Grove Hill Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The NI explained how they assessed whether a person would be suitable to move into the service. The NI told us they would complete an assessment of the person. They explained how they gathered information from the person, their family and any relevant healthcare professionals. The NI told us how they would take into account the current needs of the people living at the service to assess whether a person would be suitable.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The provider used widely recognised evidence-based tools to assess whether people had any risks, such as the Malnutrition Universal Screening Tool (MUST) to assess whether a person was at risk of malnutrition, and the Waterlow score to assess whether a person was at risk of pressure injury. The information from these assessments was transferred to people’s support plans with information about how to manage these risks.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff told us they worked well together. We received feedback from a partner who worked closely with the service, who told us staff escalated concerns appropriately and felt communication was effective, but at times felt some details were lost in the chain of communication. Another partner told us, “[There is] good communication, they have [folders for visiting healthcare professionals] which external professionals fill out, and also their own folders which they complete, so it is clear for every patient, what is required, what has been completed so all staff on shift are aware and have reminders of any important information.” Staff told us they worked well together. One staff member told us, “We have a strong team spirit and work collaboratively, this has helped us in providing quality and consistent person-centred care. We communicate effectively and support each other especially during busy or challenging times."

The provider supported people to live healthier lives. The NI explained how they ensured people’s care plans were a true reflection of their needs and sought medical advice promptly for people where needed. The service’s activity timetable included seated arm exercises and seated exercises to promote physical activity. The NI told us meals offered to people contributed to a balanced diet, and we saw evidence of this during our site visit.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes for people were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. For example, people were weighed on a monthly basis so any significant changes to people’s weigh could be responded to appropriately. The NI explained any significant changes would prompt the service to weigh a person more frequently, so the service could closely monitor this and seek health professional advice where needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff now asked for people’s consent before supporting them. People now had mental capacity assessments (MCA) and best interest decision forms in place, which were also now in line with legislation. Staff received training in MCA and now understood how to support people in line with this legislation.