- Care home
Alexandra Villa
Assessment report published 4 August 2026
Contents
Ratings
Our view of the service
About the service
Alexandra Villa is a care home providing accommodation and personal care for up to 2 people. At the time of this assessment, 1 person was living at the service and receiving one-to-one support throughout the day and night.
Who the service is for
The service supports adults with a learning disability and associated health needs who require accommodation and personal care. Support was tailored to individual needs and focuses on promoting independence, choice and control whilst ensuring people remain safe and receive appropriate healthcare support.
Our view of the service
We carried out this assessment on 2 July 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.
The service worked in line with the principles of right support, right care and right culture.
People had choice and control, with care focused on independence and quality of life.
People were protected from abuse and avoidable harm. Staff understood risks and supported people to live as independently as possible. We observed staff supporting the person safely within their home, offering reassurance and guidance where needed.
Medicines were managed safely, and the environment was clean and well maintained.
People received effective care that met their needs. Assessments and care records reflected health needs, preferences and communication needs. Staff worked with health professionals to support wellbeing and respond to changes in health.
People were treated with kindness, compassion and respect. We observed warm and relaxed interactions. Staff offered meaningful choices and gave people time to respond, supporting them to express preferences about their daily life.
Support was personalised and focused on what mattered to people. People were supported to take part in activities such as drawing and gardening, promoting a meaningful routine and engagement.
The service was well-led. Leaders were visible and staff consistently met people’s needs. Governance systems were in place to monitor quality and safety, and leaders acted promptly to address minor issues and maintain oversight.
People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions, they had choice, control and freedom over their lives.
People's experience of this service
We gathered evidence by speaking with people using the service, speaking with relatives, gaining feedback from staff, reviewing care records and observing care and support. We also completed a SOFI observation to help us understand people’s lived experience and how staff supported them during the day.
People told us they felt safe. They described staff as being “like family” and said they were “very kind and caring”. They told us they could make choices about their daily activities. They also confirmed staff knocked before entering their room and respected their decisions and preferences.
Feedback from relatives was consistently positive. They told us their family member was now “safer than they've ever been”, “happier than they've ever been” and had “more choice and independence than ever”. They described staff as “amazing” and “excellent” and said they were kept informed and involved in decisions about care and support.
Staff demonstrated a detailed understanding of the person’s needs, preferences and goals. One staff member told us, “It’s all about [Person]. We involve them and their family in decisions about care and look at what works best for the individual.” Staff described how they supported the person's independence and helped them achieve outcomes that mattered to them. This included improved access to their community and opportunities to lead a more independent and fulfilling life.
Our observations, including a SOFI observation, showed warm, respectful and person-centred interactions throughout the day. During our observations, staff offered meaningful choices and involved people in decisions throughout the day, including choices about food and daily activities. Staff promoted independence and involved people in decision-making. People appeared comfortable and relaxed in the presence of staff and engaged positively with staff. Staff understood what was important to people and supported them in a way that reflected their preferences, wellbeing and quality of life. We observed no negative interactions, restrictive practices or indicators of a closed culture.
Overall, people experienced personalised support that promoted independence, choice, wellbeing and quality of life. Staff placed the person at the centre of decision-making and supported them to live a meaningful and fulfilling life.