Background to this inspection
Updated
29 July 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was conducted by two inspectors.
Service and service type
46 The Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 46 The Grove is a care home without nursing care. 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 Care Quality Commission 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 looked at all the information we held about the service. This included notifications of significant events and the action plan following 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.
During the inspection
We met people who lived at the service and the staff on duty, who included the registered manager. We spoke with people and staff and observed how they were being cared for and supported.
We looked at a range of records used by the provider for managing the service. These included care records, records of meetings, audits and quality monitoring.
We looked at how medicines were managed and conducted a partial tour of the environment.
Updated
29 July 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
46 The Grove is a care home providing personal care and accommodation for up to seven people with learning disabilities and/or autism. 46 The Grove is part of Consensus Support Services Limited, a provider with care services across England and Wales. At the time of the inspection seven people were living at the service.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting some of underpinning principles of right support, right care, right culture. This was a focused inspection and we did not look at all aspects of care and support. They demonstrated they were meeting the areas reviewed as part of our inspection.
Right Support
Staff supported people to make choice and be independent. People were supported by staff to pursue their interests. Staff supported people to achieve their aspirations and goals. Staff did everything they could to avoid restraining people. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Care
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. Staff supported and enabled people to take positive risks.
Right culture
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well and were responsive. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
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 rating at the last inspection was requires improvement (Published 23 February 2021).
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 undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.