We carried out a review of the data available to us about Grove Lodge and Courtyard on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Grove Lodge and Courtyard, you can give feedback on this 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.
The Grove and The Courtyard provides care, support and accommodation for up to 55 people with mental health needs. At the time of the inspection there were 52 people living at the service.
People’s experience of using this service and what we found
Safe recruitment procedures were not always followed. Information received from the disclosure and barring service about a person’s suitability to work with vulnerable people was not always reviewed or acted upon. On one occasion this had resulted in an unsuitable person being employed. A full employment history was not always obtained from staff during the recruitment process.
A range of audits and checks were carried out to monitor the quality and safety of the service. However, there had not been sufficient oversight of systems and procedures to ensure people's safety. The registered manager had not always submitted notifications of specific events in line with legal requirements.
People told us they felt safe. There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well.
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.
People had a choice and access to sufficient food and drink. The main kitchen prepared meals that met any special dietary needs people had. There were also a number of smaller kitchen areas where people could prepare their own food if they wished to. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.
Staff treated people with dignity and respect. There was a relaxed, homely atmosphere. We saw people coming and going throughout the day and engaging in relaxed conversations with staff.
People's care was developed around their wishes, preferences and goals. Staff encouraged independence and supported people to increase their skills with a view to moving to more independent living wherever this was appropriate.
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 good (published 13 September 2018). Since this rating was awarded, the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
As there had been a change to the registered provider we inspected within 12 months of this change.
Enforcement
We have identified two breaches at this inspection. These are in relation to the safe recruitment of suitable staff and good governance.
Please see the action we have told the provider to take at the end of this report.
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.