The Grove -4

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last inspection we rated this key question Requires Improvement. At this inspection the rating has changed to Good. This meant people were safe and protected from avoidable harm.

On some occasions risks and changes to people’s support were not updated in their care plans in a timely manner. Some elements of medicines administration were not thorough and effective. Staff deployment sometimes meant people went for some time without meaningful interaction from staff. However, people were safe using the service. Staff were trained in safeguarding and knew how to report concerns if necessary. There were enough staff to support people safely and they had the training to do their job roles. Risks to people were assessed and mitigated as far as possible in most areas and most areas of medicines administration was safe. The environment at the service was safe and staff followed good IPC procedures to help keep the service clean.

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 remained Requires Improvement. This meant people’s outcomes were not consistently good.

People’s needs were assessed when they started using the service, however care plans, risk assessments and guidelines were not always updated or put in place when people’s needs changed. People were not always supported to identify how to live healthily and be supported with this. It was unclear how people were being supported to identify and achieve their preferred outcomes. However, the staff team worked well with each other and with other professionals. People were supported in line with the MCA and staff were trained in this.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

At our last inspection we rated this key question Requires Improvement. At this inspection the rating has changed to Good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

People and relatives were very positive about the kind and caring nature of the staff team. People were happy and relaxed being supported by the staff team. Staff knew people well as individuals and supported them to make choices about their support and be independent if they chose to be.

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last inspection we rated this key question Requires Improvement. At this inspection the rating has changed to Good. This meant people’s needs were met through good organisation and delivery.

It was sometimes more difficult to support people in a person-centred way due to staff deployment at some times of the day. People were supported to communicate in ways that made sense to them, although staff said they would benefit from more training in this area. People had started to be supported to follow their interests and be an active part of the local community. Care plans were person centred and detailed, giving clear guidance about how best to support people.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last inspection we rated this key question Requires Improvement. At this inspection the rating has changed to Good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

Governance measures and audits were not always effective in monitoring the quality of the service and implementing and making improvements where necessary. However, there was a positive culture at the service. People were happy with their support and enjoyed living at the service. Staff enjoyed working at the service and felt well supported. There had been improvements at the service since our last inspection.