The Grove

Updated 7 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 4 January 2019 and was unannounced.

The inspection team consisted of one inspector.

Prior to this inspection, we reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with four people who used the service to gather their views about the care they received. We also spoke with the registered manager and two care staff.

We looked at the care records of two people who used the service. The management of medicines, staff training records, as well as a range of records relating to the running of the service. These included audits and checks and the systems adopted by the provider to monitor the quality and safety of people’s care.

Updated 7 February 2019

We inspected the service on 4 January 2019. The inspection was unannounced. The Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service accommodates twelve people and on the day of our inspection twelve people were using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with acquired brain injuries using the service can live as ordinary a life as any citizen.

At our last inspection on 20 June 2016 we rated the service ‘good.’ At this inspection we found the evidence continued to support the rating of ‘good’. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However, the rating for Well-led has deteriorated to ‘Requires Improvement’.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager had not ensured that statutory notifications were submitted to the Commission in a timely manner.

People could be assured that they would receive care in a way that maintained their safety and promoted their independence. Lessons were learnt and action taken as a result of accidents and incidents. People were supported by sufficient numbers of staff who received the support and training that they needed to work effectively in their role. People’s prescribed medicines were managed safely.

People’s needs were assessed and detailed plans of care in place, reflective of people’s preferences, to guide staff in providing care. People were supported to maintain the best possible health and were enabled to access the healthcare services they needed in a timely manner.

People could be assured that they would be treated with dignity and respect. Staff focussed on enabling people to be as independent as possible and gave people the maximum possible choice and control over their care.

There was an effective system of quality assurance in place. There was a well understood and clear person centred culture that was demonstrated by staff and the registered manager. This culture and focus on supporting people to be independent had resulted in positive outcomes for people receiving care.

Further information is in the detailed findings below.