Tapton Grove

Tapton Grove is a residential care home providing personal and nursing care to up to 61 people. The service provides support to people living with dementia and people with mental health support needs. At the time of our inspection there were 51 people using the service. Accommodation is provided in one purpose-built building and two adapted buildings.

People’s experience of using this service and what we found

People were supported to manage their medicines safely and received their medicines as prescribed. People were supported by suitable staff who were safely recruited and trained. The areas of risk in people’s lives were identified and care and support planned to mitigate these risks.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager was committed to achieving good outcomes for people. People were involved in planning their care and made choices about how their care was delivered. People were able to access a range of professionals for specialist support.

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 9 April 2019).

Why we inspected

We received concerns in relation to safe management of medicines, adequate staffing and effective management. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tapton Grove on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

About the service: Tapton Grove provides mental health services for adults. There are 61 single bedrooms divided over three units; The Coach House, Tapton Grove and Grove House. The Coach House is a 20-bedded residential rehabilitation unit, that prepares people to move into their own homes in the community. Tapton Grove provides nursing and accommodation for up to 23 males with enduring mental health needs. Grove House has two units, both provide nursing and accommodation for up to 10 adults with mental health needs. The home is set in 12 acres of well-maintained grounds and woodland with a lake and is two miles from Chesterfield town centre. There were 53 people using the service on the day of this inspection.

People’s experience of using this service:

Staff knew how to recognise and protect people from the risk of abuse. The infection control practices in place reduced the possibility of people acquiring an infection. People were supported to lead full lives by taking reasonable risks. Where people needed support to take their medicine, this was provided in a safe way. Recruitment checks were undertaken, to determine the suitability of new staff and protect people that used the service.

People were supported to make decisions about what they ate, to ensure the meals met their preferences and dietary needs. Drinks were available to people throughout the day. People using the service for rehabilitation were supported to plan and prepare their own meals. Where people were unable to independently make specific decisions regarding their care; assessments were undertaken to determine the support they needed with these decisions. This ensured people were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible. People were involved in their care to enable them to receive support in their preferred way. People had access to healthcare services and received coordinated support, to ensure their preferences and needs were met.

People were supported to take part in social activities of their choice, both in and out of the home to enhance their well-being. People maintained relationships with their family and friends and were supported to raise any concerns and give their views on the service and support they received. Systems were in place to monitor the quality of the service and drive improvement.

More information is in the full report below.

Rating at last inspection: Requires Improvement (report published 23 March 2017).

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we saw that improvements have been made.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

This inspection took place on 29 and 30 November 2016. The first day was unannounced.

There was a registered manager at the service. 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.

Medicines were not always managed safely. There were recoding errors, some records did not correspond accurately with medicines stocks and guidance for ‘as required’ medicines and specific medicines was not always available. Medicine trolleys were not stored securely to the wall when not in use. Medicine refrigerator temperatures were not consistently recorded. Issues raised via medicines audits were not always acted on.

Routine health checks were not always carried out consistently and records of specific health needs did not confirm that appropriate health care had been provided.

Systems to monitor the quality of the service were not always effective in Identifying issues for improvement.

There were sufficient staff to meet people's needs and staff recruitment practices were satisfactory.

People were safeguarded from abuse because the provider had relevant guidance in place and staff were knowledgeable about the reporting procedure.

Appropriate arrangements were in place to assess whether people were able to consent to their care. The provider was meeting the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DOLS). This meant people’s rights were being upheld, and any restrictions in their care were lawful and appropriate.

People told us they enjoyed their food and we saw meals were nutritious.

Staff received relevant training and support to carry out their roles.

People were supported to be involved in their care planning and delivery. The support people received was tailored to meet their individual needs, wishes and aspirations.

People told us the care staff were caring and kind and that their privacy and dignity was maintained when personal care was provided.

There was a wide range of activities and events available to enable people to take part in hobbies and interests of their choice.

Complaints were well managed. The leadership of the service was praised by external professionals and communication systems were effective. The provider had obtained feedback about the quality of the service from people, their relatives and staff.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we took at the back of this report.

We found that the service had a robust recruitment process. That process was designed to ensure that the provider only employed staff who were fit to work with vulnerable people.

We saw that the home was clean and tidy but with some disruption as improvement work being carried on in one of the units. People's bedrooms had been personalised to their own tastes.

People told us that staff were always available when they needed help. They said that the staff were friendly and always acted professionally. One person said, 'The staff are very good' and another said, 'They're bang on'.

There was a system in place for assessing and monitoring the quality of the service. This ensured people received a service which was of high quality and met their needs.