CQC report explained · a residential care home
What the CQC found at Grove House Residential
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Medicines, staffing, risk management, infection control and the premises were generally managed safely.
- Effective?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Caring?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Responsive?
- Good
- This key question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Well-led?
- Good
- The home had clear management arrangements, effective audits and a positive, open culture. The provider showed commitment to learning and improving care.
What inspectors found, December 2023
Abbeyfield - Grove House Residential is rated Good; inspectors found safe, person-centred care and strong management, with a medicines storage issue addressed during the visit.
The unannounced inspection took place on 22 November 2023. Inspectors spoke with 9 people, 2 relatives, 9 staff and a health professional. They observed care, checked the home and reviewed care, medicines, staff and management records.
The home was rated Good for Safe and Well-led. Inspectors found that people were safe, medicines were generally managed well, staffing was suitable, and the home was clean and well maintained. People and relatives described staff as kind, caring and professional.
The report says the overall rating remained Good, as it was at the previous inspection in 2018. Only Safe and Well-led were inspected this time. Ratings for the other questions were carried over from the previous inspection.
Safe medicines systems
Medicines records and guidance were well organised. Staff received regular training and their competence was checked.
“Medications systems were organised and records well completed. Guidance to staff was up to date, detailed and person-centred.” from the report
Suitable staffing
Inspectors found enough staff to meet people's needs. Recruitment, induction and training were managed safely.
“The registered manager used a dependency tool to assess how many staff were needed.” from the report
Positive culture
People, relatives and staff gave positive feedback about the atmosphere, teamwork and management.
“There was a positive and open culture at the service.” from the report
Good partnership working
The home worked with health and social care professionals, with regular contact recorded and weekly GP visits.
“Care records showed regular contacts with other health and social care professionals and the GP visited the home weekly.” from the report
Creams stored in bedrooms
needs fixingSome topical creams had been kept in people's bedrooms without a detailed risk assessment. The registered manager addressed this during the inspection.
“some creams had been stored in people's bedrooms without a detailed risk assessment being carried out.” from the report
Best-interest records need more detail
minorWhere people lacked capacity, best-interest decisions were recorded, but the records did not fully explain how people, representatives and professionals had been involved.
“The records could be improved to show more detail about how people, their representatives and other professionals were involved.” from the report
- 01What action was taken after inspectors found some creams stored in bedrooms without detailed risk assessments?
- 02How do you now record the involvement of people, their representatives and other professionals in best-interest decisions?
- 03How do you use the dependency tool to check that staffing levels remain suitable as people's needs change?
- 04How are the new safeguarding and medicines champion roles improving care and safety?
- 05What were the findings of your latest surveys of people, relatives and staff, and what changes followed?
This inspection looked at Safe and Well-led; the report says ratings for questions not inspected were carried over from the last inspection. This explanation was written from the published report of 15 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2018
Abbeyfield - Grove House Residential was rated Good; inspectors found kind, safe care, with some improvements needed in call-bell monitoring, training and meal choices.
Inspectors visited on 15 and 23 February 2018. The first visit was unannounced and the second was announced. They spoke with people living in the home, relatives, staff and a healthcare professional. They also observed care and medicines, and checked care plans, risk records, recruitment files, audits and other documents.
The overall rating was Good. Each of the five areas was also rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable care planning, good access to healthcare and a clean environment.
People and relatives described staff as kind, respectful and welcoming. The home offered activities, supported family contact and dealt with complaints appropriately. Inspectors also found that managers monitored the service and acted on issues they identified.
There were some shortfalls, although they did not change the Good ratings. Call-bell response times could not be checked, some staff training was not yet complete, cream opening dates were not always recorded, and people with dementia were not always offered a clear choice of meals.
Kind and respectful care
People said staff were kind, polite and welcoming. Inspectors saw staff take time to listen, reassure people and protect their dignity.
“We saw staff had a compassionate approach and spoke with kindness when speaking with and about people.” from the report
Personalised care
Care plans included people's histories, preferences, health risks and interests. People and relatives were involved in decisions about care.
“The care plans and supporting documentation we looked at was person centred and provided support workers with the information required to provide people with appropriate care, support and treatment.” from the report
Good management and oversight
The manager was visible and approachable. Audits and feedback were used to identify problems and make changes.
“Systems were effective in assessing and monitoring the quality of care provided to people.” from the report
Call-bell response times
needs fixingTwo people said they sometimes waited a long time for their call bell to be answered. The system did not record response times, so inspectors could not confirm how long people waited.
“We were therefore unable to establish with any certainty how long people actually had to wait for assistance.” from the report
Meal choices for people with dementia
needs fixingThe weekly menu was difficult for people living with dementia to understand. Staff did not always show or offer meal choices to people who had difficulty communicating.
“However, we did not see staff showing or offering people who were living with dementia and who had difficulty in communicating a choice of meals to choose from.” from the report
Medicine cream records
minorThe opening date was not always recorded on creams and ointments. The issue was raised during the inspection and addressed immediately.
“However, we found the date they were opened was not always recorded.” from the report
Emergency evacuation records
minorEach person had an emergency evacuation plan, but the manager intended to put them into one file so they could be found more quickly.
“However, the registered manager told us they intended to put all the PEEPs into one file so they could be accessed quickly in the event of an emergency.” from the report
- 01How are call-bell response times monitored now, and what is the usual response time?
- 02Which staff training was incomplete at the inspection, and has all of it now been completed?
- 03How do you help people living with dementia or communication difficulties choose their meals?
- 04How do you make sure opening dates are recorded on creams and ointments?
- 05Where are emergency evacuation plans kept, and how quickly can staff access them?
This was an inspection of all five key questions, covering care, medicines, staffing, the environment, records, management and people's experiences; it was the first inspection since the service changed legal entity in March 2016. This explanation was written from the published report of 11 May 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Grove House Residential
2 rated inspections over 6 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018GoodSafe: GoodWell-led: Good
- March 2016
Registered with the Care Quality Commission on 31 March 2016.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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