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Archived: Alexandra Park Home Good

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Inspection Summary


Overall summary & rating

Good

Updated 6 January 2016

We inspected this service on 1 December 2015. The inspection was unannounced. Alexandra Park Home is a care home registered for a maximum of 15 adults some of whom have had long term mental health needs.

At the time of our inspection there were 11 adults living at the service. The service is located in a large detached house, on two floors with access to a front and back garden. We previously inspected the service on 10 September 2013 and the service was found to be meeting the regulations inspected.

Alexandra Park Home has a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

During the inspection people were calm and there was a relaxed atmosphere. People using the service informed us that they were happy with the care and services provided. We saw staff were caring, kind and compassionate and treated people with dignity and respect.

Staff were aware of people’s needs as their needs were carefully documented within detailed care plans. Staff responded quickly to people’s change in needs if they were physically or mentally unwell.

Care records were individualised, contained people’s personal histories and reflected their choices, likes and dislikes, and arrangements were in place to ensure that these were responded to. Care plans provided detailed information on people’s health needs which were closely monitored. Risk assessments had been carried out and updated regularly. These contained guidance for staff on protecting people.

People were supported to maintain good health through regular access to healthcare professionals, such as GPs and the local general hospital. People spoke highly of the food and people’s cultural and religious needs were facilitated by staff.

People had their medicines managed safely although we found minor discrepancies with two medicine records and stocks. People received their medicines as prescribed. Storage and management of medicines was robust with clear processes in place.

Staff had been carefully recruited and provided with training to enable them to care effectively for people. Staff felt supported and there was evidence of regular supervision taking place in recent months. Staff knew how to recognise and report any concerns or allegations of abuse and described what action they would take to protect people against harm. Staff told us they felt confident any incidents or allegations would be fully investigated.

There were enough staff to meet people's needs.

We found the premises were clean and tidy, and measures were in place for infection control. The decor was dated but well maintained and there was a record of essential services being checked. There was clear documentation relating to complaints and incidents.

Management of money for people using the service was well managed.

People told us the management was a visible presence within the home. Staff talked positively about their jobs telling us they enjoyed their work and felt valued. The staff we met were

caring, kind and compassionate.

There was a stair lift to access upstairs and there was an accessible shower room for people with mobility problems.

Although the quality of the care was good, there were other areas where the service had not been consistently well led. Prior to August 2015 supervision did not take place on a regular basis and there was little evidence of involvement by staff or people living at the service in the running of the service.

Inspection areas

Safe

Good

Updated 6 January 2016

The service was safe. Comprehensive risk assessments were in place, up to date and personalised.

Staff had been carefully recruited and were trained in safeguarding people.

Medicines were safely managed.

The building was clean and well maintained.

Effective

Good

Updated 6 January 2016

The service was effective. Staff received training in key areas to ensure they had the knowledge for their role.

Supervision was now taking place on a regular basis and was thorough.

Food was of a good quality and there was evidence of choice of food.

We saw people were supported with health care appointments.

Caring

Good

Updated 6 January 2016

The service was caring. We saw staff were kind and caring and this was confirmed by people living at the service and their relatives.

Staff treated people with dignity and respect in their care giving and were aware of cultural requirements.

Where people chose to discuss it, end of life care decisions were recorded on people�s care records.

Responsive

Good

Updated 6 January 2016

The service was responsive. Care records contained detailed, personalised, up to date information.

Complaints were dealt with promptly and appropriately.

There were leisure opportunities at the service.

Well-led

Requires improvement

Updated 6 January 2016

The service was not consistently well led. Whilst there were many aspects of good leadership there was not regular supervision for staff prior to August 2015.

There was no evidence of involvement of staff or people living at the service through formal meetings.

The service had a clear philosophy of wanting to create a homely environment and a commitment to life long care.