Alexander House

Updated 21 December 2023

Alexander House provides accommodation to a maximum of 67 people who require support with nursing and personal care. The provider is Exeter Care Developments Limited, part of the Care Concern Group. At the time of this inspection there were 29 people living there. The assessment was completed between 22 January 2024 and 27 February 2024. A site visit to gather peoples’ experiences and observe care practices was carried out on 30 January 2024. We looked at 14 quality statements; Learning Culture, Safe systems, pathways and transitions, Safeguarding, Involving people to manage risks, Safe environments, Safe and effective staffing, Infection prevention and control, Medicines optimisation, Kindness, compassion and dignity, Independence choice and control, Person centred care, Equity in experiences and outcomes, Freedom to speak up and Governance, management and sustainability.

Updated 21 December 2023

People said they felt safe with staff and were happy with the support provided by them. Staff practice showed they knew people well. People said and we saw staff being kind, compassionate and caring and visible around the home. People’s individual risks were identified, and risk assessment reviews carried out to keep people safe. The service was working within the principles of the Mental Capacity Act 2005 (MCA). People were supported to see appropriate health and social care professionals when they needed to meet their healthcare needs. There were enough staff deployed to meet people's needs. Staff were recruited safely and were well trained and competent in their roles. There was a culture of speaking up where staff actively raised concerns and were supported, without fear of detriment. There were regular opportunities for people, and people that matter to them, to raise issues, concerns and complaints. Complaints were acknowledged and responded to in an appropriate time frame and other professionals informed and involved where appropriate. There were clear and effective governance, management and accountability arrangements in place at all levels (locally, regionally and nationally) and staff understood their role and responsibilities.