Alston House

Date of Assessment: 15 to 28 October 2024. The service is a residential care home service providing support to older people living with dementia. The service had a good learning culture and people could raise concerns. Managers investigated incidents and people were protected and kept safe. Staff understood and managed risks. The facilities and equipment met people’s needs. There was a service improvement plan to improve the environment to ensure it is clean, maintained and any risks mitigated. Areas for renovation were identified with planned completion dates. There were enough staff with the right skills, qualifications and experience. Staff received training and regular supervisions to maintain high-quality care. Staff managed medicines well. People’s needs were assessed taking account of their communication, personal and health needs. Care was based on latest evidence and good practice. People had enough to eat and drink to stay healthy. Staff worked agencies involved in people’s care for the best outcomes and smooth transitions when moving services. However, further development was required to ensure people’s health and wellbeing was effectively monitored to ensure positive outcomes for people. People understood their care and were asked for consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity. People were treated with kindness and compassion. Staff protected their privacy and dignity, treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain important relationships. Staff responded to people in a timely way. The service supported staff wellbeing. People knew how to give feedback and were confident the service took it seriously and acted on it. People received fair and equal care and treatment. Leaders were visible, knowledgeable and supportive. At this inspection the rating has improved to good.