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Alexander Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 2 May 2018

Alexander Residential Home is a 'care home'. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Alexander Residential Home accommodates up to 49 older people and is situated in the Morley area of Leeds. Alexander Residential Home is a residential home providing accommodation for persons who require personal care, some of whom are living with dementia. At the time of our inspection, 49 people were using the service.

This inspection took place on 9 and 13 March 2018. The inspection was unannounced on the first day. This meant the staff and provider did not know we would be visiting. The second day was announced.

At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.

A registered manager was in post. 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.

We found improvements were needed to fully ensure records were accurate and completed. Audits did not always have completion dates and care plans had not all been updated after review. Some were without dates. Labelling of food within the kitchen was not always date recorded.

Medicines were managed and recorded safely. 'As required' medicines were administered accordingly and protocols were in place for care workers to follow.

Staffing levels were sufficient to meet people's needs and recruitment procedures were robust to ensure new staff were eligible to work with vulnerable people.

People told us they felt safe and care workers had a clear understanding of the procedures relating to safeguarding and whistleblowing.

Risk assessments were completed and reviewed to support people with specific needs to avoid any harm.

The provider followed The Mental Capacity Act 2005 with capacity assessments documented and best interest meetings recorded, when required. We found consent was obtained from people verbally and formally at annual review meetings.

People were supported with their health and nutritional needs and were provided with a range of food and drink.

People living in the home had positive relationships with the care workers; they told us care workers were kind and caring.

People were encouraged to be independent and make choices regarding their care. Care workers respected people's privacy and dignity.

Care plans were detailed and included people's preferences, likes and dislikes, which promoted person centred care.

Complaints had been responded to with outcomes recorded. People using the service told us they felt confident to discuss any concerns with the provider. Incidents and accidents were monitored and managed.

Surveys were provided to people, to gather their views of the service. The quality of the care provided was monitored through governance systems which highlighted where improvements were needed.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 2 May 2018

The service remains Good.

Effective

Good

Updated 2 May 2018

The service remains Good.

Caring

Good

Updated 2 May 2018

The service remains Good.

Responsive

Good

Updated 2 May 2018

The service remains Good.

Well-led

Requires improvement

Updated 2 May 2018

The service has deteriorated to Requires Improvement.