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CQC report explained · a residential care home

What the CQC found at The Grove

Outstandingpublished 1 August 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from harm, medicines were managed safely and risk assessments were personalised and thorough. Inspectors also found enough staff and records of accidents and incidents.
Effective?
Good
Staff had relevant skills, training and supervision. People were supported with food, healthcare appointments and decisions about their care.
Caring?
Good
Inspectors found that people were treated with kindness and respect. Staff knocked before entering rooms and supported people's privacy and dignity.
Responsive?
Outstanding
Support was closely matched to people's interests, relationships and mental health needs. The home offered varied activities, community involvement and careful planning for end of life care.
Well-led?
Outstanding
The registered manager and staff had a clear person-centred approach and strong community links. People were involved in recruiting staff, and quality checks were described as thorough and robust.
The latest report, explained

What inspectors found, August 2018

Rated Outstanding; inspectors found safe, kind care, highly personalised support and strong leadership.

This was an unannounced inspection on 13 June 2018. Inspectors spoke with four people using the service, five staff members and a healthcare professional. They observed care and checked care plans, risk assessments, medicines, finances, staff records and quality checks.

The home supported seven people and could support up to eight adults with mental health needs. Inspectors found safe medicines management, personalised risk assessments, enough staff and suitable training. People were treated with kindness and respect, and their privacy and dignity were protected.

The home was rated Outstanding overall. Responsive care and leadership were rated Outstanding. Safe, effective and caring were rated Good. The previous inspection in January 2016 found unsafe medicines management, but inspectors said this had been put right.

What inspectors praised
  • Medicines now managed safely

    The previous medicines problem had been corrected. Inspectors found up-to-date weekly audits and information about each person's medicines in their care plan.

    “At this inspection, we found that medicines were being managed safely and that the service was now rated 'Outstanding'.” from the report
  • Personalised safety planning

    Risk assessments included people's mental health needs, warning signs and actions to take. Staff knew how to respond in emergencies.

    “People's risk assessments were personalised and robust.” from the report
  • Highly responsive support

    The home helped people follow their interests, maintain relationships and take part in activities in the wider community. It also recorded and reviewed people's end of life wishes.

    “The service was exceptionally responsive and used innovative ways to ensure that it was providing care that was tailored to meet people's needs.” from the report
  • Kind and respectful care

    People told inspectors that staff were caring and respectful. Staff knocked before entering rooms and supported people to have private time.

    “People who used the service told us support workers were caring and treated them with respect.” from the report
  • Strong leadership

    Staff were motivated and proud to work at the home. People were involved in staff recruitment, and regular checks were used to identify improvements.

    “Quality assurance practices were robust and taking place regularly.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are medicines audited now, and how do you check the quantity of medicines held in stock?
  2. 02How often are care plans and risk assessments reviewed, and how is the person involved in those reviews?
  3. 03What activities and community links would be available for my relative's particular interests and mental health needs?
  4. 04How would you record and support my relative's wishes about end of life care?
  5. 05What staffing is normally available during the day and overnight, including any one-to-one support?

This was an unannounced inspection covering all five questions, based on discussions with people, staff and a healthcare professional, observations and checks of care, medicines, staff and quality records. This explanation was written from the published report of 1 August 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.

The story over the years

Every inspection of The Grove

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. August 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at The Grove →

  2. March 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 8 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.

Next steps

Weigh the report against the rest

Care at home

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.”
Martin B., about Sidonia M.
“Charity would take Nan on holidays day trips and shopping adventures”
Bateman S., about Charity N.
See live-in carers near Waltham ForestProfiles, rates and reviews are free to look at.

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.