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CQC report explained · a residential care home

What the CQC found at 2 and 10 Grove Road

Goodpublished 23 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed. There were enough suitably recruited staff, but some medicines records were not countersigned and guidance for variable doses was unclear.
Effective?
Good
Staff received training, supervision and support. People were supported with food, healthcare, communication and legal decisions about their care.
Caring?
Good
Staff were kind, patient and respectful. People were supported to make choices, maintain relationships and develop independence.
Responsive?
Good
Care plans reflected people's needs, communication methods, preferences and goals. People were supported with activities, cultural interests, complaints and end of life wishes.
Well-led?
Good
There was a registered manager, an open culture and systems for gathering feedback and monitoring the service. However, the audits did not identify the medicines recording issues found during inspection.
The latest report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and personalised care, with some medicines recording needing improvement.

This was an unannounced comprehensive inspection on 3 December 2018. The inspector observed care, spoke with relatives and staff, and reviewed care records, medicines, training, recruitment and management checks.

The home supported eight people with learning disabilities or autism. Seven people were living there during the inspection, with another person using the service for respite. Inspectors found people were safe, treated with kindness, supported to make choices and helped to follow their interests.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found no serious risks or concerns. They did identify that some medicines records and guidance were not always clear, and the manager said changes would be made.

What inspectors praised
  • Kind and respectful care

    Inspectors found staff were compassionate, patient and respectful. They gave people time and supported them in the way they preferred.

    “People were treated with kindness and compassion. Relatives confirmed this.” from the report
  • Choice and independence

    People were involved in decisions about their care and daily lives. Staff supported people to communicate, make choices and build practical skills.

    “People had their privacy, dignity and independence promoted.” from the report
  • Personalised support

    Staff understood people's likes, dislikes, communication methods and routines. People were supported to follow hobbies, cultural interests and personal goals.

    “People received support based on their individual needs.” from the report
  • Staffing and training

    Inspectors found enough staff with the right skills and experience. Staff received training, supervision and additional support for people's specialist needs.

    “People were supported by sufficient numbers of staff who had the right mix of experience and skills.” from the report
  • Family involvement

    Relatives were welcomed, involved in care reviews where appropriate and kept updated through visits, meetings and newsletters.

    “Staff supported people to maintain contact with their relatives.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Some handwritten medicine entries had not been checked and signed by two staff. The manager said this would be corrected.

    “These had not been countersigned by two staff.” from the report
  • Unclear variable-dose guidance

    needs fixing

    Instructions were not clear when a person could receive different doses of a medicine, such as one or two tablets. Revised guidance was sent after the inspection.

    “However, the information was not clear where the dose prescribed was variable.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that handwritten medicine entries are countersigned by two staff?
  2. 02How do staff know whether to give one or two tablets when a medicine has a variable dose?
  3. 03How do your medicine audits make sure these problems are identified promptly?
  4. 04How are you adapting care and staff training for the person whose health needs have recently changed?
  5. 05How will you support the person who is moving into the home and involve their relatives and other professionals?

This was an unannounced comprehensive inspection covering the home, care provided and all five CQC questions; the overall Good rating had continued from the inspection on 30 March 2016. This explanation was written from the published report of 23 January 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.

The story over the years

Every inspection of 2 and 10 Grove Road

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 2 and 10 Grove Road →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 29 November 2010.

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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