Grovelands Lodge

Updated 21 December 2023

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.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Grovelands Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Grovelands Lodge 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service about their experience of the care provided. We spoke with 3 members of staff, including the registered manager (who was also the provider), the deputy manager and 1 staff member. We also received email feedback from 3 family members and 3 professionals.

We reviewed a range of records. This included 2 people's care records and medicines records. We looked at 2 staff files in relation to recruitment and staff supervision. We looked at the provider's arrangements for quality assurance, medicines management and health and safety records.

Updated 21 December 2023

About the service

Grovelands Lodge is a residential care home providing accommodation with personal care to up to 4 people. The service provides support to younger people and people with mental health needs. At the time of our inspection, there were 4 people using the service.

People’s experience of the service and what we found:

Better governance systems needed to be implemented to monitor and improve the oversight of the service. Policies and procedures were not always up to date with relevant information to underpin the management of the service.

People’s care and support needs, including risks to their health and wellbeing were not always recorded in detail or in a person-centred way. Personal emergency evacuation plans had not been completed.

People’s wishes and preferences about their end of life care arrangements had not been discussed with them.

People told us they were happy living at Grovelands Lodge and had the support they needed.

People were safeguarded from abuse as staff knew people well and knew who to report any concerns to. There were enough staff to support people and staff were recruited safely. Staff received training to carry out their roles and responsibilities.

People received their medicines as prescribed. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. People were supported to access healthcare from other professionals such as the GPs and mental health services.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service were being updated and implemented to support supported this practice.

People's nutrition and hydration needs were met to keep healthy. People and their relatives were involved in planning their care. Staff were kind and caring and looked after people well, respecting their dignity and privacy.

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 12 October 2017). The rating has now changed to Requires improvement.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Grovelands Lodge on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to the care planning and oversight and monitoring of the service. Please see the action we have told the provider to take at the end of this report.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.