Cuerden Developments Limited - Alexandra Grange

This summary provides an overview of the recent CQC inspection of Alexandra Grange. The report details findings across several key areas, offering insights into the quality of care and management at the home. It highlights areas where the service is performing well, as well as specific recommendations for further improvement to ensure the best possible outcomes for residents. The inspection focused on the safety, effectiveness, caring nature, responsiveness, and leadership of the service, with the aim of providing families with a clear picture of the home's strengths and development opportunities.

On safety, the home has robust systems to identify and manage risks. Staff are well-trained in safeguarding and infection control, and recruitment practices are thorough. However, daily records were not always comprehensive enough to fully assure continuous monitoring of residents' safety, and protocols for 'as required' medicines could be improved to explore non-medicinal support options first.

Regarding effectiveness, staff are trained to recognise potential risks and support residents in a way that promotes their choice and control. The service works well with other agencies to deliver necessary support, and people are admitted safely.

In terms of how caring the service is, staff are supported to understand and act on residents' cultural needs, and a positive, person-centred culture is fostered. Residents and their families generally feel comfortable raising concerns and are confident they will be heard.

The service demonstrates responsiveness by working closely with residents and their relatives to understand needs and preferences. Issues raised are generally resolved promptly, and the home engages with the local community to provide meaningful activities.

Concerning leadership, the service is now well-led, with effective governance processes in place. Managers are clear about their roles and responsibilities, and there is a commitment to continuous learning and improvement. While overall partnership working with healthcare professionals is strong, one professional noted that the provider is not always responsive to safeguarding concerns.