CQC report explained · a residential care home
What the CQC found at Grove Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staffing, recruitment, risk assessments, medicines and infection control were found to be safe, although lessons from incidents were not always recorded.
- Effective?
- Good
- Staff were trained, supervised and supported. People's dietary, healthcare and communication needs were assessed, and staff worked with health and social care professionals.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff involved people and relatives in care planning and encouraged independence.
- Responsive?
- Good
- Care plans described people's routines, preferences and support needs. People had access to activities and community outings, and people and relatives knew how to raise concerns.
- Well-led?
- Good
- People, relatives, staff and professionals said the home was well run. The home had regular staff meetings, surveys and quality checks to monitor and improve care.
What inspectors found, May 2019
Grove Residential Home was rated Good; inspectors found safe, kind and personalised care, with lessons from incidents not always recorded.
This was a planned inspection on 9 May 2019 to check whether the home remained Good. The inspection was announced 48 hours in advance. Inspectors spoke with three people using the service, a relative, staff and a health and social care professional. They also reviewed care records, staff files, training records and management documents.
Inspectors found that people were protected from abuse and avoidable harm. There were enough staff, medicines were administered safely, the home was clean and care plans reflected people's individual needs. Staff supported people to make choices, stay independent and access health services.
People and relatives described the care as caring and responsive. Inspectors found a warm atmosphere, respectful staff and activities in the home and local community. The home was well managed, with quality checks in place. One improvement was identified: records did not always show what had been learned from accidents and incidents.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines records were accurate and staff had suitable training and supervision.
“People's medicines needs were met safely by staff who were well trained and skilled.” from the report
Personalised care
Staff knew people's likes, dislikes, routines and health needs. Care plans gave staff clear information about how each person wanted to be supported.
“People's care plans were person-centred. Staff knew how to provide personalised care.” from the report
Kind and respectful support
Inspectors saw patient and compassionate interactions. People were supported to make choices, maintain relationships and remain as independent as possible.
“During the inspection, we observed caring interactions between people and staff.” from the report
Activities and community life
People took part in exercises, garden activities and outings. Relatives described a range of activities, including painting, singing and visits to coffee shops.
“People had access to planned activities and local community outings.” from the report
Good management
The home had regular communication, staff meetings, surveys and quality checks. Inspectors found a commitment to improving care and working with other organisations.
“The provider had effective systems and processes in place to ensure the quality and safety of service.” from the report
Learning from incidents
minorAccident and incident records showed that appropriate action was taken, but they did not always record what had been learned. The manager said this would be added to future records and staff meetings.
“However, we found they did not always record lessons learnt.” from the report
- 01How do you now record and discuss lessons learned after accidents and incidents?
- 02How many staff are usually on duty during the day and at night, and how is this adjusted when people's needs change?
- 03How will you involve our relative and family in reviewing the care plan?
- 04What activities and community outings would be available for our relative?
- 05How would you support our relative to access GP, dental, mental health and other health services?
This was a planned inspection of the overall service and all five CQC questions; the provider did not complete the Provider Information Return because of technical difficulties, but showed inspectors the relevant documents and plans. This explanation was written from the published report of 22 May 2019 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, November 2016
Rated Good; inspectors found safe, kind and personalised care while renovation work was still under way.
This was an unannounced inspection. One inspector spoke with four people using the service, the manager and three care workers. They reviewed seven care plans, five recruitment files, training and supervision records, and the home's quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from harm, medicines were managed safely, staffing was sufficient, and staff had suitable training and support.
People told inspectors they were happy and felt safe. Care plans recorded people's routines, wishes, cultural needs and interests. Renovation work was taking place because the premises had been found unsuitable at the previous inspection, but the home had risk assessments and safety checks in place while the work continued.
Safe medicines practice
Medicine records were clear and complete. Audits checked that medicines were given correctly and that refusals or side effects were recorded.
“These records were clear and fully completed.” from the report
Personalised care
Care plans recorded people's routines, preferences, life histories and interests. People were supported to make choices and remain independent.
“People's preferences, wishes and aspirations were identified and people were supported to follow their interests.” from the report
Kind and respectful relationships
Inspectors saw caring relationships and observed staff respecting privacy, dignity and people's choices.
“People told us they were happy with their care and we observed positive and caring relationships between care staff and people using the service.” from the report
Support with health needs
The home recorded health needs and made prompt referrals to healthcare professionals when needed.
“Referrals to healthcare professionals were prompt and records of people's health needs were documented.” from the report
Strong management checks
The home collected feedback and used quality checks to monitor care and identify improvements.
“The service had robust quality assurance processes in place.” from the report
Renovation work was unfinished
needs fixingThe premises had been a concern at the previous inspection and renovation work was still taking place during this inspection. The manager said the work was expected to finish in early 2017.
“Building contractors had commenced work on one part of the home and the registered manager told us the works were aiming to be completed in early 2017.” from the report
- 01Were the renovation works completed in early 2017, and were any further changes or repairs needed afterwards?
- 02How are people supported if renovation work affects their bedroom, routine or emotional wellbeing?
- 03How many staff are on duty during the day and overnight, and how are absences covered?
- 04How are people's individual routines, cultural needs and preferred activities recorded and reviewed?
- 05How can a person or relative raise a concern, and how quickly will the home respond?
This was an unannounced inspection looking at the overall quality of the home and rating all five areas; the previous premises concern was being checked while renovation work continued. This explanation was written from the published report of 29 November 2016 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 Residential Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- May 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Waltham Forest
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,200 a week. 77 can care for a couple. 11 years' experience on average.
“Sidonia is a first class live-in carer whose dedication and thoughtfulness made her stay a happy experience.”
“Charity would take Nan on holidays day trips and shopping adventures”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.