You are here

Keychange Charity Alexander House Care Home Good

Inspection Summary

Overall summary & rating


Updated 14 June 2018

Keychange Alexander House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home can accommodate up to 20 people and there were 19 people using the service at the time of our visits.

At the last inspection in March 2017, the service was rated Requires Improvement. We found two breaches of Regulations relating to medicines management and quality assurance. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements.

At this inspection we found the provider had made the necessary improvements to meet the Regulations and had improved to an overall rating of Good.

Why the service is rated Good.

People felt safe living at Keychange Alexander House and spoke positively about the care provided to them. Staff knew people well and treated them with kindness, dignity and respect. Relatives and other visitors were welcomed and people were supported to maintain relationships with those who matter to them. People and their relatives spoke about the friendly staff and the relaxed and homely atmosphere. This was evident on both days we visited.

There were enough staff to meet people’s needs. Some relatives told us they would welcome more permanent staff on duty with the home using less agency staff. Recruitment was on-going at the time of our inspection.

Individual care and support needs were fully assessed, documented and reviewed at regular intervals. A new electronic system for care planning provided an effective tool for staff to do this.

Staff had received training around safeguarding vulnerable people and knew what action to take if they had or received a concern. They were confident that any concerns raised would be taken seriously by senior staff and acted upon.

The service understood and complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). Staff understood the importance of gaining people’s consent before assisting them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There was a system in place for dealing effectively with people’s concerns and complaints.

An experienced acting manager had been in post since November 2017 and acknowledged the service was undergoing a period of change. This included some changes of staff, procedures and job roles. Care staff spoken with were positive about the improvements made.

There were now effective systems in place to help ensure the safety and quality of the service provided.

Inspection areas



Updated 14 June 2018

The service was safe.

Suitable numbers of care staff were provided to meet the needs of people who used the service.

Risks to people�s health and welfare were identified and steps were taken to minimise these and keep people safe.

Staff were aware of safeguarding adult's procedures and would report all concerns appropriately.

Improvements had been made to help ensure people were supported to take their medicines safely.



Updated 14 June 2018

The service was effective.

Staff were up to date with their training requirements and had the knowledge and skills to meet people�s needs.

People were able to choose what they wished to eat and drink.

The service complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

Staff supported people to access healthcare services to help make sure their physical and mental health needs were met.



Updated 14 June 2018

The service was caring.

Relationships between staff and people receiving support were positive and consistent feedback was received about the caring and respectful attitude of the staff.



Updated 14 June 2018

The service was responsive.

Care plans were up to date and these helped staff meet people�s individual needs.

People were supported to take part in activities, be part of the local community and to maintain contact with family and friends.

People felt able to raise any concerns and the home responded promptly to these.



Updated 14 June 2018

The service was well-led.

Staff were supported by the acting manager who was approachable and listened to their views.

There were improved systems in place to monitor the quality of the service and make changes where needed.