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The Grove and The Courtyard Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 17 September 2019

During a routine inspection

About the service

The Grove and The Courtyard provides care, support and accommodation for up to 55 people with mental health needs. At the time of the inspection there were 52 people living at the service.

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

Safe recruitment procedures were not always followed. Information received from the disclosure and barring service about a person’s suitability to work with vulnerable people was not always reviewed or acted upon. On one occasion this had resulted in an unsuitable person being employed. A full employment history was not always obtained from staff during the recruitment process.

A range of audits and checks were carried out to monitor the quality and safety of the service. However, there had not been sufficient oversight of systems and procedures to ensure people's safety. The registered manager had not always submitted notifications of specific events in line with legal requirements.

People told us they felt safe. There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well.

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 had a choice and access to sufficient food and drink. The main kitchen prepared meals that met any special dietary needs people had. There were also a number of smaller kitchen areas where people could prepare their own food if they wished to. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.

Staff treated people with dignity and respect. There was a relaxed, homely atmosphere. We saw people coming and going throughout the day and engaging in relaxed conversations with staff.

People's care was developed around their wishes, preferences and goals. Staff encouraged independence and supported people to increase their skills with a view to moving to more independent living wherever this was appropriate.

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 good (published 13 September 2018). Since this rating was awarded, the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

As there had been a change to the registered provider we inspected within 12 months of this change.

Enforcement

We have identified two breaches at this inspection. These are in relation to the safe recruitment of suitable staff and good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.