Grove Court

Updated 16 July 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the home since the last inspection. We sought feedback from the local authority and professionals who work with the home. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps us support our inspections. We used all this information to plan our inspection.

During the inspection

We observed the care and support provided and the interaction between people and staff throughout our inspection. We spoke with nine people who used the service, seven relatives and one visitor about their experience of the care provided. We spoke with the registered manager, deputy manager and ten members of staff, from the nursing, care, admin and domestic teams.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, polices and systems were reviewed.

After the inspection

We received electronic feedback from three relatives about the care provided and two members of staff about their experience of working at the home.

Updated 16 July 2019

About the service

Grove Court is a residential care home providing personal and nursing care to up to 60 people aged 65 and over. At the time of the inspection there were 57 people, some were living with dementia. It is a purpose- built care home consisting of three separate wings, each of which has separate adapted facilities.

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

People received care that was extremely personalised and responsive to their specific needs and preferences. Significant emphasis was placed on providing meaningful activities which promoted people’s physical and emotional wellbeing and enriched their lives.

Feedback was overwhelmingly positive from people, relatives, visitors and professionals about the extremely compassionate and caring approach of staff who regularly went above and beyond to care for them.

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 were consistently consulted on all aspects of their care and treated with dignity and respect in a way that truly valued them as individuals. When the time came staff respected people’s wishes and provided them with exceptional, holistic, dignified, end of life care.

The leadership of the service was exceptional. The registered manager, supported by their senior management team, had established a person- centered culture amongst the staff team, that consistently delivered high quality care. Staff were extremely motivated and passionate about their role and clear on their responsibilities. Robust quality assurance systems had sustained continual development and improvement in the home leading to positive outcomes for people.

Staff were well-informed about people’s risks and how to care for them safely. Staff received training in safeguarding adults from harm and had a positive attitude to reporting concerns. The management team regularly reviewed staffing arrangements to ensure there were enough staff with the right skills and experience to care and support people. People’s medicines were managed safely. The home was visibly clean throughout.

People, relatives and staff contributed to the development of ongoing care arrangements and the wider issues within the home. Their feedback was valued and acted on by the management team. People, relatives and visitors expressed confidence that they could raise issues or concerns with any member of staff or the management team and that these would be addressed.

Grove Court continued to be an active presence within the local community. Strong community links had been maintained with different community groups regularly visiting and people accessing the local area.

Since our last inspection, under the leadership of the registered manager the home has gone from strength to strength making positive changes that demonstrate the characteristics of an outstanding service.

Rating at last inspection

The last rating for this service was Good (published 09 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk