Ancasta Grove

Updated 17 December 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. We did this to understand if the service was prepared to prevent or manage an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team comprised 2 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

Ancasta Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed all the information we had received about the service, including information the provider had sent us since the previous inspection.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all of this information to plan our inspection.

During the inspection

Inspection activity, including our visit to the service location, took place on 18 October 2022.

We spoke with 13 people and 2 family members about their experience of the care provided. We also spoke with the registered manager, senior managers, and 8 members of staff. We observed people’s care and support in the shared areas of the home.

We reviewed a range of records. This included 4 people's care records including medication records. We looked at recruitment records for 3 staff members, and a variety of other records relating to the management of the service, including audits and checks.

Updated 17 December 2022

About the service

Ancasta Grove is a residential care home providing personal and nursing care to younger adults and older people who may be living with dementia or a physical disability. At the time of this inspection, we had limited the number of people accommodated to 31 rooms on the ground floor. After this inspection found improvements had been made, we removed this condition of registration.

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

People were safe and protected from avoidable harm and abuse. The provider supported people to keep themselves and their belongings safe and secure. The provider had processes to manage people’s medicines safely, and they had adapted their infection control measures in response to the COVID-19 pandemic.

People had good outcomes. People’s feedback about the effectiveness of the service was consistently good.

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 were supported with kindness and compassion, and treated with dignity and respect. Staff supported people to take part in decisions about their care, with attention to people’s communication needs and any equality characteristics.

People's care plans were personalised and individual, setting out people's needs and choices and how they were to be met. Staff had a good understanding of people's needs and responded to them according to their care plans. Staff supported people to take part in social events and activities which were relevant to them.

The service was consistently well managed and led. The leadership and culture promoted high-quality, person-centred care. The provider could show clear improvements in how the service was managed.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection:

We did not give an overall rating at the last inspection (published 31 May 2022). This was because it was a focused inspection which did not cover all 5 key areas.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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