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Grove House Home for Older People Good

Inspection Summary


Overall summary & rating

Good

Updated 17 March 2018

This inspection took place on the 22 and 26 January 2018. The first day of the inspection was unannounced which meant the home were not expecting us on the date of the inspection.

Our last inspection of the home was carried out in December 2016. At that inspection we rated the service as ‘Requires Improvement’ overall and also for each domain. At the last inspection we found the home to be in breach of four regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in relation to regulation 11, Need for consent, two breaches of regulation 12, Safe care and treatment and regulation 17, Good governance. At this inspection we found the home had met all the previous breaches of regulations and had improved the overall rating from ‘Requires Improvement’ to ‘Good’, as well as for each of the five domains.

Grove House Home for Older People (Grove House) is registered to provide accommodation and personal care for up to 47 older people. The home is located close to higher Adlington and is set in its own grounds. Accommodation is provided in 46 single bedrooms, five of which have en-suite facilities. The home has four distinct areas known as Cedar Court, Elm Court, Oak Court and Willow Court. With the exception of Willow Court all other areas provide support and care for people living with dementia. At the time of the inspection there were 41 people living in the home.

Grove House Home for Older People is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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.

There was a manager in place at the time of our inspection, who was in the process of applying to the Care Quality Commission (CQC) to be the registered manager of Grove House Home for Older People. During the compilation of this report the manager was successful in becoming registered. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had systems in place to record safeguarding concerns, accidents and incidents and took necessary action, as was required. Staff had received safeguarding training and they understood their responsibilities to report unsafe care or abusive practices.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. These had been kept under review and were relevant to the care provided.

Staff had been recruited safely, appropriately trained and supported. They had skills, knowledge and experience required to support people with their personal and social care needs.

Medication procedures we observed protected people from unsafe management of their medicines. People received their medicines as prescribed and when needed and appropriate records had been completed.

Staffing levels were seen to be sufficient to meet the assessed needs of the people at the home. Staffing had been an issue prior to the new home manager coming into post but we saw evidence to show that these issues had been resolved and that agency use was now limited.

We looked around the building and found it had been maintained, was clean and hygienic and a safe place for people to live.

The design of the building and facilities provided were dated, but these were in the process of being modernised. We saw some redecoration had already begun to take place and people were involved in choosing colour sch

Inspection areas

Safe

Good

Updated 17 March 2018

The service was safe.

The staff team understood their responsibilities in keeping vulnerable people free from harm and abuse.

Medicines were suitably managed.

Recruitment was done carefully so that only suitable members of staff were taken into the permanent workforce.

Effective

Good

Updated 17 March 2018

The services was effective.

Staff had received suitable levels of supervision and support.

Care staff had attended training so that they could deliver effective care.

People were happy with the food provided. Staff ensured people had good levels of nutrition and hydration.

Caring

Good

Updated 17 March 2018

The service was caring.

We observed dignified and respectful care being given to people who lived in the home.

Individuals told us they had privacy and were confident that their details were kept confidentially.

People were able to access advocacy support if they did not have the support of family or friends.

Responsive

Good

Updated 17 March 2018

The service was responsive.

Assessment and care planning was up to date and appropriate.

People enjoyed activities and were given the opportunity to go out.

Complaints were being suitably managed.

Well-led

Good

Updated 17 March 2018

The home was well-led.

A range of quality audits were carried out by the home manager, which fed back into improving the care delivered.

A range of quality audits were carried out by the home that fed back into improving the care delivered.

Notifications were sent in to the Care Quality Commission as required.