The Grove

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with acquired brain injuries using the service can live as ordinary a life as any citizen.

At our last inspection on 20 June 2016 we rated the service 'good.' At this inspection we found the evidence continued to support the rating of 'good'. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However, the rating for Well-led has deteriorated to 'Requires Improvement'.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager had not ensured that statutory notifications were submitted to the Commission in a timely manner.

People could be assured that they would receive care in a way that maintained their safety and promoted their independence. Lessons were learnt and action taken as a result of accidents and incidents. People were supported by sufficient numbers of staff who received the support and training that they needed to work effectively in their role. People's prescribed medicines were managed safely.

People's needs were assessed and detailed plans of care in place, reflective of people's preferences, to guide staff in providing care. People were supported to maintain the best possible health and were enabled to access the healthcare services they needed in a timely manner.

People could be assured that they would be treated with dignity and respect. Staff focussed on enabling people to be as independent as possible and gave people the maximum possible choice and control over their care.

There was an effective system of quality assurance in place. There was a well understood and clear person centred culture that was demonstrated by staff and the registered manager. This culture and focus on supporting people to be independent had resulted in positive outcomes for people receiving care.

Further information is in the detailed findings below.

The five questions we ask about services and what we found