Background to this inspection
Updated
6 April 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We received information of concern about visiting arrangements at this service. This was a targeted inspection looking at the infection prevention and control measures and visiting arrangement the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 24 March 2022 and was unannounced.
Updated
6 April 2022
This inspection took place on the 25 and 30 August 2017 and was unannounced.
Alexandra Rose Care Home is registered to provide accommodation and personal care services for up to 32 older people and people who may be living with dementia. At the time of our inspection there were 27 people living at the home. They were accommodated in an extended residential building providing spacious communal areas and access to enclosed rear gardens. The majority of bedrooms were for single occupancy and had ensuite facilities.
At the last inspection the service was rated Good. At this inspection we found the service remained Good.
The provider had arrangements in place to protect people from risks to their safety and welfare. Arrangements were also in place to store medicines safely and to administer them according to people’s needs and preferences. People were supported to access healthcare services, such as GPs and community nursing teams.
Staffing levels enabled people to be supported safely and in a calm, professional manner. Recruitment processes were followed to make sure only workers who were suitable to work in a care setting were employed. Staff received appropriate training and supervision to make sure they had the skills and knowledge to support people to the required standard.
Staff were aware of the need to gain people’s consent to their care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The arrangements included processes and procedures to protect people from the risk of abuse.
People were supported to eat and drink enough to maintain their health and welfare. They were able to make choices about their food and drink, and meals were prepared appropriately where people had particular dietary needs.
People found staff to be kind and caring. They were encouraged to take part in decisions about their care and support and their views were listened to. Staff respected people’s individuality, privacy, dignity and independence.
Care and support were based on plans which took into account people’s needs and conditions, as well as their abilities and preferences. Care plans were adapted as people’s needs changed, and were reviewed regularly.
People were able to take part in leisure activities which reflected their interests and provided a high level of mental and physical stimulation. Group and individual activities were available if people wished to take part.
The home had an open, friendly atmosphere in which people, visitors and staff were encouraged to make their views and opinions known.
Systems were in place to make sure the service was managed efficiently and to monitor and assess the quality of service provided. The provider took action where these systems found improvements could be made.