Grove Court

Updated 29 February 2024

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.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

Grove Court 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. Grove Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

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 information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We asked Healthwatch if they had any feedback to share. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. They did not have any information to share. 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 used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service during the inspection. We also spoke with 5 members of staff including mental health support workers, the registered manager and a Head of Service from the provider. We also spoke with 1 visiting health professional and completed observations of care in communal areas.

We reviewed 4 people’s care plans and risk assessments along with multiple people’s medicines and medicines records. We looked at 2 staff members recruitment files. We also reviewed audits, policies and procedures.

Updated 29 February 2024

About the service

Grove Court is a residential care home providing personal and nursing care to up to 12 people. The service provides support to people with mental health support needs. At the time of our inspection there were 9 people using the service.

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

Quality assurance systems in place were not always effective at identifying concerns and looking for ways to improve the quality and safety of care. Risks were not always assessed and planned for, which could leave people’s health and wellbeing at risk. Despite this, staff generally knew people well. Medicines were not always managed safely. Some improvements had been made to the cleanliness of the service; however, the home was still being refurbished and this was not yet completed. Some records were poorly completed and did not evidence people were always being kept safe. Overall, people had a good relationship with staff, however, 2 staff used some inappropriate language to refer to a person and this had to be challenged.

There were enough safely recruited staff and staff had appropriate checks in place. Staff felt supported in their role. There were no restrictions on visiting. The registered manager and provider were aware of their duty of candour. The registered manager was responsive to feedback. The service worked in partnership with other organisations and professionals.

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 generally supported this practice.

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 (published 16 June 2023).

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 the provider remained in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements. This inspection was also prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Grove Court on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to assessing and reducing risks to people’s health and wellbeing, medicines management and quality assurance systems at this inspection.

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

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.