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CQC report explained · a residential care home

What the CQC found at Alba Rose

Goodpublished 12 February 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risk assessments, emergency evacuation plans, medicines systems and recruitment checks were in place, although some maintenance checks had not been scheduled and one isolated PPE concern needed further assurance.
Effective?
Good
People's needs, choices and health support were assessed. Staff had induction and training systems, but supervision had not always been frequent and some mental capacity decisions were not fully documented.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people well, involved them in care planning and encouraged independence.
Responsive?
Good
Care was personalised and people had choices about how they spent their time. Activities, communication support, visiting arrangements and end-of-life discussions were available, but the complaints log had not been updated recently.
Well-led?
Good
There was a positive culture and an approachable new manager. The provider had identified several gaps and created an improvement plan, which inspectors recommended should be monitored closely.
The latest report, explained

What inspectors found, February 2022

Alba Rose was rated Good overall; inspectors found kind, safe care, with some records and staff-support checks needing improvement.

This was the home's first inspection because it was newly registered. The inspection visits took place on 3 and 10 November 2021. They were unannounced. An inspector visited, an experienced care user or carer spoke to people and relatives by telephone, and records, staff files and management systems were checked.

Inspectors found people received personalised care and were treated kindly. Care plans and risk assessments were detailed. Medicines were managed safely, staff followed safe recruitment checks, and people were supported with food, activities, healthcare and personal choices.

The provider had recently identified gaps in staff supervision, training records, maintenance checks and some other records. A new manager put an improvement plan in place and acted quickly. The inspectors recommended that progress should be monitored closely so the changes last.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found people were safe, had good outcomes, were treated with kindness, had their needs met and were supported by effective management.

What inspectors praised
  • Detailed care planning

    Care plans and risk assessments gave staff useful information about people's needs and how to protect their quality of life.

    “Care plans and risk assessment were detailed and provided staff with information to maintain people's quality of life.” from the report
  • Safe medicines

    Inspectors found that medicines were received, stored, given and returned safely. People received them as prescribed.

    “Medicines were safely received, stored, administered and returned to pharmacy when they were no longer required.” from the report
  • Kind and respectful care

    People and relatives described caring staff. Inspectors observed positive interactions and found that privacy, dignity and independence were respected.

    “People were treated with kindness and were positive about the staff's caring attitude.” from the report
  • Choice and activities

    People could choose meals, activities and how they spent their time. The home used feedback to change unpopular meals.

    “Menu choices were discussed with people and unpopular meals were removed from the menu based on feedback.” from the report
What inspectors were concerned about
  • Staff supervision

    needs fixing

    Staff supervision and appraisals had not always happened often enough. The new manager had plans to improve and monitor this.

    “Staff received some supervision and appraisals to support them in their role. This had not always been frequent, and the new manager had systems in place to address and monitor this.” from the report
  • Incomplete capacity records

    needs fixing

    Some mental capacity assessments and best-interest decisions were not fully documented. The manager was updating these records.

    “However, the manager had identified not all assessments and decisions had been properly documented and was working to update these records.” from the report
  • Complaints log

    minor

    The previous complaints log had not been updated recently. The manager included complaints processes in the action plan.

    “The previous manager had a log of formal complaints and their responses. However, this had not been updated recently.” from the report
  • Maintenance checks

    minor

    Some environmental or equipment checks had not been scheduled. The provider acted during the inspection to address this.

    “Where some checks had not been scheduled, swift action was taken during the inspection to address this.” from the report
Questions to ask them, based on this report
  1. 01How often are staff now receiving supervision and appraisals, and are any still overdue?
  2. 02Which staff training and competency checks were identified as gaps, and have they all been completed?
  3. 03What progress has been made on the improvement plan, including maintenance checks and record keeping?
  4. 04How do you make sure mental capacity assessments and best-interest decisions are fully recorded?
  5. 05How is the complaints log now kept up to date, and how are complaints reviewed for learning?

This was the first planned inspection of the newly registered care home and covered all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 12 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Alba Rose

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Alba Rose →

  2. September 2019

    Registered with the Care Quality Commission on 13 September 2019.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

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Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

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