CQC report explained · a nursing home
What the CQC found at Tapton Grove
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2023
Tapton Grove was rated Good; inspectors found safe, well-managed care, with a minor medicines-record issue fixed after the visit.
This was an unannounced focused inspection on 21 February 2023. It followed concerns about medicines, staffing and management. Inspectors looked only at Safe and Well-led, and both were rated Good.
Inspectors spoke with people, relatives and staff. They reviewed care records, medicines records, recruitment files, training information and management records. They found people received their medicines as prescribed, risks were assessed, staffing had improved and infection controls were suitable.
The instructions for some medicines taken only when needed did not contain enough detail. The manager updated them immediately after the inspection. The overall Good rating means the home was meeting the relevant standards in the areas inspected, but this visit did not reassess the other three CQC questions.
Safe medicines support
People received their medicines as prescribed. Staff who administered medicines were trained and their competence was checked regularly.
“People were supported to manage their medicines safely and received their medicines as prescribed.” from the report
Staffing and recruitment
Inspectors found enough staff to meet people's needs. Recruitment checks, induction and training were in place.
“There were sufficient staff deployed to meet people's needs.” from the report
Risk management
Staff understood people's risks and care plans gave guidance about changing needs. The Mental Capacity Act principles were being followed.
“Care plans contained guidance for staff to respond to people's changing needs resulting in increased risk for themselves and others.” from the report
Choice and independence
People were involved in their care and could take part in activities and opportunities in the local community.
“Activities are well balanced you can choose to attend and come and go has you please this promotes independence” from the report
Quality oversight
The provider used audits, reports and investigations to monitor care and learn from incidents.
“The schedule of audits implemented by the management team resulted in good oversight of the service by the provider and registered manager.” from the report
Instructions for as-needed medicines
needs fixingSome protocols for medicines taken only when needed did not contain enough detail to make administration consistent. The manager acted immediately and updated them after the inspection.
“It was identified during inspection these protocols required more detail to ensure PRN medicines were consistently administered.” from the report
- 01What changes were made to the protocols for medicines taken only when needed after the inspection?
- 02How do you check that staff are following the updated medicines instructions consistently?
- 03How many permanent staff are currently available, and when would agency staff be used?
- 04How are people and relatives involved in reviewing care plans when risks or needs change?
- 05How can my relative and our family give feedback or raise a concern with the management team?
This was an unannounced focused inspection of Safe and Well-led only; the report says the last overall rating was Good, published on 9 April 2019, and the other questions were not reassessed at this visit. This explanation was written from the published report of 15 March 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, April 2019
Tapton Grove was rated Good; inspectors found safe, kind and personalised care, with one medicines recording error addressed immediately.
This was an unannounced, one-day inspection. Three inspectors and an expert by experience spoke with 17 people and 10 staff. They also reviewed care, medicines, incident, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received appropriate medicines and healthcare, and had enough trained staff to support their needs.
People were involved in their care and supported to make choices about their day, food, activities and relationships. People using the rehabilitation service had support to prepare for moving into their own homes.
The previous inspection had rated the home Requires Improvement in March 2017. Inspectors found that improvements had been made, including in medicines management, health checks and quality monitoring.
People felt safe
People told inspectors they felt safe and staff knew how to recognise and report abuse. Risk assessments and support plans were followed.
“People told us they felt safe with the staff.” from the report
Personal choice and independence
People were supported to make choices about their care and daily lives. They could take part in activities and, where safe and lawful, access the community independently.
“People were supported to make decisions about how they spent their day and opportunities were provided for people to participate in indoor and outdoor activities.” from the report
Kind and respectful care
Inspectors saw friendly interactions and found that staff respected privacy, dignity and independence. People were supported to maintain important relationships.
“We saw friendly and warm interactions between staff and people.” from the report
Rehabilitation support
People receiving rehabilitation had plans that tracked their progress and supported them to prepare for moving into their own homes.
“People had clear discharge plans in place and discussions with them demonstrated they were fully involved in these.” from the report
Improved management
Quality checks had improved since the previous inspection. Audits covered areas such as medicines, infection control, support plans and maintenance.
“At this inspection we saw improvements had been made.” from the report
One medicines record was incomplete
minorOne administration record for a medicine needing two staff signatures had only one signature on one occasion. The manager acted immediately and introduced extra checks.
“We identified one recording error for a medicine that required two staff signatures on administration.” from the report
- 01How will you make sure medicines needing two staff signatures are always recorded correctly?
- 02How would you support my relative's particular mental health needs, including anxiety or distress?
- 03What activities and community access would be available for my relative, and what support would they receive to take part?
- 04If my relative is suitable for rehabilitation, how would you involve them in planning their progress and discharge?
- 05How would you support my relative to make decisions if they lacked capacity for a particular care decision?
This was an unannounced comprehensive inspection covering the premises and care, with all five CQC question areas assessed. This explanation was written from the published report of 10 April 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.
Every inspection of Tapton Grove
4 rated inspections over 8 years: the service has held its Good rating throughout.
- March 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- March 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 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.
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62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.