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Inspection Summary

Overall summary & rating


Updated 26 March 2019

About the service:

Alexandra House is a domiciliary care service providing care and support to people living in their own homes. The agency provides help and support to adults with a variety of needs. The service operates seven days a week and provides a range of care services including; assistance with personal care, help with domestic tasks, preparation of meals, medication administration, social outings and appointments. At the time of our inspection we were told 54 people were using the service. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

People’s experience of using this service:

Systems continued to be maintained to help ensure the safety and protection of people who used the service. This included the safe management and administration of people’s medication, thorough recruitment and training processes, assessment and management of areas of risk and infection control procedures.

People were happy with the care and support they received from the service. Information about their needs and wishes were detailed in a care plan, which was kept under review. 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 place supported this practice.

The service worked closely with other agencies so that people’s health and well-being was maintained. Staff spoken with clearly understood the importance of respecting people's privacy, dignity and independence.

The service continued to provide consistent management and oversight. Opportunities were provided for people who used the service, their relatives and staff to feedback their views and experiences. People said managers were approachable and responsive.

The service continued to meet the characteristics of 'Good' in all the key questions. Therefore, our overall rating for the service is 'Good.' More information is in the full report.

Rating at last inspection: Good (11 July 2016)

At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

Why we inspected: This was a planned inspection based on the previous rating for the service.

Follow up:

We will continue to monitor information and intelligence we receive about the service to ensure good quality care is provided to people. We will return to re-inspect in line with our inspection timescales for Good services. If we receive any information of concern, we may inspect sooner.

Inspection areas



Updated 26 March 2019

The service remains safe

Details are in our Safe findings below.



Updated 26 March 2019

The service remains effective

Details are in our Effective findings below.



Updated 26 March 2019

The service remains caring

Details are in our Caring findings below.



Updated 26 March 2019

The service remains responsive

Details are in our Responsive findings below.



Updated 26 March 2019

The service remains well-led

Details are in our Well-Led findings below.