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Alexandra Park Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 2021

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 eight people were residing at the home.

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

Systems and processes safeguarded people from the risk of abuse. People told us they felt safe. Effective systems were in place to ensure lessons were learnt from any incidents and the registered manager understood their responsibility to be open and honest when something went wrong.

Risks to people's health, safety and wellbeing were managed well and were reviewed regularly. Equipment was safe to use and regularly serviced and maintained. Recruitment processes had improved and ensured staff were suitable to work with vulnerable people.

The home was clean and odour free and staff followed safe infection control practices. Additional systems and guidance were in place to reduce the risk of infection during the pandemic. Medicines were managed safely. People and their relatives told us staff were kind and caring and were complimentary about the improvements made.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager and staff had worked hard to address the shortfalls found at the last inspection and were clear about further improvements needed. There were effective systems to check the quality of the service and to monitor staff practice with clear evidence improvements had taken place. People's views were sought about the service and acted on. Records were accurate and organised. The service engaged with external professionals to ensure people received prompt and coordinated care.

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 09 March 2020). There were breaches of regulation in relation to recruitment processes, medicines management, risks to people’s safety, staffing, person-centred care, and ineffective monitoring systems. After the last inspection, the provider completed an action plan to show what they would do and by when, to improve.

During this inspection, the provider demonstrated that improvements have been made in Safe and Well-Led. However, the rating is limited to requires improvement as there is a breach of regulation in one of the other key questions. The service remains rated requires improvement.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 3 December 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains at Requires Improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Alexandra Park Home

Inspection areas

Safe

Good

Updated 5 February 2021

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 5 February 2021

Caring

Requires improvement

Updated 5 February 2021

Responsive

Requires improvement

Updated 5 February 2021

Well-led

Requires improvement

Updated 5 February 2021

The rating is limited to requires improvement as there is a breach of regulation in another key question, which was not assessed during this inspection.

Details are in our well-led findings below.