Background to this inspection
Updated
7 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: On the first day the inspection team consisted of two inspectors 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. On the second day a single inspector returned to complete the inspection.
Service and service type: Groveland Park Care Home is a residential care home that provides accommodation and personal care for older adults. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection: This inspection was unannounced.
The inspection site visit took place on the 23 April 2019 and the 25 April 2019.
What we did: Before the inspection we reviewed the information we held about the service. This included details about incidents the provider must tell us about such as any safeguarding alerts they had raised. The provider also completed a provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We contacted the local authority and health commissioners to ask for their views. We used this information to plan our inspection.
During the inspection we spoke with nine people, eight relatives and a visitor at the home. We also spoke with two health professionals visiting the home and another two health professionals by phone during the inspection to understand their views about the care provided. Some people were not able to express their views about the care provided; so we used our Short Observational framework tool (SOFI) on different floors, observing aspects of people’s care in the communal areas to help us better understand their experiences of the care they received. We tracked the care they received to ensure this reflected the assessed plans for their care. We spoke with a house keeper, a bistro assistant, three care staff, three senior care staff including a night care senior, the activity coordinators, the chef and the maintenance person. We also spoke with the deputy manager, the registered manager, the operations manager and the operations director of the service.
We reviewed a range of records. This included ten care plans and four staff recruitment and training records. We also reviewed records used to manage the service, for example, monitoring records, audits and meeting minutes. Following the inspection, we contacted three other health professionals to ask for their views about the service.
Updated
7 June 2019
About the service: Groveland Park Care Home is a residential care home registered to provide personal care and accommodation for to up to 55 older adults. At the time of the inspection there were 55 people living at the home.
People’s experience of using this service:
The service met the characteristics of outstanding in Caring and Well Led and is rated outstanding overall.
The staff team demonstrated outstanding care and compassion towards the people they supported. People and their relatives were highly complimentary about the care provided. They told us they were treated with complete dignity and respect and the care they received made a difference to the quality of their lives.
People were encouraged to be independent, to make choices about all aspects of their lives and were supported to maintain links they had with the community. Staff knew people very well and told us they enjoyed their roles and were proud to work at the home. They were motivated to support family events, provide the best care they could and spoke about people positively and sensitively.
The home had won a 'Caring at its Best' award from the local authority. Some health professionals remarked on the caring response of the staff team.
The provider’s values of high-quality care, and an emphasis on choice and personalised care were understood and demonstrated by staff. The management team led by example and were focused on learning and making improvements to the service. People’s views about the service were listened to and acted on. The registered manager was involved in all aspects of the running of the home. They demonstrated clear leadership and strong advocacy skills for people living at the home.
There was an open and positive organisational culture with highly effective quality assurance processes at the home. This helped maintain the standards of care. Staff told us they felt valued, their views respected and they were well supported. The whole staff team worked closely together, to provide people with highly personalised care and support. The home had built distinctive community links and people felt involved and a part of the local community. There was a culture of continual improvement and learning, and improvements had been made since the last inspection.
People were stimulated and enjoyed a wide range of social opportunities through an extensive programme of activities both within and outside the home. Family links were encouraged and supported through a bar bistro, fine dining opportunities and invitations to regular events.
A health professional commented on the exceptional care provided to people and their families when they were coming to the end of their life.
People told us they felt safe and staff understood how to keep people safe. Risks to people were identified, assessed and managed. Medicines were managed safely. There were enough staff to meet people’s needs. Complaints were managed effectively.
Staff received enough training and support for their roles and were encouraged to develop their skills further. Staff asked people for consent before delivering care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
Care records were detailed and personalised. The staff team worked effectively with health professionals to ensure people’s health needs were addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Good (Published August 2016)
Why we inspected: This was a scheduled inspection based on our previous rating of the service.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.