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Alexandra View Care Centre Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 January 2021

About the service

Alexandra view is a residential care home providing personal and nursing care to 52 people. The service can provide care for up to 68 people.

People’s experience of using this service and what we found

Prior to the inspection we received concerns linked to winter pressure beds beds operated within the home. The service had 20 beds designated for people being discharged from hospital. These were intended to be short-term (up to 6 weeks) until their longer care needs had been assessed.

Improvements were required to ensure people in these beds received the appropriate care. This was partly due to the process in place at the time for deciding which people should be referred to Alexandra View.

Health and social care professionals had acted to ensure appropriate referrals were made into the hospital contract beds.

The provider’s quality assurance processes had not proactively addressed issues with inaccurate care records and delays in developing personalised care plans.

Some people who were assessed as high risk did not have specific moving and assisting care plans in line with the provider’s guidance. Other risk assessments lacked detail about the measures needed to minimise risks to people's safety.

Relatives told us they felt their family members were safe living at the home.

Staff gave positive feedback about the registered manager. They said they felt supported and the registered manager was approachable.

There were regular opportunities for people and staff to give feedback.

Staff said they felt people were safe living at the home. They knew how to raise concerns and felt confident to do so.

Health and safety checks and environmental risk assessments were completed to help maintain safety. Incidents and accidents had been logged and investigated.

There were enough staff deployed to meet people’s needs. New staff were recruited safely.

Medicines were managed safely. The home was clean and staff used personal protective equipment (PPE) appropriately.

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

Rating at last inspection

The last rating for this service was good (published 3 January 2020).

Why we inspected

We received concerns in relation to staffing levels, medicines management, poor communication with relatives, lack of information for people discharged from hospital into assessment beds, lack of care plans, poor cleanliness and dignity issues. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Alexandra View Care Centre on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning inf

Inspection areas

Safe

Requires improvement

Updated 27 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 January 2021

Caring

Good

Updated 27 January 2021

Responsive

Good

Updated 27 January 2021

Well-led

Requires improvement

Updated 27 January 2021

The service was not always well-led.

Details are in our well-led findings below.