Background to this inspection
Updated
23 January 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 8 November 2017 and was unannounced. This meant the registered provider and staff did not know we would be visiting. Grove Court 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. Grove Court accommodates up to 39 people in one adapted building. At the time of our inspection there were 28 people using the service.
The inspection team consisted of one adult social care inspector, a specialist advisor with experience of dementia nursing and end of life care and an expert by experience who also had experience of dementia care and social care. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
As part the of our pre inspection process we contacted the local authority safeguarding and contracting teams to obtain their views about the service. We also looked at the information we hold about the registered provider, including people’s feedback and notifications of significant events affecting the service. We looked at the Provider Information Return (PIR). This is a form we ask the registered provider to give key information about the service, what the service does well and what improvements they plan to make.
During our inspection we observed how staff interacted with people and their relatives. We used the Short Observational Framework for Inspection (SOFI) in the communal areas of the service. SOFI is a way of observing care to help us understand the experiences of people who could not talk with us.
We spoke with 12 people who used the service, eight visiting relatives, the registered manager, the director, an administrator, two members of nursing staff, two members of care staff, an activity worker and two volunteers.
We looked at the care files belonging to four people who used the service, four staff records and a selection of documentation relating to the management and running of the service. This included staff training files and information about staff rotas, meeting minutes, incident reports, recruitment information and quality assurance audits. We also undertook a tour of the building.
Updated
23 January 2018
Grove Court is an older building, which has had modern extensions added. Nursing care and residential care is provided to people on three floors. The home is registered to provide care for up to 39 people, some of whom may be living with dementia. The service is situated in the Headingley area of Leeds. Buses into Leeds City Centre and surrounding areas are within easy access. Local shops and amenities are a short distance away. The service was in the process of developing an initiative to enable dedicated intermediate care and support to be provided to people. At the time of our inspection there were 28 people using the service.
This comprehensive inspection took place on 8 November 2017 and was unannounced. At the last comprehensive inspection in August 2015 the service was rated Good. At this inspection we found the service remained Good.
The service was safe. Staff had been safely recruited by having checks carried out to ensure they did not pose an identified risk to people who used the service. Safeguarding training was provided to ensure staff knew how to recognise and report incidents of potential abuse. Risks to people were assessed and monitored to enable trends to be identified and plans put in place to help manage these safely. There were sufficient numbers of staff available to meet people’s needs. Appropriate medicines support arrangements were in place and checks were carried out to ensure people’s medication was administered in a competent way.
The service was effective. Staff were provided with a range of training and development opportunities to enable them to effectively meet people's needs. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible; the policies and systems in the service supported this practice. A variety of choices of food and drinks were available to ensure people’s nutritional needs were appropriately met and maintained. People's medical needs were supported with input from relevant health care professionals where this was required.
The service was caring. People’s independence was promoted and they were treated with dignity and respect by staff who provided support in a caring and compassionate manner. People were able to live their lives how they chose and they and their relatives were included in decisions about how their support was delivered.
The service was responsive. People’s support was personalised to meet their needs. A variety of opportunities were provided for people to enable them to have meaningful social interaction and reduce potential risks of social isolation. People’s care plans were evaluated and reviewed to ensure they accurately reflected their wishes and preferences. People were happy with the service delivered and were able to raise their concerns and have these investigated and where possible resolved.
The service was well-led. The service had an open and inclusive culture and people, their relatives and staff were positive about the way it was managed. People’s opinions and views were valued and considered to enable the service to learn and develop. A range of systems were available to enable the quality of service delivered to people was assessed and monitored to help this to continually improve.
Further information is in the detailed findings below.