Our current view of the service
Updated
5 February 2025
Date of assessment: 25 February 2025 to 14 March 2025. Alicia Nursing Home is a residential care home providing accommodation and nursing care to up to 68 people across 3 buildings. The service provides support to older people, people living with dementia, people with a mental health diagnosis in Alicia nursing home, and people living with a learning disability and autistic people, in Atwell House
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted, our findings are reflected throughout the report.
The provider was previously in breach of the legal regulations in relation to governance, and premises and equipment. At this inspection, the provider continued to be in breach of these regulations.
As an outcome of this inspection, the provider was also in breach of the legal regulations in relation to safeguarding, safe care and treatment, and person-centred care.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
People's experience of the service
Updated
5 February 2025
People and relatives provided mostly positive feedback about the service. Some people raised concerns about the adequacy of staffing levels, particularly during the night, and when they required help with personal care. People expressed overall satisfaction with the kindness and consistency of staff, noting they often see familiar faces and that new staff are mentored. A relative said, “I believe [relative] is very safe in their environment. They have a regular routine with many staff who have known them for years and so fully understand their needs.” Another relative said, “The staff are really very good and very friendly; I never have any concerns when I go.” People told us their care was individualised. Many people said they felt comfortable and well-supported living at the service, with adaptations made for safety and comfort, such as specialised mattresses and mobility aids.
We carried out structured observations where people could not tell us about their experience and found people did not always receive regular interaction from staff or that interactions were task-led. Whilst some people had been supported to participate in activities, records showed other people received very little support to participate in meaningful activities. Overall, our assessment found some elements of care did not meet legal regulations.