Archived: The Grove - Care Home with Nursing Physical Disabilities

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Not assessed yet

• Caring

  Good

• Responsive

  Good

• Well-led

  Inadequate

Our view of the service

The Grove was rated inadequate at the previous inspection and requires improvement the inspection before with multiple repeated breaches. Despite regular updates and assurances of improvements being made these have not been sustained which has meant people have been living in a service which is neither safe nor effective. We identified repeated breaches of regulation at our latest inspection 03 & 06 & 20 June 2024: They were Regulation 11 Consent, Regulation 12 Safe care and Treatment, Regulation 17 Good Governance and Regulation 18 Staffing. Our main concerns were ineffectual and sustainable management. High use of agency nurses who were unfamiliar with peoples needs and the systems and processes. Poor deployment of staff who did not have the right competencies and skills. Concerns about medicine management. Risks associated with poor care and poor documentation. Poor incident management and a lack of investigation so lessons could be learnt, and risks reduced. People having little influence over the service provided and receiving a service which was not in line with their needs, choices and capacity.

People's experience of this service

People using the service had a variable experience and those we spoke with told us they attended a day centre or went out into the community. Most people were reliant on staff to anticipate and meet their needs. There was a limited timetable of activities and people were unable to predict their day to day routines which were not based around their needs and wishes. For example, one person told us they had to stay in bed until staff were ready to get them up and they did not know what the plans were for the day. Staff told them later they would be going out the following week. This person had short term memory loss and would be unlikely to be able to retain this information. Activity staff and volunteer drivers worked hard but we noted there was a lack of structure in the evenings and weekends, and we observed people being assisted to bed after tea in the evening around 6 pm which we were not assured was in line with their needs and preferences. People’s safety was not adequately promoted, and people did not receive their medicines as intended which placed them at increased risks of avoidable harm. Care plans were not routinely updated and we noted health appointments were some times missed, or refused and not followed up. High usage of agency nurses meant mistakes in care were more likely as they were not familiar with peoples needs and not everyone had family who could step in an advocate when required.