CQC report explained · a residential care home
What the CQC found at The Grove Residential Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was using PPE safely, arranging testing, following social distancing and shielding rules, and managing infection outbreaks.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed as a rated question in this targeted inspection, although inspectors described respectful and compassionate support.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection, although inspectors described supportive communication and management oversight during the outbreak.
What inspectors found, January 2021
The Grove Residential Home was inspected but not rated; inspectors were assured that infection control procedures were safe during a Covid-19 outbreak.
This was an announced, targeted inspection on 2 December 2020. It looked at infection prevention and control during a coronavirus outbreak, rather than the full quality of the home.
Inspectors found that staff worked hard to support residents, including people with Covid-19 and people receiving end-of-life care. They found respectful and compassionate care, regular communication with relatives, and prompt medical attention when people became unwell.
The home had infection control policies and contingency plans. Inspectors were assured about visitor checks, testing, PPE, shielding, social distancing, hygiene, admissions and managing outbreaks.
The overall service was inspected but not rated. The Safe question was also inspected but not rated, so this report does not provide ratings for the other four areas.
Compassionate support
Staff supported residents through Covid-19 and end-of-life care. Inspectors observed a respectful and compassionate atmosphere.
“The atmosphere was respectful and compassionate tinged with great sadness.” from the report
Strong outbreak response
The provider quickly brought in senior care staff and nursing expertise when the manager and many permanent staff were isolating.
“As soon as the outbreak arrived at The Grove, the provider acted promptly to ensure safe management oversight and a team of senior care staff with a good skill mix to support the home.” from the report
Family communication
Relatives were contacted every day with updates about their loved one's health and wellbeing during the outbreak.
“Since the outbreak the acting manager contacted relatives every day to update them on the health and wellbeing of their loved one.” from the report
Infection control arrangements
Inspectors found suitable checks for visitors, PPE, hand hygiene, testing, isolation and infection control monitoring.
“We were assured the service was following safe infection prevention and control procedures to keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are relatives currently kept updated about a resident's health and wellbeing?
- 02How do you check that staff continue to use PPE correctly and follow infection control procedures?
- 03What staffing and management arrangements are in place if permanent staff are absent or isolating?
- 04How do you manage visitors and new admissions safely during an infection outbreak?
- 05What nursing or clinical support is available when a resident becomes unwell or needs end-of-life care?
This was an announced, targeted inspection of infection prevention and control during a coronavirus outbreak; it did not rate the other four key questions or the overall service. This explanation was written from the published report of 22 January 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.
What inspectors found, July 2018
Rated Outstanding; inspectors found kind, safe care with especially strong personalised support and leadership.
This was an unannounced inspection on 8 and 9 May 2018. Inspectors spoke with people, relatives and staff, observed care, and checked care records, staff files, policies and quality checks.
The home supported up to 36 people with dementia, and 33 people lived there during the inspection. Inspectors found enough staff, safe medicines practices, suitable training and good support with eating, drinking and health needs.
People were treated warmly and respectfully. Inspectors found that care was personalised and helped people maintain their independence, relationships and quality of life. Creative work to support people with dementia was a particular strength.
The overall rating was Outstanding. Safe, Effective and Caring were rated Good. Responsive and Well-led improved from Good to Outstanding since the previous inspection.
Personalised dementia care
Staff used people's histories, preferences and changing needs to shape their care. They tried creative approaches to reduce anxiety and improve daily life.
“People experienced a lifestyle that met their individual expectations, capacity and preferences.” from the report
Kind and respectful staff
Inspectors saw staff taking time to talk with people, protect their dignity and offer reassurance. People were supported to make choices about their routines and appearance.
“Throughout my observations, staff were caring and kind to people.” from the report
Enough staff and safe care
Staffing was adjusted when people's needs increased, and inspectors found staff available to respond promptly. Risks, accidents, medicines and recruitment were managed appropriately.
“People, relatives and staff confirmed there were sufficient numbers of staff on duty.” from the report
Strong improvement work
The home used staff training, feedback and new projects to improve care. Examples included dementia simulation training, a music room and changes to night-time support.
“There was strong emphasis on continual improvement and best practice which benefited people and staff.” from the report
Family involvement
Families were involved in care planning and decisions when people could not decide for themselves. Visitors were welcome, and the home used video calls and newsletters to help maintain relationships.
“Every effort was made to enhance and maintain family support and existing relationships so that their life experiences were meaningful and relationships remained important.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are on duty now, and how do you adjust staffing when a person's needs increase?
- 02How do you use each person's history, preferences and dementia-related needs to plan their daily activities and care?
- 03How do you support people who become anxious during health appointments or at mealtimes?
- 04How are families involved in care reviews and decisions when a person cannot make a decision themselves?
- 05Are the music room, sensory room, Memory Lane and night-time support projects still available and being used?
This was an unannounced inspection covering all five CQC questions; Safe, Effective and Caring remained Good, while Responsive and Well-led improved to Outstanding. This explanation was written from the published report of 25 July 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.
Every inspection of The Grove Residential Home
3 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2018Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- March 2017Goodstayed GoodSafe: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 15 March 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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39 live-in carers within about an hour of South Gloucestershire
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 £1,020 to £1,280 a week. 32 can care for a couple. 11 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.