Grove House Home for Older People

Improvements were required to manage medicines safely. Managers investigated incidents thoroughly. People were protected and kept safe from the risk of abuse. The facilities and equipment met people’s needs, were clean and well-maintained and any risks mitigated. Staff were recruited safely. Managers made sure staff received training and regular appraisals.

Although people were involved in assessments of their needs, changes were required to make sure all assessments contained up to date information. Some people were not supported to be physically active or be involved in social stimulation. People had enough to eat and drink to stay healthy. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. They monitored people’s health to support healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people to make decisions in people’s best interests where they did not have capacity.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. The provider supported staff wellbeing.

People provided positive feedback about end-of-life care; however, people’s needs were not always captured in their care plans. Staff provided information people could understand. People knew how to give feedback and were confident the provider took it seriously and acted on it. People received fair and equal care and treatment. Staff worked to reduce health and care inequalities through training and feedback.

Not enough improvement had been made following the previous assessment in relation to monitoring the performance of the service. Leaders and staff had a shared vision and were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The provider was previously in breach of the legal regulations regarding safe care and treatment and good governance. Not enough improvement has been made, and they continued to be in breach of both legal regulations.

We have asked the provider for an action plan in response to the concerns found at this assessment.