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Alexandra Park Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Alexandra Park Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 March 2020

About the service

Alexandra Park Home is a residential care home for up to 13 older people who are living with dementia and mental health conditions. Care is provided across two floors with a communal area on the ground floor. At the time of the inspection 12 people were residing at the home.

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

The leadership, management and governance of the organisation did not ensure the delivery of high-quality and person-centred care. The management did not display an open and transparent culture when things went wrong and the systems for monitoring the safety and quality of the service were not effective.

People’s medicines were not always being managed safely. The systems in place to assess the risks to people’s safety were inconsistent, not always effective and ways to mitigate risks were not always clear.

The provider did not always ensure staff working at the home had the right mix of skills, competencies, qualifications, experience and knowledge, to meet people’s individual needs.

People were not always supported to express their views or be involved in making decisions about their care and treatment. People were not placed at the centre of their care provision. Care and support did not always reflect current evidence-based guidance, standards and best practice. Information about people’s needs, including their spiritual and religious needs was not always consistent.

The service did not always involve people in planning their meals, nor did it act on feedback received from people who use the service. Food was not always well presented.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.

People liked the staff and felt safe with them.

The new provider had significantly improved the overall decoration of the home.

People took part in a range of activities at the home which had a positive effect on their well-being.

We have made three recommendations relating to food provision, the Mental Capacity Act (2005) and people's spiritual and religious needs.

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

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 20 July 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found sufficient improvements had not been made and the provider continued to be in breach of regulations.

Enforcement

We have identified breaches in relation to medicine management, risks to people’s safety, staffing, person-centred care and good governance at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

Why we inspected

The inspection was prompted in part due to serious concerns received from the local authority and local clinical commissioning group (CCG) about the safe care and treatment of people using the service. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 10 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 10 March 2020

The service was not always effective

Details are in our effective findings below.

Caring

Requires improvement

Updated 10 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 10 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 10 March 2020

The service was not well-led.

Details are in our well-led findings below.