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CQC report explained · a nursing home

What the CQC found at The Grove Care Home

Goodpublished 19 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home had suitable infection prevention and control arrangements. They found effective use of PPE, testing, cleaning, social distancing and procedures for preventing or managing outbreaks.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

The Grove Care Home was inspected but not rated; inspectors found good COVID-19 infection control arrangements, with one testing policy needing an update.

This was an announced, targeted inspection on 3 March 2021. It looked only at infection prevention and control during the COVID-19 pandemic.

Inspectors were assured that the home was managing visitors, admissions, shielding, social distancing, PPE, testing, cleaning and outbreaks safely. There was enough PPE, staff used it correctly, and regular cleaning and testing were in place.

The home supported contact between residents and their next of kin through visits in a pod, video calls and telephone calls. The home was also taking part in the COVID-19 vaccination programme.

The service was inspected but not rated. This means the visit did not give an overall quality rating or a standard rating for the five care questions.

What inspectors praised
  • COVID-19 procedures

    The home had detailed arrangements for managing infection risks, including for people with a positive COVID-19 diagnosis.

    “The home had comprehensive policies and procedures to manage any risks associated with the COVID-19 pandemic.” from the report
  • PPE and hand hygiene

    There was plenty of PPE and hand sanitiser. Staff had been trained and were observed using PPE correctly.

    “There was an ample supply of PPE for staff and any visitors to use.” from the report
  • Keeping families connected

    Residents and their next of kin could keep in touch through pod visits, video calls and telephone calls.

    “People living in the home and their next of kin were supported to maintain contact through a range of methods including visit appointments in a 'pod', video calls and the telephone.” from the report
  • Cleaning and testing

    Daily cleaning schedules included extra cleaning of frequently touched areas. Regular COVID-19 testing was in place for residents and staff.

    “The home employed two housekeepers and daily cleaning schedules were undertaken and these were enhanced with additional touch point cleaning.” from the report
What inspectors were concerned about
  • Testing policy needed updating

    minor

    The home’s written policy did not yet reflect the requirement for staff to have twice-weekly lateral flow tests. The manager said the policy would be updated.

    “However the home's policy required updating to reflect the requirement for staff to undertake twice weekly lateral flow testing.” from the report
Questions to ask them, based on this report
  1. 01Has the policy for twice-weekly staff lateral flow testing now been updated?
  2. 02How often are staff and residents currently tested for COVID-19?
  3. 03What visiting arrangements are currently available, including pod visits and indoor visits?
  4. 04How does the home respond if a resident or staff member tests positive?
  5. 05How often are frequently touched areas cleaned, and how is this recorded?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it was not a full assessment of the other care quality questions and the service was not rated. This explanation was written from the published report of 13 March 2021 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.

An earlier report, explained

What inspectors found, February 2019

The Grove Care Home was rated Good overall; inspectors found kind, safe care, with some records and complaint processes needing improvement.

This was an unannounced, comprehensive inspection on 22 January 2019. Inspectors observed care, spoke with people living in the home, visitors and staff, and checked care plans, medicines, recruitment records, training, complaints and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally said they felt safe and were happy with their care. Inspectors saw kind and respectful interactions, good activities, suitable food and detailed care plans.

There were some smaller weaknesses. Two staff files did not contain suitable references, employment histories were not fully requested, and some concerns and complaint information were not recorded as well as they should have been. The home also needed to improve witnessing when medicines were disposed of.

The overall Good rating stayed the same as at the October 2016 inspection. The report says there was no evidence of serious risks or concerns.

What inspectors praised
  • Kind and respectful care

    People and visitors were positive about staff. Inspectors saw staff listening, offering reassurance and treating people with dignity.

    “During the inspection, we saw staff were attentive to people's needs and we observed caring and respectful interactions towards people.” from the report
  • Personal care planning

    Care plans included people's preferences, routines and changing health needs. Staff used them to provide personalised support.

    “The care plans were person-centred, detailed and organised and included valuable information about people's likes, dislikes, preferences and routines” from the report
  • Activities and interests

    The home offered varied activities and was working to understand and fulfil people's interests and wishes.

    “People were happy with the range of activities and entertainments available to them and said they enjoyed taking part.” from the report
  • Staff training and support

    Staff received induction, training, supervision and appraisals. Inspectors found staff understood people's needs and had the skills to support them.

    “Staff received a wide range of training that enabled them to support people in a safe and effective way.” from the report
  • Quality monitoring

    The home used audits and feedback to identify improvements and track actions.

    “There was a clear and effective system to monitor the quality of the service.” from the report
What inspectors were concerned about
  • Recruitment records

    needs fixing

    Two staff files did not contain an appropriate reference, and application forms did not ask for a full employment history. The manager said all files would be checked.

    “We found two staff did not have an appropriate reference on their recruitment files and the application form did not request a full employment history” from the report
  • Recording complaints and concerns

    needs fixing

    The complaints procedure did not include contact details for the local ombudsman or local authority. Inspectors also found that some concerns were not recorded in line with the home's process.

    “The procedure did not include the contact information for the local ombudsman or the local authority” from the report
  • Medicine disposal records

    needs fixing

    The home needed to make sure a witness was present when medicines were disposed of.

    “We discussed, with the registered manager, the importance of obtaining a witness for medicine disposal.” from the report
  • Occasional delays for help

    minor

    Most people felt staffing was sufficient, but one relative reported delays. A survey also identified waits for staff responses, particularly in the morning.

    “The recent customer survey had identified some people had waited for a response from staff, particularly in the morning” from the report
  • Some staff attitude concerns

    minor

    Although most feedback about staff was positive, some people made less favourable comments about staff attitude. The management team had identified this and was taking action.

    “However, people also made less favourable comments about staff attitude and one person commented staff were 'nearly all good'.” from the report
Questions to ask them, based on this report
  1. 01What action was taken after the missing references and incomplete employment history information were found in recruitment files?
  2. 02How do you now record and follow up complaints and concerns, and where can relatives find outside complaint contacts?
  3. 03How do you make sure medicines are witnessed when they are disposed of?
  4. 04What has changed to reduce waits for staff help, particularly in the morning?
  5. 05How are residents and relatives now involved in care plan reviews and meetings?

This was an unannounced comprehensive inspection covering all five key questions, and the ratings remained Good from the October 2016 inspection. This explanation was written from the published report of 19 February 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 The Grove Care Home

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Grove Care Home →

  2. February 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Grove Care Home →

  3. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. January 2011

    Registered with the Care Quality Commission on 26 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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