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CQC report explained · a residential care home

What the CQC found at The Grove

Goodpublished 4 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
Inspectors found safe staffing, safeguarding, medicines and infection control. However, repeated leaks and water damage meant there was limited assurance about safety and an increased risk that people could be harmed.
Effective?
Good
This area was not inspected during this visit. The report says the previous ratings were used to calculate the overall rating.
Caring?
Good
This area was not inspected during this visit. The report's overall findings describe kind, compassionate and dignity-respecting care.
Responsive?
Good
This area was not inspected during this visit. Inspectors reported that support was tailored to the person's needs, choices and goals.
Well-led?
Good
Managers reviewed the service, acted on incidents and had plans for improvements. Inspectors found a positive, person-centred culture and good partnership working.
The latest report, explained

What inspectors found, January 2024

Rated Good overall; inspectors found kind, person-centred care, but ongoing building leaks meant Safe was Requires Improvement.

This was an unannounced inspection carried out over four visits in November 2023. Inspectors met the person living at the home, contacted relatives, spoke with staff and health professionals, and checked care, medicines, staff and management records.

The person was supported with choice, independence and daily activities. Inspectors found kind care, enough staff, safe medicines practice, safeguarding knowledge and good links with other services.

The main concern was repeated water leaking from the care home above. Rooms and parts of the building had been damaged. A refurbishment and other repairs were under way, but inspectors said the problem could continue until all causes were identified and fixed.

The overall rating was Good. Safe was rated Requires Improvement and well-led was rated Good. The other three areas were not inspected during this visit, so their previous ratings were used to calculate the overall rating.

What inspectors praised
  • Choice and independence

    The person was supported to make decisions, use their strengths and pursue their goals.

    “The person was supported to have maximum possible choice, control and independence.” from the report
  • Kind and respectful care

    Inspectors found compassionate care that respected the person's privacy, dignity, needs and wishes.

    “The person received kind and compassionate care.” from the report
  • Medicines and staffing

    There were enough staff, medicines were managed safely, and staff had been trained and assessed as competent.

    “The person's medicines were managed in a safe manner.” from the report
  • Positive leadership

    The manager and staff placed the person's needs at the centre of the service and worked with other agencies to support their wellbeing.

    “The registered manager promoted a positive, person-centred culture.” from the report
What inspectors were concerned about
  • Ongoing leaks and water damage

    serious

    Water had entered nearly all rooms over time and the conservatory was leaking. Repairs and a full refurbishment were under way, but inspectors said the underlying causes had not all been identified and fixed.

    “The person told us of ongoing problems with the building from water leaking in from the other care home above and showed us rooms, which had water damage.” from the report
Questions to ask them, based on this report
  1. 01Which parts of the leak and water-damage work have now been completed, and what work is still outstanding?
  2. 02What happens if water leaks into the home again, and how will the person be kept safe during repairs?
  3. 03What is the timetable for the full refurbishment and replacement of the conservatory?
  4. 04How are building checks and repairs recorded and reviewed by the manager?
  5. 05How will you show that the Safe rating has improved since this inspection?

This was a focused inspection of Safe and well-led only; the other three ratings were not inspected and the previous ratings were used to calculate the overall rating. This explanation was written from the published report of 4 January 2024 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, May 2018

The Grove was rated Good; inspectors found kind, safe and personalised support, with some records and building issues to improve.

The announced inspection took place on 4 April 2018. One inspector spoke with the person using the home, the registered manager and a support worker. The inspector also checked care records, medicines records, staff recruitment files, the building and quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training and support plans that reflected the person's wishes.

The person said they were happy and found staff friendly and helpful. Staff supported the person to follow routines, go out, develop independence and manage health needs. Inspectors also noted some restrictions needed clearer records, and that lounge space and mail arrangements were not ideal.

The home had also been rated Good at the previous inspection in October and November 2015. This report says it remained good and met all the fundamental standards inspected against.

What inspectors praised
  • Personalised support

    Support plans reflected the person's needs, wishes and preferences. Staff helped the person develop independent living skills and follow their own routines.

    “Support plans were in place to meet people's assessed needs. These plans incorporated people's wishes and preferences about how their support was to be given.” from the report
  • Kind staff

    Inspectors found a relaxed and friendly atmosphere. Staff understood the person well and encouraged confidence, social contact and independence.

    “Staff demonstrated a kind and caring approach. We saw staff sought the individual's views and engaged them in conversations about their day.” from the report
  • Safe medicines practice

    Staff were trained to handle medicines. Records were complete, storage was secure and stocks were checked.

    “Medicine administration records (MARs) were correctly completed. Medicines were safely and securely stored, and stocks were monitored to ensure these were available when they needed.” from the report
  • Regular oversight

    The manager carried out monthly checks covering areas such as medicines, health and safety, and staff development. These checks were used to plan improvements.

    “They completed monthly audits of all aspects of the service, such as health and safety, medicine management, and staff development.” from the report
What inspectors were concerned about
  • Restrictions needed clearer records

    needs fixing

    Inspectors said staff needed full information about legal conditions and the reasons for restrictions. Records also needed to make clear why staff support was required in particular situations.

    “Staff needed to ensure they always obtained all of the information about any conditions that were imposed because if the person did not adhere to these they could be recalled to hospital.” from the report
  • Limited lounge space

    minor

    Some former en-suite facilities remained in rooms now used as lounges. Inspectors said this reduced the available communal space, and the manager agreed to discuss it with the provider.

    “We did note that when the service was converted from being a part of a large nursing home to a small unit the en-suite facilities had not been removed from bedrooms that were now being used as lounges.” from the report
  • Mail arrangements

    minor

    The home did not have a separate postal address. Mail was sometimes lost, and action was being taken to improve how it was delivered.

    “The service does not have a separate postal address and this had led to all the mail going to Balmoral Court.” from the report
Questions to ask them, based on this report
  1. 01How have you updated care records to show the reasons for current restrictions and the legal conditions that apply?
  2. 02What changes have been made to give people more usable lounge space?
  3. 03How is post now delivered, and what safeguards are in place to prevent items being lost?
  4. 04How many staff who can drive are now employed to support people's wishes to go out?
  5. 05How would you support someone if their physical health or emotional wellbeing began to deteriorate?

This was a planned inspection covering the overall quality of the home and all five key questions, including care, staffing, records, medicines, the building and management systems. This explanation was written from the published report of 2 May 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

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Grove →

  2. May 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at The Grove →

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

    Read this report on cqc.org.uk

  4. February 2015

    Registered with the Care Quality Commission on 23 February 2015.

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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