Latest Inspection
This is the latest available inspection report for this service, carried out on 4th January 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 Lodge.
Annual service review
Name of Service: Victoria Lodge 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: Sue Scully Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 11 Victoria Road Acocks Green Birmingham West Midlands B27 7XZ 01217077921 01217077626 care@victoria-lodge.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mr James Morris Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Ms Susan Howard Number of places (if applicable): Under 65 Over 65 0 24 The maximum number of service users who can be accommodated is: 24 The registered person may provide the following category of service only: Care Home Only (Code 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) 24 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: There have been no changes to the management since the last inspection. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The quality rating for this service is 2 stars. This means that people using the service experience good quality outcomes. Victoria Lodge is a large, double fronted mid
Annual Service Review Page 2 of 7 Victorian residence. It stands back from the road within its own grounds. The building has been adapted and extended to provide accommodation for 24 elderly persons. There is off road parking situated at the front of the premises. There is a large lawned area and patio situated to the rear of the building, which is accessible from the main lounge. The home is located within a residential area of Acocks Green and a short walking distance from all local amenities. Public transport is available close by providing access to Birmingham City centre approximately five miles to the north and Solihull six miles south. Peoples accommodation is located on two floors. There are 22 single rooms all with en-suite facilities (toilet and wash hand basin); there are also two comfortable shared rooms. The home does provide respite facilities. There are communal toilets and bathing facilities including assisted bathing located throughout the home. The ground floor provides a quiet front lounge and a dining area leading onto the large lounge, which overlooks the pleasant rear garden. The full fees for the home were between £368.00 and £385.00 per week. 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? The focus off inspections undertaken by the care quality commission (CQC) is upon outcomes for the people who use the service and of their views of the service provided. This means they tell us if the agency is meeting their needs and if the agency is flexible to enable them to maintain their independence. We also assess the agencys capacity to meet regulatory requirements, minimum standards of practice and focus on service provision that need further development. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the manager for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to us within a given timescale. The registered manager completed this document and returned it to us. This information in conjunction with information held about the recent history of the service helped us to formulate a focus and plan for the annual service review. Furthermore, along with information obtained from other people such as health care, councils and people who know the service, it has helped in determining a judgement about the quality of care the home provides. We looked at all the information that we have received, or asked for since the last key inspection such as things that have happened with service delivery, with complements, or complaints. Information we have about the service indicates that the service continues to provide a service that focuses on outcomes for people. The last annual service review was completed on 13th December 2009. What has this told us about the service? The response to the surveys we sent before the annual service review told us that the home continues to meet peoples needs. Comments include: All staff are very approachable. The home is very comfortable and warm, i have a lovely room. There is always something to do, i enjoy the parties we have. The food is lovely. The food is excellent , i am well looked after. The staff look after us especially if we are poorly. I have lived here since it opened i am part of the family, this is my home. Annual Service Review Page 4 of 7 This is what the manager told us in the AQAA: We have found over the last few years that referrals of service users have required more complex care needs and are later in life At Victoria Lodge we continue to deliver excellent care and have a good reputation in the community and with visiting health care professionals. We believe that we deliver a Good quality of life to our service users by giving them a Voice in helping us to deliver improvements, by listening and allowing them to express their views. We do this by regular 3 monthly meetings with: Service users Service users and relatives. Quality assurance meetings. Management and staff meetings By listening to peoples thoughts, opinions, comments, suggestions and complaints we have feedback with comments from recent surveys such as: Service users meals ( a few comments Oct 2009) I enjoy traditional roast dinners. Id like gorgonzola like my father used to have. Its nice to have a choice of something different for supper. I love my full English Breakfast. I know a good butcher in Shirley. Service users Trips (a few comments Sept 2009) I like garden centres restaurants and I enjoy a carvery. I like meals out and shopping I like to go shopping down the village. I enjoy gardens and plants. can we celebrate St Patricks day this year and have entertainments I like going out but would rather stay in and have the activities I like the shows and games we have. We listened to our service users : Visited the Botanical gardens and enjoyed a carvery meal out Continued to include traditional roast dinners, Full English breakfasts and amended the menus at the request of the service users. We Celebrated St Patricks day together St Georges and St Davids Day. Relatives Feedback ( a few comments Oct 2009) A very homely environment. The staff are very caring. We feel able to express our views. We are satisfied with the home and feel very relieved that X is in such a caring environment. Thank you to all the team for you hard work and friendliness in making Victoria Lodge such a welcoming place Victoria Lodge has also received letters from visiting professionals and relatives giving excellent feedback on the good work that is carried out by all the staff. The quality and relative meetings are chaired by a newly elected coordinator: who is a daughter of a service user, whereby service users are invited to attend and actively participate. It seen as a Social event with tea, coffee and cakes served by our staff. Our link service user X always plays an active part in the meetings. All minutes of the Service users, Relatives and staff meetings are displayed throughout the home. (additional formats are available on request) All meetings are used as an assessment tool in : Understanding and respecting the significance of relationships. Recognising roles, rights and responsibilities. Creating opportunities. Service users families and friends are actively involved in person centred care planning. This is to ensure that care plans accurately reflect the full range of services and service users individual needs, diversity, wishes and feelings. This is so that we can create a jig saw of their lives constantly evolving and unlocking who they are within and attempting to add more value to their lives. Life books have been
Annual Service Review Page 5 of 7 introduced into the home so that family and staff can interact when completing and adding to them as their live progresses. Victoria lodge encourages where ever possible the use of advocacy to support people and their individual needs. It is important that the service users at Victoria Lodge control their own lives and have a direct involvement with any changes, that they remain as independent as possible make their own informed decisions, have the right to take risks and have goals. A revised key worker system has recently been introduced so that the service user has a more intimate one to one service and as per our care plans addresses the 6 strands of diversity. We have listened to our service users and relatives and instigated an open surgery which will be taken by the care manager for any health care questions anyone might have. On conclusion of the meeting a health action plan may be required which can be discussed added to the care plan and auctioned as necessary. We encourage families and friends to join us in trips and in house events such as BBQS, themed evenings, theatre visits and Christmas festivities. Relatives have also volunteered their services with card making and hand massages. Other information we have taken into consideration: We have had no concerns reported to us since the last inspection. Feed back from external sources such as health care and social care professionals have been positive. From the information sent to us and by speaking with other health care professionals the home continues to provide a service that meets peoples needs, which in turn provides good outcomes for people living in the home. What are we going to do as a result of this annual service review? This review has not changed our views of this service which was rated as a 2 star good service at the last key inspection in 2007, along side a service review in 2008 means we are not going to change our inspection plan, and expect to do a key inspection by June 2010 at the latest. However we may inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. Annual Service Review Page 6 of 7 Reader Information
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