Background to this inspection
Updated
4 January 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by an inspector and regulatory coordinator.
Service and service type
The Grove is a ‘care home’. People in care homes receive accommodation and personal care as single package dependent on their registration with us. The Grove is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection and took this into account when we inspected the service and made the judgements in this report.
During the inspection
We met with the person who used the service and contacted 2 relatives. We spoke with the managing director, the registered manager and a support worker. We also emailed the full staff complement and 3 external healthcare professionals to ask their views about the service and the majority responded.
We reviewed a range of records. This included a person’s care records, medicine records and staff files. We looked at a variety of records relating to the management of the service, including audits.
Updated
4 January 2024
About the service
The Grove is a residential care home providing personal care for up to 2 people with a learning disability. At the time of the inspection 1 person was living at the service. The service is located on the lower ground floor of a care home operated by a different care provider.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
Over the last couple of years there have been several instances when water from the building above had entered nearly all of the rooms in the service and the conservatory was leaking. The provider was in the process of addressing these issues to make sure it did not reoccur, for example they had checked the pipework above the service. They were currently reviewing what material was used as the basis for the floors above to ensure it would not let water through to the rooms below. A full refurbishment of the service was being undertaken.
The person was supported to have maximum possible choice, control and independence. Staff supported people to make decisions whilst following best practice in decision-making. Staff communicated with the person in ways that met their needs. Staff focused on the person’s strengths and promoted what they could do, so they had a fulfilling and meaningful everyday life. Staff supported the person to achieve their aspirations and goals. The person was supported safely with medicines. Infection prevention and control practices reflected current guidance.
Right Care
The person received kind and compassionate care. Staff protected and respected the person’s privacy and dignity. They understood and responded to their needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet the person’s needs and keep them safe. The service worked well with other agencies to do so. The person’s care, treatment and support plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life.
Right culture
The person was supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff placed the person’s wishes, needs and rights at the heart of everything they did. Staff were aware of and were working to best practice guidance for supporting people with a learning disability and/or autistic people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 2 May 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
This report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Grove on our website at www.cqc.org.uk.