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Inspection Summary

Overall summary & rating


Updated 1 May 2019

About the service:

Alder House is a residential care home in Nuthall (Nottinghamshire). It is registered to support 60 people, over three floors. On the day of the inspection visit, there were 52 people living at Alder House.

People’s experience of using this service:

People told us that they felt safe. The service managed risks safely and there were enough staff available to support people. These staff were recruited safely, to ensure they were appropriate to work with people. The environment was managed safely, it was clean and odour free. The service followed good infection control procedures.

The service was effective in the way it supported people. People were supported in line with evidence based guidance to ensure their needs were met effectively. Staff had good knowledge of people’s needs and had received appropriate training. People were supported to have a balanced diet and those at risk of weight loss were given appropriate support to manage this. People spoke positively about the food they were given. Staff worked collaboratively within the staff team, and with outside health and social care professionals. This ensured people received effective multi-agency support. Those people who required support making decisions (under the Mental Capacity act), were given this support in their best interests.

Everyone we spoke to told us that staff were caring. We observed caring interactions throughout our inspection visit. Staff actively involved people with planning their daily routines and listened to their preferences. People were given privacy and treated with dignity.

Care was very personalised to people’s preferences. We found personalisation was the ethos behind the service, and one of its key strengths. Staff knew people’s needs very well, and care plan records supported new staff to also have this knowledge quickly. Historic complaints and concerns had been listened too. People said that they have not needed to complain, but have faith in the registered manager to listen to them if they did complain. Those people who approached the end of their life, were supported in a dignified, caring and personalised way.

The service was well led. There has recently been a new registered manager in post. Staff spoke positively about their approach and leadership. It was apparent that the ‘good’ service managed by the previous registered manager had not changed. There was a clear governance framework and staff were aware of different responsibilities. People, stakeholders, outside professionals and relatives were all consulted on how to improve the service. Feedback was relayed to staff teams, and particularly praised staff were given additional recognition.

Rating at last inspection:

The last report was published as ‘Good’ (4 August 2016)

Why we inspected:

We last inspected in August 2016, and the inspection was required to ensure the service was still ‘good’. We had no concerns which prompted this visit, and it was planned as part of our usual inspection schedule. We routinely inspect services rated as ‘good’. This is to ensure the service remains at a good level and care is safe. We had no concerns when we planned this inspection. It was planned in line with our usual timelines.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 1 May 2019

The service was safe

Details are in our Safe findings below.



Updated 1 May 2019

The service was effective

Details are in our Effective findings below.



Updated 1 May 2019

The service was caring

Details are in our Caring findings below.



Updated 1 May 2019

The service was responsive

Details are in our Responsive findings below.



Updated 1 May 2019

The service was well-led

Details are in our well led findings below.