Home / Sources / CQC / Victoriana Care Home
Index live
Source · CQC inspection

Victoriana Care Home

Type Social Care Org Region East Last inspected 29 Sep 2022

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Inadequate
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 4 must-do 1 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Responsive
The provider must ensure people receive person-centred care tailored to their preferences, likes and dislikes and are supported to take part in social past times relevant to them.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care
⚠ We found no evidence people had been harmed. However, people were not receiving person-centred care tailored to their preferences, likes and dislikes and were not being supported to take part in social past times relevant to them. This put people at risk of harm.
Must-do action 2 of 4
Must do
Safe
The provider must ensure systems are in place to assess risks effectively and put measures in place to keep people safe, that the service is clean, and infection control measures are followed.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ We found no evidence people had been harmed. However, systems were not in place to assess risks effectively and put measures in place to keep people safe. The service was not clean and infection control measures were not being followed. This put people at risk of harm.
Must-do action 3 of 4
Must do
Safe
The provider must ensure effective systems are in place to safeguard people from the risk of abuse.
Regulation: Regulation 13 HSCA RA Regulations 2014 Safeguarding service users from abuse and improper treatment
⚠ We found no evidence people had been harmed. However, systems were either not in place or were not effective in safeguarding people from the risk of abuse. This put people at risk of harm.
Must-do action 4 of 4
Must do
Well-led
The provider must ensure effective leadership and governance systems are in place to identify and address areas where improvements are needed, and to promote a positive culture that leads to good outcomes for people.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ We found no evidence people had come to harm. However, leadership and governance was ineffective and had not picked up on areas where improvements were needed. A negative culture had developed at the service leading to negative outcomes for people. This put people at risk of harm.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Responsive
We recommend the provider consider current guidance on the Accessible Information Standard and how this should be implemented to help improve the way in which people are spoken and communicated with.

Previous inspection

27 November 2020
RatingRequires Improvement
TypeFocused inspection
Actions 2 must-do
2 repeated

Location details

CQC ID: 1-112084863
Local authority: Luton
Region: East

Inspection report

Type: Inspection report
Date: 29 September 2022
Rating: Inadequate
Actions: 4 must-do 1 should-do
AI-extracted 17 Feb 2026