CQC report explained · a residential care home, run by Learning Disability Network London
Alison House
16A Croxley Road, London, W9 3HL
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, January 2024
Alison House is rated Good; inspectors found safe, caring support, but noted concerns about personal care, cancelled stays and confidentiality.
This was an unannounced inspection visit on 4 December 2023. One inspector reviewed care plans, risk records, staff recruitment and training files, medicines records, audits and staffing rotas. The inspector also spoke with one person, relatives, staff, managers and healthcare professionals, and observed people's care.
The home provides respite care for up to five people with a learning disability or autistic spectrum disorder. Four people were living there during the inspection. Inspectors found enough trained staff, safe medicines practice, suitable risk assessments and an open, positive culture.
The overall rating remains Good. Safe was rated Good and well-led was rated Good. Inspectors did not inspect Effective, Caring or Responsive during this visit, so those ratings were carried forward from the previous inspection.
The previous overall rating was Good, published in March 2018. The well-led rating improved from Requires improvement to Good. Inspectors said relatives raised concerns about some personal care, late cancellation of stays and confidentiality, and these points were passed to the provider.
Safe staffing
Inspectors found enough staff to meet people's needs safely. Recruitment checks and staff training records were also reviewed.
“Enough staff were employed to meet people's care and support needs, flexibly, safely, and staffing levels matched the rota.” from the report
Medicines
Medicines were stored, given and recorded safely. Staff training was refreshed regularly.
“People's medicines records were fully completed, and up to date.” from the report
Positive culture
People appeared relaxed and positive with staff and managers. Inspectors found the culture open, inclusive and focused on people's needs.
“The home had a culture that was open, positive, inclusive, empowering, and person-centred.” from the report
Quality checks
The provider and managers carried out regular audits covering areas such as care plans, training, health and safety, incidents and the environment.
“Thorough audits took place by the provider, managers, and staff that were regularly reviewed and kept up to date.” from the report
Personal care delays
needs fixingSome relatives said personal care was not always attended to quickly enough. They felt this was more likely when agency staff were working.
“Sometimes people's personal care isn't attended too quickly enough, but I think that is more an issue when agency staff are on.” from the report
Cancelled respite stays
needs fixingSome relatives said stays were cancelled late because of emergency placements. This was passed to the registered manager for investigation.
“The service is good, and management is much better, but it always seems to be us that gets cancelled.” from the report
Staff confidentiality concern
needs fixingOne staff member said confidentiality was not always maintained by regular managers. This was fed back to the registered manager.
“Sometimes it is difficult to discuss your problems with the [Registered] manager, confidentiality is not maintained by the regular managers on the service.” from the report
A staff safety concern
needs fixingOne staff member said the safety of the service needed to be assessed. Inspectors reported this concern to the provider, who said they would look into it.
“I think the safety of the service needs to be assessed.” from the report
- 01How do you make sure personal care is provided promptly, especially when agency staff are working?
- 02How often are respite stays cancelled because of emergency placements, and what notice and alternative support do families receive?
- 03What action has been taken about the concern that confidentiality was not always maintained by regular managers?
- 04What action was taken after the staff concern that the safety of the service needed to be assessed?
- 05How are people's non-verbal communication, preferences and risk assessments used to plan their respite stay?
This was an unannounced focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 4 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Alison House
3 rated inspections over 8 years: the service has held its Good rating throughout.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018Goodstayed GoodSafe: GoodWell-led: Requires improvement
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015
Registered with the Care Quality Commission on 24 November 2015.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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Other services run by Learning Disability Network London
1 other service on the CQC register. A pattern across a group tells you more than one report.