CQC report explained · a nursing home
What the CQC found at Victoria Chatsworth
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors were assured that infection risks were being managed, including visitor screening, testing, social distancing, personal protective equipment, hygiene and outbreak arrangements.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, January 2021
Victoria Chatsworth was inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 outbreak.
This was an announced, targeted inspection on 1 December 2020. It checked infection prevention and control arrangements during a coronavirus outbreak.
Inspectors were assured that visitors, residents and staff were protected through screening, testing, social distancing, shielding, hygiene measures and the safe use of personal protective equipment.
People were supported to stay in their rooms during the outbreak. They received meals and drinks there, activity packs and extra time with staff. Video calls helped them keep in touch with people outside the home.
The service was inspected but not rated. This means the report gives a view of infection control at that visit, but it does not give an overall quality rating or ratings for the other questions.
Visitor safety
Visitors were screened, given access to handwashing and personal protective equipment, and managed to support social distancing.
“All visitors had a basic health screen and had their temperature taken.” from the report
Keeping in touch
People had equipment to use social media and make video calls with people outside the home.
“Equipment was provided to people living in the home so they could use social media and communicate by video with people outside of the home.” from the report
Support during isolation
During the outbreak, people were supported in their rooms with meals, drinks, activities and extra time with staff.
“The activities coordinator had made packs for everyone to enjoy puzzles and activities in their rooms and staff spent additional time with people.” from the report
Outbreak planning
New admissions were paused during the outbreak, and an admission policy covered testing and isolation afterwards.
“There was an Admission Policy in place to manage infection risks once the outbreak was over, this included testing and support to isolate.” from the report
Further development identified
minorInspectors signposted the provider to resources to develop its infection prevention and control approach. The report does not say that this led to a breach or enforcement action.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01How are visitors currently screened and supported to use personal protective equipment?
- 02How do you manage testing and isolation when someone moves into the home?
- 03How would you help my relative keep in touch with family if they had to isolate in their room?
- 04What infection prevention and control improvements have you made following the resources signposted by inspectors?
- 05How are meals, drinks and activities provided to people who are isolating?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak; the service was inspected but not rated and the other quality questions were not assessed. This explanation was written from the published report of 6 January 2021 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.
What inspectors found, November 2019
Victoria Chatsworth is rated Good; inspectors found kind, effective care but medicines records needed improvement.
Inspectors made an unannounced visit on 30 September 2019. They spoke with six people and five staff. They reviewed care plans, medicine records, staff files and management records.
People were generally happy and said they felt safe. Inspectors found kind and respectful staff, personalised care, good food, suitable activities and effective support from health professionals.
The main problem was medicine recording. Some charts were incomplete or unclear, which created a risk that medicines could be missed. No evidence was found that anyone had been harmed.
The overall rating was Good. Effective, caring, responsive and well-led were rated Good. Safe was rated Requires Improvement, a lower rating than at the previous inspection. Well-led improved from Requires Improvement to Good.
Kind and respectful care
Inspectors saw polite, caring interactions. People were involved in decisions about their care and supported to keep their dignity and independence.
“We saw people being treated in a caring way by kind, polite staff.” from the report
Personalised care
Care plans recorded people's individual needs, preferences, life histories and important relationships. Staff were expected to read and follow them.
“People had personalised care plans which were read and followed by staff.” from the report
Food and nutrition
People were supported to eat and drink enough. Food was adapted when needed and records included allergies, preferences and monitoring of weight.
“The food was prepared by a chef who knew the people well.” from the report
Activities and family contact
People could join activities suited to their interests. The activities coordinator also kept families informed through email and a monthly newsletter.
“An activities coordinator at the home ensured people were not bored even if they could not leave the home.” from the report
Improved leadership
Inspectors found that management and safety systems had improved since the previous inspection. Staff and people spoke positively about the new manager.
“At this inspection we found that audits were being carried out as necessary, and safety checks, including fire safety checks, were carried out as required.” from the report
Medicine records
seriousMedicine charts did not always show clearly whether medicines had been offered, refused or not given. This created a risk that people could miss medicines, although inspectors found no evidence of harm.
“People were at risk of missing medicines because staff did not always fill in charts to show when medicines such as optional pain relief were offered but refused.” from the report
- 01What changes have been made to ensure medicine charts clearly record medicines that were offered, refused or not given?
- 02How are medicine records checked, and what happens when a recording error is found?
- 03How does the home make sure agency staff, especially at weekends, listen to residents and understand their needs?
- 04How will the planned bath installation affect people's choices about washing, and has it been completed?
- 05How will you keep families informed about activities, complaints and changes in care?
This was an unannounced inspection covering all five key questions, including the premises and care provided; the previous inspection was on 2 February 2017. This explanation was written from the published report of 22 November 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 Victoria Chatsworth
2 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2016
Registered with the Care Quality Commission on 11 April 2016.
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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46 live-in carers within about an hour of Brighton and Hove
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 £1,020 to £1,280 a week. 37 can care for a couple. 10 years' experience on average.
“Lottie showed incredible patience and empathy, adapting her routine to fit in with Mum's moods. Most importantly, Lottie's cheerful manner helped Mum to get some enjoyment out of life.”
“He was infinitely patient with them and got on very well with us to the extent that we now regard him as a personal friend.”
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.