What the CQC found at Alexander Residential Home

Inspectors found staffing levels were sufficient and recruitment checks were robust.

“There were sufficient staffing levels to meet people's needs.” from the report

Medicine records, storage and administration were checked and inspectors found systems for as-required medicines, including maximum dose timings.

“Times were documented when 'as required' medicines were prescribed, to ensure staff did not administer over the maximum doses within a 24 hour period.” from the report

People and relatives spoke positively about care workers. Inspectors found that privacy, dignity, choice and independence were respected.

“People living in the home and their relatives told us care workers were kind, caring and knew them well.” from the report

Care plans recorded people's preferences, likes, dislikes and individual needs. The home also offered activities and adapted parts of the building for people living with dementia.

“Care plans were person centred and reflected people's individual needs.” from the report

Some care plans and risk assessments were not dated or had not been updated after people's needs changed. Important information could be missed when older evaluation notes were archived.

“We found improvements were needed to fully ensure records were accurate and completed.” from the report

Some audits did not show what had been checked or whether actions were completed. Some policies were old or did not accurately describe current practice.

“Some audits were not dated and did not always include which person or area they were auditing, which made it difficult to check whether concerns raised from the audits had been rectified.” from the report

Not all staff had completed refresher training. The manager was monitoring which staff were due for training.

“However, not all staff had completed their refresher training.” from the report

Resident meetings had not taken place during the previous 12 months. The manager planned to restart them to gather people's views.

“The registered manager confirmed resident meetings had not taken place for the past 12 months but planned to re-introduce these meetings to gather people's views.” from the report