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Archived: Alexandra Park Home Good

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Reports


Inspection carried out on 1 December 2015

During a routine inspection

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 carried out on 10 September 2013

During a routine inspection

Some people who used the service communicated through sign language, Makaton or through their own set of signs. However we noted that with assistance from staff and through observation we were able to ascertain that the people who used this service were happy with its provision. We noticed that staff and people were confident to express their views. Staff were caring in their interaction with people and treated them with respect.

We saw that care plans had been developed with discussion and information gathered from the person using the service, their representatives and from associated health and social care professionals.

People who used this service told us that they felt safe. Staff were aware of safeguarding legislation and procedures.

We saw that medication was appropriately sourced, administered and stored. When necessary it was returned to the supplier.

Staff levels were assessed and regularly monitored. Training was effective and comprehensive ensuring that people who used this service were kept safe.

The provider had a system in place to regularly assess and monitor the quality

of service that people received. This resulted in the provision of a safe effective service

Inspection carried out on 21 March 2013

During an inspection looking at part of the service

At the time of the inspection there were eleven people living at the home, and we had the opportunity to speak with seven of them. We observed lunchtime in the dining area, and staff interactions with people living at the home.

The majority of people we spoke to told us that they were happy living at the home, and all indicated that they were treated with respect by staff. People told us �Lunch was nice,� �The food�s OK,� and �It has improved.� We noted significant changes to the menu since the previous inspection, and people indicated that they were happy with these.

We observed staff supporting people in a positive and professional way that respected their dignity. Staff and people living at the home indicated that there were sufficient staff available to meet people's needs effectively. We found evidence of significant improvements in staff members' training within recent months, and all staff had received annual appraisals as required.

As required at the previous inspection more rigorous systems had been put in place to monitor the quality of care and support provided to people at the home. People confirmed that they were asked for their views about the home. They noted �The manager comes round to ask how things are,� and �I went to the residents meeting recently.�

Inspection carried out on 13 August 2012

During a routine inspection

At the time of the inspection there were thirteen people living at the home (two vacancies). We spoke to eight people living at the home, one relative visiting the home, and three staff members (including night staff) and looked at five people�s care plans. We observed suppertime in the dining area, and staff interactions with people living at the home. People told us what it was like to live in this home and described how they were treated by staff.

The majority of people we spoke to told us that they were happy living at the home, and they were treated with respect by staff. People told us �It�s a nice home,� and �There are activities to do.� One person told us that they were able to go out independently noting �I go out every day.�

People were less positive about the food served in the home. One person noted �Its OK.� But several residents complained about the food choices served. One person noted �the food is repetitive, but they do ask.�

We observed staff supporting people in a friendly and professional way that respected their dignity.

Staff and people living at the home indicated that there were usually sufficient staff to meet people�s needs effectively. However we did not find evidence that individual staff members� training needs were being monitored or that they were receiving regular supervision. There were also insufficiently rigorous systems in place to monitor the quality of care and support provided to people at the home.

Inspection carried out on 11 March 2011

During a routine inspection

Overall the feedback was that people are provided with a good standard of care, and are well settled in the home. They are given choices and have formed good and supportive relationships with staff.

We observed people moving freely throughout the home. One person noted �I�ve been here for four years. It�s alright, I�m well looked after.� Other people living at the home spoke highly about the quality of staff, and felt that they were asked about their needs and wishes. A relative of one person living at the home advised that 'everything is fine.'

People felt that there were sufficient activities available to them, and that they had the opportunity to go outside the home when they wished. They also advised that they enjoyed the food at the home.

Staff were observed respecting people�s privacy and treating them with respect. People confirmed that they received their medication at the prescribed times.

Whilst the environment was generally clean, an issue regarding an odour in one bedroom remains to be resolved as it may impact on people�s quality of life.

Most people had an idea of who they could speak to if they had a complaint or felt at risk of harm, and remembered being asked for their views on the quality of care in the home. Whilst appropriate safeguarding procedures are in place at the home, insufficiently accurate recording of staff members on duty may place people at risk.

Reports under our old system of regulation (including those from before CQC was created)