8 July 2022
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. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by two 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
Tadworth Grove Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Tadworth Grove Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We reviewed the action plan sent to us by the registered provider following our last inspection and we reviewed information held about the service internally. This included statutory notifications of accidents, incidents or safeguarding concerns.
During the inspection
We spoke with 12 people and four relatives to gain their views of the care provided at the service. We spoke with seven staff, which included the registered manager, deputy manager, care staff and activities staff.
We reviewed documentation in relation to people’s care which included six care plans, medicines records, daily notes and activity records. We also reviewed documentation in three staff recruitment files. We looked at the governance arrangements within the service, such as audits, meetings and accidents and incidents analysis.
Following the inspection we continued reviewed documentation provided to us by the registered manager. This included staff training information, complaints received and survey results.
8 July 2022
About the service
Tadworth Grove Care Home is a residential care home providing personal and nursing care for up to 45 people. The service provides support to people who are elderly and frail, with long term health conditions or living with dementia. At the time of our inspection there were 30 people using the service.
The care home accommodates people in one purpose-built building, with a large communal lounge and separate dining area on the ground floor. The service is surrounded by extensive grounds.
People’s experience of using this service and what we found
Since our last inspection, improvements and changes had been made to the service to help ensure people received a good level of care. People were being provided with more activities and the registered manager had adapted a lunch time routine to help ensure those who ate in their room received their lunch in a timely manner. The service was transferring to an electronic care planning system which would help improve the record keeping. Some of these changes were new and still to be embedded into daily practice within the service.
We received mixed feedback about staffing levels within the service with some people telling us staff responded to their call bells quickly and others telling us they had to wait to receive care. We have issued a recommendation to the registered provider in respect of staffing levels and deployment.
There was a pleasant and calm atmosphere at the service and it was evident people had good relationships with staff. People told us they felt safe and that staff were competent in their role. They said they received their medicines on time and staff supported them to see healthcare professionals when needed.
People were happy with the care they received at the service. They told us staff were kind and caring and treated them with respect. People were also supported to retain their independence as much as they could and make their own decisions about their care. They told us activities were better and we observed people socialising during our visit.
People were happy with the food that was provided for them and they were provided with plenty of drinks and snacks throughout the day.
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 and their relatives spoke positively about staff and management. They told us they were approachable and they felt listened to. There was also the opportunity to give formal feedback about the service they received.
Management were knowledgeable and understood the responsibility of their role. They carried out monitoring of the service, addressing gaps and shortfalls when identified. Staff said they felt valued and supported and enjoyed their role.
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 (report published 5 October 2021)
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 improvements had been made and the provider was no longer in breach of regulations.
We have made a recommendation to the registered provider in relation to staffing levels.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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.
The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tadworth Grove Care Home on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.