About the serviceAlexandra Nursing and Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Alexandra Nursing and Residential Home is in the Thrybergh suburb of Rotherham, South Yorkshire. It is in its own grounds in a quiet, residential area, but close to public transport links. The home accommodates up to 47 adults with both nursing and residential care needs. At the time of the inspection, 44 people were using the service.
People’s experience of using this service and what we found
People told us they felt safe and staff had good knowledge of safeguarding.
Staff told us they knew how to manage risks effectively and identify signs and symptoms of abuse and who to report concerns to.
The provider had failed to keep an accurate record of people's personal belonging and failure to risk assess the safekeeping of personal belongings.
The registered manager had robust recruitment procedures and staffing levels delivered responsive support to people.
People received their medicines on time and as prescribed by trained staff.
The home was well maintained, clean and staff had access to protective equipment to protect people from the risk of infections.
Staff received training at the start and throughout their employment to ensure they had the skills to provide effective care.
People received regular review of their care needs and risks were assessed and monitored to ensure people received safe care and treatment. Care plans contained personalised information on people's health and communication needs plus their likes and dislikes. Activities were available for people to participate in if they wished.
Staff felt very supported by the manager and management team.
People told us food and drinks were of a good quality. People told us the food was very nice and plentiful.
We saw the provider worked with community health professionals to ensure people received effective care.
We saw that staff treated people with dignity and respect.
The service had been responsible for the safe keeping of people’s personal possessions without assessing the risk and had failed to reimburse for loss of belonging through their insurance.
The registered manager was aware of their regulatory responsibility to inform CQC of specific incidents which occurred within the service and were doing so when required. However, the registered manager was not aware that they were not registered to provide all of the regulated activities they were providing.
People, staff and relatives spoke positively about the registered manager and management team. There was a positive culture throughout the service which focused on providing care that was individualised. The registered manager used a variety of methods to assess and monitor the quality of the service.
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 requires improvement (published 20 August 2018).
Why we inspected
This was a planned inspection based on the previous rating.
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 information we may inspect sooner.