Extracts of Quotes from the Quality Care Commission - 22nd June 2016

"I've lived in loads of places, but my life is the best here. There is so much to do and see and go to. It's fabulous." 

"I know that when I become agitated staff are there for me." "There are always sufficient staff, even at the drop of a hat."

"Staff just know when I'm not well. They just know and they help me so much." 

"If I want to go to my room I can do. I know when I am not well."

"I like to phone my family and they make it possible."

"I've never lived anywhere where I like the staff as much as I do here." 

"It's my home and I like this house very much." 

"They try and teach everyone to respect each other. They do to us too." 

"Staff are excellent, especially the boss." 

"The food is fantastic." 

"My best meal is tea. We get an alternative and I can help make the sandwiches."

"Staff are excellent. I get on with them really well and they ensure I've got everything I need and want each day." 

"They are brilliant you know. I've only got to ask and they get what I want. The staff are here 24hours a day." 

"I like to go out a lot and my request for someone to come with me is never denied."

"I really like living here."

"I love it here. It's the best and safest place I've lived in 32 years."

Summary Report from the Quality Care Commission - 22nd June 2016

We inspected Alderson House on 15 March 2016. This was an unannounced inspection. The service provides care and support for up to 18 people. When we undertook our inspection there
were 17 people living at the home.
People living at the home were of mixed ages. Some people required more assistance either because of physical illnesses or because they were experiencing difficulties coping with everyday tasks.There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people
where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves or others. At the time of our inspection
there was no one subject to such an authorisation.

Staff had taken an outstanding amount of care and preparation in finding out what people wanted from their lives and had supported them in their choices. This sometimes had taken a lot of weeks
of preparation and setting up, but staff remained consistent in their approach and ensured the outcomes were what each person wished.

They had used family and friends as guides to obtain information and accessed a number of different resources within the community. Staff had outstanding skills and an excellent understanding of the social, cultural, values and beliefs of the people at Alderson House.
We found that there were sufficient staff to meet the needs of people using the service. The provider had taken into consideration the complex needs of each person to ensure their needs could be met through a 24 hour period.

We found that people's health care needs were assessed, and care planned and delivered in a consistent way through the use of a care plan. People were involved in the planning of their care and had agreed to the care provided. The information and guidance provided to staff in the care plans was clear. Risks associated with people's care needs were assessed and plans put in place to minimise risk in order to keep people safe.

People were treated with kindness, compassion and respect. The staff in the home took time to speak with the people they were supporting. We saw many positive interactions and people enjoyed talking to the staff in the home. The staff on duty knew the people they were supporting and the choices they had made about their care and their lives. People were supported to maintain their independence and control over their lives.

People had a choice of meals, snacks and drinks. And meals could be taken in dining rooms, sitting rooms or people's own bedrooms. Staff encouraged people to eat their meals and gave assistance to those that required it. Some people helped with the preparation of meals and setting tables for meals.

The provider used safe systems when new staff were recruited. All new staff completed training before working in the home. The staff were aware of their responsibilities to protect people from harm or abuse. They knew the action to take if they were concerned about the welfare of an individual.

People had been consulted about the development of the home and quality checks had been completed to ensure services met people's requirements.