painted throughout the year as part of the monthly repair checks. The homes main bathrooms have been completely renovated, and this includes new taps, new toilet seat, new flooring and tiles throughout. Health and Safety information is displayed throughout the home and a whole range of risk assessments are carried out for the building and working practices. Health and Safety of people who use the service and staff is promoted and protected. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 16 July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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