Latest Inspection
This is the latest available inspection report for this service, carried out on 14th April 2010. 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 0 3 0 3 2 0 0 9 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: Irene Miller Date of this annual service review: 1 2 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 77 Victoria Road Rushden Northants NN10 0AS 01933354780 01933419792 VictoriaRoad.Manager@shaw.co.uk www.shaw.co.uk Shaw Healthcare (de Montfort) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Bickley Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 47 0 0 47 47 0 Mental Disorder, excluding learning disability or Dementia - Code MD (Maximum Number of places !2) 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 77 Victoria Road is a residential care home currently owned by Shaw Healthcare. The home was reopened on 24th November 2008 following extensive refurbishment works. The home provides care for up to 47 people over the age of 65 years. to include up to 18 people with a diagnosis of dementia, within the homes total of 47 up to 5 older
Annual Service Review Page 2 of 6 Registered Managers post is vacant. 0 3 0 3 2 0 0 9 people with mental health needs can be provided with personal care. The Home is situated within walking distance of Rushden town centre, has extensive gardens and all facilities are located on the ground floor. Service Users have easy access to local facilities and amenities. All bedrooms are single occupancy rooms with easily accessible communal areas. The home is made up of several smaller units, each with their own lounge, dining area and kitchenette as well as a central larger lounge. The fees are paid at a rate negotiated with Northamptonshire County Council who funds the placements. The rates are dependent on assessed needs and are in the region of 405.40 or 435.40 per week. This fee covers accommodation, personal care, meals and laundry. Additional costs will include items such as private chiropody treatment and hairdressing, which are external, services which can be arranged. Information about the services provided are detailed in the service user guide and a copy of the most recent inspection report is available in the home. 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? As part of this Annual Service Review we looked at all the information that we have received or asked for, from the providers of 77 Victoria Road, since the last key inspection of this service. This included reviewing information provided within the The Annual Quality Assurance Assessment (AQAA) that was sent to us by the provider of the service. The AQAA is a self-assessment tool that enables the provider to reflect on the service and self assess how they meet the Care Homes for Older People, National Minimum Standards (NMS) which covers seven outcome areas, choice of home, health and personal care, daily life and social activities, complaints and protection, environment, staffing and management and administration. It gives the provider the opportunity to tell us what the service does well, what they could do better, where they have improved and areas for future improvement. It also provides us with numerical information about the service. The provider is legally required to notify the Care Quality Commission (CQC) about events that happen in the service which may affect the health, safety and welfare of people using the service, these are called notifications of events under Regulation 37 of the Care Homes Regulations 2001. We reviewed information we received from stakeholders and other Health and Social Care professionals, who are involved with the care of people using the service, and any concerns, complaints or safeguarding information we may have received since the last key inspection of the service. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and detailed giving us all the information we requested. The provider continues to tell us through the submission of Regulation 37 notifications, events that have happened since our last key inspection, this shows that they continue to manage the service well. Equality and dignity is interwoven into all aspects of the service. The AQAA gave detailed information on how the service meets the seven NMS outcomes. Areas where the provider identifies they do well are in, offering a quality service with staff who are committed to continuously seeking ways that we can improve. Building good working relationships with Health Care professionals. The staff training programme is to a high standard. The home complies with robust internal policies and procedures. That the home is audited quarterly by Northamptonshire County Council, Annual Service Review Page 4 of 6 and has consistently increased its quality status. Areas where the provider identifies they have improved over the past twelve months has been in providing better medication training and the introduction of competency assessments, that this has improved the confidence and knowledge of the staff senior team. They also say they have improved on the quality of the care plans and communication with Health Care professionals. Areas where the provider identified they could do better are, to look at ways of offering individual activity programmes. To link with sister homes within the region so that support can be offered to achieve this. To provide Person Centred Dementia Care Plan training through the Community Psychiatric Team which will build on the training and improve knowledge and awareness of dementia. The data provided within the AQAA confirms that of the fourty two care staff working at the home twenty eight hold National Vocational Qualifications (NVQ) in care at level 2 or above with others working towards their Qualification. Information supplied within the AQAA indicates some of the services Policies and Procedures are in need of review. As records within the AQAA show the policies on Communicable diseases and infection control, Control of Hazardous Substances (CoSHH), Moving and Handling, pressure relief, Safeguarding Adults and the Prevention of Abuse were last reviewed in 2006. CQC has not received any complaints in relation to this service during the period since the last inspection. The AQAA confirms that one complaint had been made direct to the service which was investigated by the provider and partially substantiated. Over the past twelve months there has been one safeguarding investigation. Reportable events through the Regulation 37 notification process has informed CQC of one medication error, three falls resulting in treatment from healthcare professionals, two informing of problems with catheter care and one informing of a person developing a pressure sore requiring treatment from healthcare professionals. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Our opinion of the service has not changed, however we may at any time undertake random inspections, to look at how outcomes are being met for people who use 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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