14 November 2023
During an inspection looking at part of the service
Grove Court is a residential care home providing personal and nursing care to up to 12 people. The service provides support to people with mental health support needs. At the time of our inspection there were 9 people using the service.
People’s experience of using this service and what we found
Quality assurance systems in place were not always effective at identifying concerns and looking for ways to improve the quality and safety of care. Risks were not always assessed and planned for, which could leave people’s health and wellbeing at risk. Despite this, staff generally knew people well. Medicines were not always managed safely. Some improvements had been made to the cleanliness of the service; however, the home was still being refurbished and this was not yet completed. Some records were poorly completed and did not evidence people were always being kept safe. Overall, people had a good relationship with staff, however, 2 staff used some inappropriate language to refer to a person and this had to be challenged.
There were enough safely recruited staff and staff had appropriate checks in place. Staff felt supported in their role. There were no restrictions on visiting. The registered manager and provider were aware of their duty of candour. The registered manager was responsive to feedback. The service worked in partnership with other organisations and professionals.
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 generally supported this practice.
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 16 June 2023).
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 the provider remained in breach of regulations.
Why we inspected
We undertook this focused inspection to check the provider 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. This inspection was also prompted by a review of the information we held about this service.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Grove Court on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to assessing and reducing risks to people’s health and wellbeing, medicines management and quality assurance systems at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.