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Archived: Grovewood House Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 August 2019

About the service: Grovewood House is a residential care home that provides personal care for up to 28 older people. At the time of the inspection 20 people were being supported, some of whom lived with dementia.

People’s experience of using this service: There were major shortfalls in the leadership and management of the service. The provider and registered manager failed to adhere to regulatory requirements. Robust governance arrangements were not in place. Audits and checks had not always been effective in driving necessary improvements.

When we inspected the registered provider confirmed they were no longer carrying on the regulated activity and a third party was overseeing the management of the service. The registered provider and registered manager were not available throughout the inspection and did not respond to feedback given after the inspection had been concluded. People and their relatives told us that the provider and registered manager had not communicated well with them about changes taking place at the service.

We found gaps in risk monitoring which needed to be addressed. Actions regarding fire safety were still to be completed. Staff knew how to protect people from abuse, but some lacked vital training.

Policies and procedures were not properly implemented.

Staff recruitment was not always safe. Staff were not properly inducted or suitably trained and supervised to ensure they had the skills and competence to carry out their role.

Records were not always accurate or complete. We were unable to tell from records whether people received their medicines as prescribed.

The service was clean and tidy, but further work was needed to fully refurbish and finalise the décor of the building.

People and their relatives said that staff were kind and caring. Various events and entertainment took place but a gap in day to day activities was evident.

A good selection of home cooked foods was available to meet people’s dietary requirements.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice, although recording needed to be improved.

We have identified three breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Inadequate (Report published on 30 November 2018).

Why we inspected: This was a planned inspection based on the previous rating, and to follow up on two warning notices issued.

Enforcement: Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Follow up: The overall rating for this service is ‘requires improvement’ but with a continuing rating of inadequate in well led and therefore the service remains in special measures. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within six months to check or significant improvements.

The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe. If not, enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inad

Inspection areas

Safe

Requires improvement

Updated 1 August 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 1 August 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 1 August 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 1 August 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 1 August 2019

The service was not well-led.

Details are in our Well-Led findings below.