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We are carrying out a review of quality at Grovelands Farmhouse. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 17 March 2014
Date of Publication: 16 April 2014
Inspection Report published 16 April 2014 PDF | 82.25 KB

Overview

Inspection carried out on 17 March 2014

During an inspection in response to concerns

We received concerns from a number of whistleblowers, mainly regarding people’s rights, choices and freedom of movement being denied at this service. Although concerning it was also a positive sign that the provider had created an environment where people felt reasonably safe to whistle blow, and that system was working in practice.

We therefore conducted an unannounced inspection and early in the morning at 6:20am before the day shift to respond to the concerns that were raised by the whistleblowers. We started at this early time because that was one of the key times that the whistleblowers reported denial of choices and rights was occurring and we had previous concerns in this area as highlighted in the last report under outcome 2 consent (regulation 18 ).

As there were also previous compliance actions in related areas we also reviewed these at this inspection. We found some of the whistleblowers concerns were substantiated and are addressed under outcome 2 consent (regulation 18 ) where we already had concerns and a new area, outcome14 (regulation 23 ) staff supervision where we found that people were not always cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. .

The last inspection found shortfalls in 2 out of 4 areas looked at and set compliance actions. The areas were shortfalls were found were, consent to care and treatment and the environment.

At this inspection we also reviewed the actions the provider had taken in response to the compliance actions.

The last inspection report recorded shortfalls under outcome 10 (regulation 15) with the environment and set a compliance action. At this inspection we reviewed the actions the provider had taken in response to the compliance action and we found that the provider had addressed the areas where we had identified shortfalls. This compliance action was therefore met and closed. We therefore found that people who used the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.

The last inspection report recorded shortfalls under outcome 2 (regulation 18), consent to care and treatment and set a compliance action. At this inspection we reviewed the actions the provider had taken in response to the compliance action and we found that the provider had not made significant progress. However as the management explained the reason was a lack of understanding of the procedures required and did make some improvements during the inspection, it was seen proportional not to escalate our actions and just leave the compliance action in place on this occasion. This compliance action therefore remained open and we found that before people received any care or treatment they were not always asked for their consent, the provider did not always act in accordance with their wishes and where people did not have the capacity to consent the provider did not always act in accordance with legal requirements.

A suitable manager was put in to the home during the inspection to cover until the new manager starts. We were reassured by the managers knowledge and positive attitudes in the areas we had found shortfalls. The availability of a manager to address the shortfalls in this report therefore reduced the level of impact we assessed those shortfalls would have on people.

It was seen as responsive, that the provider, once they clearly understood what was required, started to take immediate action during the inspection to make improvements. In addition one of the directors took the time to directly feed back to one of the people using the service about the positive changes and improvements they could now expect in their lives, regarding their rights, freedoms and choices and how now they would be more appropriately supported.