Working at Keychange Charity Alexander House Care Home
12 Clifton Road, London, SW19 4QT
Operated by Keychange Charity
20 bedsResidential homes
Workplace Score
4.9/10
AI analysis of latest data
Our AI workplace review
PlainSight AI Review
Last updated: 10 February 2026
Score: 4.9/10
Key Finding
"Adequate staffing with staff quick to respond and a positive culture of trust, but no registered manager and infrequent supervisions are concerns."
Safety & Risk
4/10
!
the provider was in breach of legal regulations in relation to the safe management of medicines... staff did not always have access to sufficiently detailed instructions about when to administer people's prescribed medicines safely.
Staff Culture
6/10
✓
Managers and staff had a shared vision and culture based on listening, learning and trust. The service had a culture of inclusivity which had led to people experiencing positive outcomes. Staff were treated equally, free from bullying or harassment.
Staffing Levels
6/10
✓
Staffing levels matched the staff duty rota on the day of our site visit. Staff were visibly present throughout this onsite inspection and were always quick to respond to people’s questions and requests for support. People told us the care home was adequately staffed.
Training & Dev
4/10
!
The service did not always ensure staff received regular supervisions or had their overall work performance appraised at least annually. We found in the last 12 months each member of staff had only received one formal individual supervision with their line manager and no one had had their overall work performance officially appraised for over a year.
Management
4/10
!
although the service was still without a registered manager, a new manager had been appointed and had submitted an application to register with us.
Programmes
4/10
!
Per 2023 comprehensive inspection: The part-time activities coordinator planned and delivered social activities and events that people could to participate in. There were weekly activity schedules... Much of these were accessed via zoom and people felt more face to face activities could be provided with extra staff.
Points to consider
No permanent registered manager yet, so leadership and oversight have gaps.
although the service was still without a registered manager, a new manager had been appointed and had submitted an application to register with us.
Staff only get one supervision session a year with no recent performance reviews.
in the last 12 months each member of staff had only received one formal individual supervision with their line manager and no one had had their overall work performance officially appraised for over a year.
Guidance for as-needed medications lacks person-specific details, leading to a safety breach.
medicines records relating to when staff need to consider administering ‘as required’ behavioural modification medicines were not sufficiently detailed... This represented a breach of regulation 12.
AI Generated
CQC Inspection Overview
CQC Inspection
Last inspected: July 2025
Good
Safe
✓
Good
Effective
✓
Good
Caring
✓
Good
Responsive
✓
Good
Management Quality
Well-led: Good
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- Care Quality Commission (CQC) Inspection Data
- PlainSight staff reviews