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We are carrying out a review of quality at The Grove. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 13, 20 June 2014
Date of Publication: 25 July 2014
Inspection Report published 25 July 2014 PDF | 88.43 KB

Overview

Inspection carried out on 13, 20 June 2014

During a routine inspection

On 13 June 2014, we visited the service to undertake an inspection. We looked at the care records for all five people using the service at the time of our inspection. In addition, we reviewed audit records, staff records, incident records, nutrition records, and staff rotas. Following our inspection, we considered that we needed to obtain some specialist advice on some of the issues picked up during our inspection. We requested specialist advice on the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS), with regard to the impact of some of the issues we identified whilst looking at people’s care records. This specialist advice was considered as part of the inspection process on 20 June 2014.

We considered our inspection findings to answer five key questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? and is the service well led?

Below is a summary of what we found during our inspection;

Is the service safe?

We found that each person had a full and in depth assessment of their needs. These assessments were reviewed regularly and directly informed care planning for these people.

Each person had a set of care plans, which set out how staff should meet their needs. These care plans were written in such a way that promoted people's independence.

The service had carried out risk assessments for each person using the service. These risk assessments were personalised to the risks to the individual. Risk assessments contained information for staff about how to minimise the risks to people.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. We found that the service was failing to assess people appropriately which meant we were not assured that people’s rights were being protected.

We reviewed the staff rotas for the two months prior to our inspection. We found that there were enough staff members on shift during this time to meet people's needs.

Is the service effective?

People using the service, their relatives and their advocates had been asked for their views about the service. This information had been collated and tracked for trends in feedback. We found that changes were implemented as a result of what people said.

Is the service caring?

Care records showed that people's care was planned and delivered in a way which promoted their dignity and ensured their safety and welfare. These records had been reviewed and updated as needed, and we were assured that people's needs were being met.

We observed how staff interacted with one person present during our inspection. We found that staff interacted with this person in a way which reflected the information in their care records.

Is the service responsive?

Records showed that people using the service were supported to receive input from health professionals in a timely manner.

Is the service well-led?

We found that there was an effective process in place to monitor the quality of the service and identify issues. A senior member of staff from the organisation visited the service regularly and carried out a full audit of the quality of service provided to people. Actions were put in place following this audit, where necessary, and were followed up by senior staff.