Alexander Court Nursing Home

During an assessment under our new approach

Date of assessment 9 January to 15 January 2025. Alexander Court is a nursing home providing accommodation and personal care to older people. The service can support up to 60 people. At the time of this assessment, there were 39 people living at Alexander Court. People’s individual risks were identified, and risk assessment reviews were carried out to keep people safe. There had been significant improvements to ensure risks identified with people's health, medical and care needs had been assessed and documented. There was clear guidance on how to minimise the risk to keep people safe. People received their medicines safely and as prescribed. Systems and processes were in place to keep people safe. The service was working within the principles of the Mental Capacity Act 2005 (MCA) and if needed appropriate legal authorisations were requested when depriving a person of their liberty in their best interests. The provider undertook regular health and safety checks of the premises to ensure people lived freely within a safe environment. Effective infection control measures were in place. There were enough staff deployed to meet peoples’ needs. There were safe and effective recruitment processes in place. Staff were well trained and competent in their roles. Care was personalised and staff worked to deliver person-centred care which maintained people’s dignity with understanding. Staff felt respected, supported, and valued by the registered manager which created a positive and improvement-driven culture. There were clear and effective governance, management and accountability arrangements in place and staff understood their role and responsibilities.

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During an assessment under our new approach

Alexander Court is a nursing home providing accommodation and personal care to older people. The service can support up to 60 people. At the time of this assessment, there were 29 people living at Alexander Court. This is the first assessment of this newly registered service. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website and findings. The inspection was prompted by concerns received about safe care and support and management of the service. We looked at 14 quality statements during this assessment. During our assessment, we found two breaches of the legal regulations in relation to safe care and treatment and governance. People’s care plans contained contradictory or missing information. Medicines were not always managed safely. Governance systems and audits had not been consistently implemented and were not effective in identifying or addressing areas for improvement.

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