Grovelands

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's health and social needs were assessed before they came to live at Grovelands. This ensured the service could meet the person’s needs and that staff had the necessary training to keep them safe and well.

The provider used an electronic care planning system. This enabled the registered manager and

provider to monitor remotely the care people received.

Care plans were regularly reviewed using the provider’s ‘resident of the day’ system. The deputy manager confirmed people’s needs would be reviewed if there were any changes.

To help support people with their communication needs, the provider had developed a tailored tool, which included 1 to 1 discussions, observations, reactions and feedback.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff knew about people's needs and demonstrated clear person-centred approaches. They viewed people as individuals and discussed the importance of their relationships with people. We observed how staff stayed calm even when things went wrong. For example, a person knocked another person’s drink over. Staff noticed this straight away and responded quietly and respectfully reassuring both people, saying “It’s not a problem, I’ll get you another drink” and “Would you like to come with me to the garden” offering an arm which was accepted. This stopped a possible confrontation between the 2 people involved.

A relative told us, “There are very good communications with the family, they will phone the family as soon as anything happens. The seniors are very quick to phone the family when its needed.” A health care professional told us, “The staff work closely with the families of the residents. They communicate well with them, listen to their concerns and answer their questions.”

People’s rooms were personalised, some having memory boxes on the outside. Memory boxes, contain a collection of items, specific to the person. The use of memory boxes can stimulate memories for the person, help improve their orientation within the home and initiate meaningful conversations.

The provider had been exploring new technologies, lighting, and robust sensory resources tailored to people living with advanced dementia. These included interior changes that hold attention and create a calm, stimulating environment. They had begun updating the décor schemes, following principles from a dementia audit designed by a university which led in this field.

The provider had purchased interactive robotic cats and dogs. They told us, “These robotic companions provide sensory stimulation, reduce agitation, and bring comfort, particularly to residents with advanced dementia.’ We observed people interacting with these and they appeared settled and calm.

The provider had set up a ‘dementia support group’ for families. This group was a space for relatives to share, learn, and support one another.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff work closely with the community nurses, the GP surgery, a Parkinson's specialist nurse and other specialist healthcare professionals.

We received very positive feedback from health and social care professionals about the care delivered and the registered manager. One told us, “Staff at Groveland’s are respectful of my professional advice/guidance and are happy and willing to follow the course of action I have suggested. A relative told us, “It’s great to see how well they all work with each other.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The registered manager and deputy manager were very active within the service. Everyone we spoke with knew who they were and were confident they would act if there were any concerns.

People told us they had a designated keyworker, and they felt that had been part of the success of the home as this relationship worked well. One person told us, “I think it is very well organised here, and the carers are very good indeed.’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People were able to make meal choices. Staff spoke to each person at breakfast and discussed what was for lunch or additional options and they could make a choice. This was passed on to the kitchen.

We observed a pleasant dining experience. People told us they were happy with the food at the home and could have alternatives if they wanted. People living in the dementia wing who had difficulty choosing their meals were shown 2 plated meals to choose from and on the residential wing people were asked. The kitchen team had clear information about people’s dietary needs.

People told us they could not always remember what the meal choices were. The registered manager told us they were in the process of putting in place table menus to help remind people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff told us how they helped people make choices and what they would do if someone could not decide for themselves. For example, they described helping people make choices about clothing, discussing appropriate clothes for the temperature and pointing out something they thought the person would like.

One staff member told us how they would try to support people’s safety but also understood people’s rights to make their own decisions, even if these were unwise.