CQC report explained · a residential care home
What the CQC found at 119 Victoria Street
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Inspectors found suitable safeguarding training, risk assessments, fire checks, safe recruitment and medicines records.
- Effective?
- Good
- People's support needs and goals were regularly reviewed. Staff were trained, and people were supported with food, healthcare and independent decision-making.
- Caring?
- Good
- Staff had worked at the home for many years and knew people well. People were treated with dignity and respect and supported to become more independent.
- Responsive?
- Good
- Care plans reflected people's preferences, choices and goals. People were supported with activities, work, relationships, holidays and managing their emotions.
- Well-led?
- Good
- The home had quality checks, improvement plans and positive feedback processes. Inspectors noted that staff meetings were held but had not been documented.
What inspectors found, March 2019
119 Victoria Street was rated Good; inspectors found kind, person-centred care, but end of life plans were not yet in place.
The inspection took place on 22 February 2019. One inspector spoke with all three people living at the home, one staff member and the registered manager. They reviewed care records, a staff file, medicines, incidents, complaints, training and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff knew them well, and care plans supported choice, independence and personal goals.
People had active social lives and were supported with activities, work, relationships and healthcare. The home was clean and tidy. Inspectors noted that end of life plans were not in place, and staff meetings had not been formally documented.
Kind and consistent staff
The small staff team had worked with people for many years and understood their needs. People described staff as approachable and supportive.
“People were supported by a small but consistent staff team who were kind and caring.” from the report
Choice and independence
People were supported to make everyday choices, go out, manage parts of their care and build confidence.
“People were encouraged and supported to maintain their independence.” from the report
Personalised care
Care plans included people's preferences and goals, with support focused on helping them live the life they wanted.
“Care plans were person centred and included people's individual goals for the coming year.” from the report
Active lives and relationships
People took part in work, volunteering, church groups, courses, holidays and other activities. Visitors and relationships were welcomed.
“People had active and varied social lives.” from the report
Positive safety arrangements
Inspectors found risk assessments, fire checks, safeguarding training and safe medicines arrangements.
“When risks were identified, care plans provided clear guidance for staff on how to reduce the risk of harm to people.” from the report
End of life planning
needs fixingEnd of life plans had not been written. Staff said they were discussing how to start these conversations with people.
“End of life plans were not in place.” from the report
Staff meeting records
minorStaff meetings and discussions took place, but formal records had not been kept. The report linked this to the small size of the home and its reliance on one main staff member.
“Staff meetings had not been documented; however, this was because the service was small and relied in the main on one member of staff.” from the report
- 01How will you involve each person in making or reviewing an end of life plan?
- 02How do you record staff meetings, phone discussions and agreed actions now?
- 03How many staff members regularly support people, and what additional cover is available when needed?
- 04How are people's personal goals and activity choices reviewed and updated?
- 05How do you check that medicines continue to be given and recorded correctly?
This was a planned inspection covering all five CQC questions, including the premises and the care provided; the previous overall rating was Good in June 2016. This explanation was written from the published report of 14 March 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 119 Victoria Street
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.