Alicia Nursing Home

Inspectors saw staff treating people with patience and kindness. People and relatives spoke positively about the care.

“Staff were very caring towards people and talked about them with affection.” from the report

Staff understood how to recognise and report abuse. The report says people felt safe and safeguarding policies were in place.

“People were protected from the risk of harm and abuse and people felt safe.” from the report

People had opportunities for activities, community outings and social engagement. Care plans recorded the support people needed to remain independent.

“People were given lots of opportunities for activities and engagement.” from the report

Rotas showed there were enough staff to support people, including people who needed one-to-one support.

“There were enough staff to support people, including where individuals received one to one support.” from the report

Staff involved other professionals promptly when needed, including GPs, speech and language services and palliative care services.

“The provider had good relationships with other professionals that worked alongside the service.” from the report

Windows in the second building could be opened wide enough for someone to climb out and fall. Blood glucose monitoring devices were not checked according to the manufacturer's instructions.

“The height of the windows posed a risk of someone accidently falling from them as they could be opened wide enough for a person to easily climb up and out.” from the report

Some medicines did not have opening dates recorded, and staff were unclear about expiry dates after opening. Insulin injection sites were not recorded.

“Medicines were not always managed safely. For example, some medicines did not have opening dates recorded and staff were unclear in relation to expiry dates of medicine once opened.” from the report

The home's audits and checklists did not identify the problems found by inspectors. Some audits were overdue or had not been completed in line with the home's policy.

“Governance processes were not always effective at ensuring the quality and safety of the service.” from the report

The home reviewed incidents, but there was limited evidence of looking for wider patterns or taking follow-up action for some incidents.

“There was no evidence of a detailed analysis over time to capture wider themes and trends” from the report

Some kitchens, bedrooms and stairs were locked or gated in the second building. The provider had not regularly checked whether these restrictions were still the least restrictive options.

“The provider had not kept restrictions to people under regular review to ensure they remained the least restrictive options.” from the report