Alexander House Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Care plans were in good detail and gave staff guidance to follow if needed. Staff knew people well and provided care according to their likes and preferences. Changes to people’s care were communicated to the team and when a new person moved into the home a pre assessment of their needs was carried out.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.The provider shared several examples of how they worked alongside other health care professionals such as the Tissue Viability Nurse and the Speech and Language Team. Referrals were sent to professionals following reviews of care needs. Clinical tools were used to assess and monitor people’s outcomes. Good practice guidelines were available for staff when needed.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The provider shared several examples of how they had collaborated with external agencies and other professionals.

We received very positive feedback from relatives about how well the team worked together both internally and with external agencies. In one example, a person who had just moved into the home had a previous bad experience. Their relative told us they were very pleased at how the home had managed the transition and the person was now thriving at Alexander House. Everything had gone so well that the person’s wellbeing had significantly improved following a difficult time. The family commented on how they now had ‘piece of mind’ and the person was receiving high quality care from the team at Alexander House.

The provider supported people to manage their health and well being to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Effective systems were in place to support staff to go beyond expectations and ensure people’s quality of life was prioritised. Where people had complex needs staff used evidence-based practice to help them improve. For example, a person who had moved to the home had not settled in very well. Over time it became clear that the person’s needs had become more complex. The home responded by arranging a series of consultations with family and health care professionals. Following a full review of their needs the person moved to another part of the home with additional support. This resulted in a significant improvement in their overall well being.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Outcomes for people were monitored and peoples clinical and care expectations were met. The provider shared several examples of how people’s quality of life had improved as a result. One person told us they had better health since moving to the home.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. During our visit we observed staff asking people for consent before providing care. Care records reviewed, showed people had been asked for consent and their wishes were recorded. Staff had a good understanding of the importance of consent and how this can be withdrawn at any time.