Victoria House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

At the lasted rated inspection this key question was rated as good. At this inspection the rating has remained good. This meant the service was managed by leaders who created a culture aimed at promoting high-quality, person-centred care. The registered manager had developed a clear governance system and constantly looked at how to make improvements. They encouraged continuous learning, innovation and improvement across the organisation. The registered manager had acted swiftly to review fire management systems last year, strengthened them and ensured staff had robust fire risk assessments to follow. Following the report from the infection control unit highlighting issues such as the need for new fridges, which had not been raised by staff they worked with staff to ensure they understood the governance processes and raised any identified gaps in practice in a timely manner. Staff discussed how they could speak up, share ideas around improvements and the operation of the service. They felt their views were taken on board.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us they and the management team regularly reviewed the systems and processes to determine if improvements could be made.

The registered manager had developed a clear governance system and constantly looked at how to make improvements. The management team encouraged continuous learning, innovation and improvement across the organisation. The registered manager had acted swiftly to review fire management systems last year, strengthened them and ensured staff had robust fire risk assessments to follow. Following the report from the infection control unit highlighting issues such as the need for new fridges, which had not been raised by staff they worked with staff to ensure they understood the governance processes and raised any identified gaps in practice in a timely manner. The provider had systems in place to monitor and oversee the operation of the service and regularly held meetings with the management team to discuss risk and areas for improvement. There were arrangements in place to ensure information was used to monitor and improve the quality of care. Clear business continuity plans were in place. Notifications were appropriately submitted to external organisations, including sending reports to us such as those about incidents, safeguarding matters changes to the manager.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.