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Cuerden Developments Limited - Alexandra Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 June 2019

About the service:

Alexandra Court is a 40 bed intermediate care home that provides a time limited period of assessment and rehabilitation for people who may have had a hospital admission but are not ready to be discharged home safely or to be supported at home.

People’s experience of using this service:

At the last inspection there had been a continued breach of Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found there had been some improvements and the provider was meeting the requirements of Regulation 12, safe care and treatment. However, we identified a continuing breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to Regulation 17.

The service completed audits of key areas of health and social care provision. Although the service had these checks in place, they were not sufficiently robust to have identified the shortfalls that were found during inspection in relation to record keeping.

We found there was a delay in obtaining supplement drinks for people when stocks were low. We made a recommendation about the provider reviewing the systems in place for ordering and obtaining supplement drinks.

A couple of people told us they had to wait for support when they had pressed their call bell. We made a recommendation about the provider seeking advice from a reputable source to implement call bell audits.

Staff feedback and their views were obtained from staff meetings, however there were no processes in place to document and analyse staff views. We made a recommendation about the provider reviewing how staff views are obtained and analysed.

Improvements had been made for managing medicines and medicines were managed safely.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm.

We observed positive interactions between staff and people. Staff had good relationships with people and were seen to be caring and respectful towards people and their wishes.

People’s outcomes were good, and people’s feedback confirmed this. One compliment stated, "The carers have been angels and I have been very fortunate to have such loving care shown to me."

The service did not meet the characteristics of Good in some areas; more information is in the full report.

Rating at last inspection:

At the last inspection the service was rated Requires Improvement (report published 09 May 2018). Following this inspection, the overall rating remains unchanged.

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Enforcement:

We found a continuing breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to good governance.

We are currently considering our enforcement action in response to the regulatory breaches identified during this inspection. Full information about CQC's regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Follow up:

We have asked the provider to send us an action plan telling us what steps they are to take to

make the improvements needed. We will continue to monitor information and intelligence we receive about the service to ensure good quality care and support is provided to people. We will re-inspect in line with our inspection timescales, where we will also follow up on recommendations made.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 27 June 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 27 June 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 27 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 27 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.