Alexandra Nursing & Residential Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. There was a positive atmosphere and culture in the care home which focused on effective care and support for people.

The service had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. The registered manager knew every person who lived in the care home and they all knew the registered manager. It was clear they were kind and caring and went the extra mile to support people and staff on a personal level. One person told us, “[The registered manager] solves solutions and doesn’t mess about. I wouldn’t want to be anywhere else.”

The service fostered a positive culture where people felt they could speak up and their voice would be heard. Policies and processes were in place to support staff to speak up if they had concerns. Staff confirmed they were confident to speak up if they had concerns about the quality of care.

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them. Processes were in place which helped to protect the rights of staff under the Equality Act. This helped to create a more equitable and inclusive organisation.

The service had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They act on the best information about risk, performance and outcomes, and share this securely with others when appropriate. Daily audits and checks were completed effectively by the management team. There was good use of data and information systems to produce reports and analyse information to review care and support provided and identify themes and trends. A family member told us, “Oh yes, it is excellent and well run. [The registered manager] is a good person to have in charge. They are ever so approachable. I would definitely recommend it here.”

The service understood their duty to collaborate and work in partnership, so services work seamlessly for people. They share information and learning with partners and collaborate for improvement. The service worked with partners to ensure people received better outcomes. People had access to local clinical services to help ensure they had the right care to meet their needs. People told us about how they had participated in, and won, the care home Olympics 2 years in a row. They were proud they had won medals.

The service focused on continuous learning, innovation and improvement across the organisation and local systems. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contribute to safe, effective practice and research. There were regular staff meetings where the registered manager provided feedback about care and support and where additional improvement and focus was required to ensure care was maintained at a good standard.