Working at Victoria Court

Risk guides for staff are often unclear or wrong on dangers like self-harm, unsafe eating, or going missing, and managers did not fix issues after incidents.

Risk assessments did not consistently contain clear guidance for staff to follow... registered manager had failed to take action to reduce the risk of further occurrences.

Managers' quality checks missed big problems with risks, old medicines, and oversight.

Quality assurance tools had failed to identify where improvements were required in people's care and documentation... systems were not in place to effectively monitor and assess the quality of the service.

Only basic games like foosball or snooker and one-off baking, no regular activities coordinator or varied programme.

People could access a variety of independent and group activities within the home as they wished. For example, there was a foosball and snooker table... staff had supported a person to do some baking.