Grove Hill Care Home

Updated 28 September 2022

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 Health and Social Care Act 2008.

Inspection team

This inspection was undertaken by an 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 Hill Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the CQC to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

People living in the home were living with dementia. We spoke with five people to seek their views and one visiting relative. We also spoke with the registered manager, the owner, two care staff and the chef. We viewed a range of records relating to people's care and the management of the service. This included four people's care records and three staff files in relation to support and supervision. We viewed a variety of records relating to the management of the service, including; training records, audits, checks and procedures.

After the inspection

We contacted four relatives of people living at the home to seek their feedback. We continued to seek clarification from the provider to validate evidence found.

Updated 28 September 2022

About the service

Grove Hill Care Home is a residential care home providing accommodation for persons who require nursing and personal care for up to 27 people in an adapted, two storey building. The service provides support to adults living with dementia. At the time of our inspection there were 22 people living at the home.

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

There had been significant improvements since the last inspection. A new registered manager had been in post since January 2022 and had addressed the concerns we found on the previous inspection.

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.

Assessments of people’s needs were accurate and up to date. Care plans were accurate and daily care records were completed with enough detail to demonstrate people received the care they needed. Records were legible. Any unexplained injuries were investigated and recorded.

The registered manager monitored the quality of the service. Effective monitoring systems were in place and information from monitoring and audits were used to drive improvements. This included checks designed to keep people safe from harm. For example, repositioning charts, used to reduce the risk of pressure ulcers. These charts were analysed by the registered manager to identify patterns and trends.

Most people living with dementia could give us limited feedback on their views about the service. They did, however, confirm they were happy with the support they received and liked the staff who cared for them. Relatives gave us their experiences of the service and were complimentary about the service.

Staff felt supported by the registered manager. The registered manager had arranged training to enhance staff skills and knowledge. People’s individual dietary preferences and needs were clearly recorded, and people were encouraged to eat healthily. People were supported to access health and social care professionals when needed.

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 requires improvement (published 4 November 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 19 and 20 May 2021, in which we found a breach of legal requirements ; Regulation 17 Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this focused inspection to check they had made the required improvements and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has improved to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grove Hill Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.