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Inspection Summary


Overall summary & rating

Good

Updated 13 November 2020

About the service

Alicia Nursing Home is a nursing home that provides personal care and nursing care to 42 people at the time of the inspection. This includes a separate building down the road known as Atwell House that accommodates seven people with a learning disability and physical disability.

Alicia Nursing Home consist of three floors. The three floors have this includes people’s individual bedrooms, lounges and shared bathrooms. On the ground floor there is a day centre which is attached to the home.

People’s experience of using this service and what we found

People were supported by staff who knew their support needs and were able to address any changes or concerns they had with the manager. The service had systems in place to safeguard people in the home. The management team dealt with any issues reported to them promptly.

Care plans and risk assessments identified people’s needs, however there were gaps in the detail of some of the care plans. The management team were proactive in adding this information. Medicines were managed safely, however there were concerns that the time between people receiving their medicines was not adequate.

The service had procedures in place to ensure they managed the infection control in the home.

The management team was approachable, and staff felt supported. Overall, we observed staff engaging in conversations with people. Staff told us they felt like it was a family feel to the home.

Quality audits were completed. However, some of the audits did not identify particular areas of risk, how to manage these risks and any pattern emerging. In addition, there was no clear action plan which could be shared with staff for lessons learnt and improvements.

We recommend the manager reviews their quality assurance systems and ensure there is clear analysis and action plans to identify improvements within the home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 27 October 2017).

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about the culture of the service and overall systems in relation identifying and actioning potential health concerns. The overall rating for the service has not changed following this targeted inspection and remains Good.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 13 November 2020

At our last inspection we rated this key question Good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about

Effective

Good

Updated 27 October 2017

The service was effective.

Staff received regular training, supervision and support in order to develop and maintain their skills and knowledge.

The requirements of the Mental Capacity Act 2005 were being met.

Staff understood people�s individual needs and provided effective support.

People had been supported to eat well and to maintain their health and wellbeing.

Caring

Good

Updated 27 October 2017

The service was caring.

People were supported by staff who were kind, caring and friendly.

Staff respected people�s choices and supported them to maintain their independence.

People were supported in a respectful manner that promoted their privacy and dignity.

Responsive

Good

Updated 27 October 2017

The service was responsive.

People�s needs were assessed and they had appropriate care plans in place.

People�s needs were met in a timely way by responsive and attentive staff.

The provider had a system to manage people�s complaints and concerns.

Well-led

Good

Updated 13 November 2020

At our last inspection we rated this key question Good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about