Alexandra House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for the service under this provider. This key question has not been rated during this assessment.

This service scored 4 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not ensure staff always had access to care records to ensure people’s needs were met according to their care plan. Alexandra House was in the process of moving care records to an electronic system. We found people who had recently moved into the service had their care records recorded on the electronic system. However, care staff did not have access or had not received training in the new electronic system. This meant care staff had no guidance in how to support some people at the service. This placed people at risk of receiving care and support not in line with their assessed needs. Where people’s needs had been assessed we found care records to be inconsistent, we found some care plans to clearly detail people’s needs, whereas others did not. For example, we found a diabetes care plan to be detailed and clearly demonstrated the persons needs. However, records we reviewed for another person living with a complex medical condition had almost none of their needs assessed. People who spoke with us, told us they felt permanent staff knew their needs well but temporary staff such as agency needed prompting in how to support them effectively.

We did not look at Delivering evidence-based care and treatment during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at How staff, teams and services work together during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Supporting people to live healthier lives during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Monitoring and improving outcomes during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Consent to care and treatment during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.