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CQC report explained · a residential care home, run by Rethink

Grove Court

100 Lancaster Road, Newcastle-under-Lyme, ST5 1DS

Requires improvementpublished 14 October 2024, 22 months ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, February 2024

Rated Requires Improvement; inspectors found risks, medicines and quality checks were not managed well enough, and conditions were proposed.

This was an unannounced focused inspection on 14 and 16 November 2023. Two inspectors spoke with people, staff and a visiting health professional. They observed care and checked care plans, risk assessments, medicines records, staff recruitment files and quality checks.

The home had enough safely recruited staff, and people generally knew and trusted staff. However, risks were not always assessed or reduced. Medicines were sometimes stored or recorded incorrectly. Some safeguarding concerns were not referred properly. The home was being refurbished, but some environmental risks remained.

The home was rated Requires Improvement overall. Safe and Well-led were both rated Requires Improvement. The other areas were not inspected during this visit, so their previous ratings were used in the overall rating. The provider remained in breach of Regulations 12 and 17.

What inspectors praised
  • Staffing and recruitment

    Inspectors found enough staff to support people, and recruitment checks included criminal record, employment history, references and identity checks.

    There were enough safely recruited staff to support people.from the report
  • Relationships with staff

    People generally had good relationships with staff, and staff knew people well. Staff also supported people's religious choices.

    Despite this, we observed people had a good relationship with staff.from the report
  • Working with professionals

    The home worked with other organisations and professionals. A visiting professional said staff provided useful information and made an appropriate referral.

    A visiting professional told us the staff were able to give them 'fantastic' information about a person who needed support and the referral for their input had been appropriate.from the report
What inspectors were concerned about
  • Unmanaged risks

    serious

    Risks from a fall, an unrestricted window, exposed hot radiators and pipes were not fully assessed or reduced. Fire safety measures removed during refurbishment were not replaced until inspectors raised the concern.

    The provider failed to adequately assess, plan, and mitigate risks to people's health and wellbeing.from the report
  • Medicines

    serious

    Some instructions for medicines given when needed were inadequate or incorrect. Some medicines were not refrigerated, and medicine records were not always signed by the staff member who gave the medicine.

    The provider failed to follow safe medicines management which could put people at risk.from the report
  • Weak quality checks

    serious

    Audits failed to identify several problems. Records about care, weights, freezer temperatures, food temperatures and handovers were incomplete, unclear or not acted on.

    The provider failed to establish and operate effective quality assurance systems to assess and mitigate risks to people.from the report
  • Respectful language

    minor

    Two staff members used language about a person that inspectors considered inappropriate. Inspectors had to challenge this.

    Two staff referred to a person in language which was no longer considered appropriate, and we had to explain this to them.from the report
Questions to ask them, based on this report
  1. 01What has been done to make the unrestricted bedroom window and exposed radiators and pipes safe?
  2. 02How do you now check that medicines are stored correctly, given when needed safely and signed for by the staff member who administers them?
  3. 03How are falls, unexplained bruises and other incidents recorded, referred and reviewed for lessons?
  4. 04What changes have been made to the quality audits since inspectors found problems with care plans, weights, temperatures and handover records?
  5. 05What is the timetable for completing the refurbishment, and how are risks being managed while the work continues?

This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection and were used to calculate the overall rating. This explanation was written from the published report of 29 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Grove Court

4 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.

  1. February 2024Requires improvementcurrent ratingstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Grove Court

  2. June 2023Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. January 2021Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. March 2019Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 1 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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