Background to this inspection
Updated
20 May 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
The Grove and Courtyard is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with ten people who used the service and one relative about their experience of the care provided. We spoke with six members of staff including the registered manager, regional manager, senior support workers, support workers and one of the maintenance team.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and spoke by telephone with professionals working with the service.
Updated
20 May 2021
About the service
The Grove and Courtyard is a residential care home providing personal care for up to 57 adults who are living with a range of mental health conditions. At the time of the inspection there were 52 people living at the service.
The Grove and Courtyard accommodates people across two floors and four separate wings, each of which has separate adapted facilities and communal areas.
People’s experience of using this service and what we found
People and their relatives were very positive about the service and the care provided. One person said, "The best thing about being here is feeling safe.”
Incidents and accidents were investigated, and actions were taken to prevent reoccurrence. Further evidence was required to show these were looked at for any patterns and trends. We have made a recommendation about this.
Staff understood their responsibilities for keeping people safe. There was a proactive approach to assessing and managing risk which supported people to be as independent as possible. Safe recruitment practices were in place to help ensure that only suitable people were employed at the service.
Medicines were managed safely. Reviews were regularly undertaken which involved the person, health and social care professionals to ensure people's physical and mental health needs were met and changes responded to quickly.
The home was clean and tidy. Staff wore appropriate PPE.
People were treated in a respectful manner by all staff. People felt listened to and were actively involved in the running of the home and were being supported to safely access the local community.
People, their relatives and staff, praised the management team for their supportive approach. Systems were in place to monitor the quality of care provided and continuously improve the service. The management team and staff worked closely with a wide range of health professionals to achieve positive outcomes for people’s health and well-being.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 28 November 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 12 September 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the safe recruitment of suitable staff and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.
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.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Grove and Courtyard on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.