Updated 9 January 2024
Grove Park is a hospital that consists of two nursing units which provides nursing and personal care for up to 62 older people with complex needs, and an acute inpatient mental health service for adults of working age. At this assessment, we only assessed the nursing units and there were 62 people living there. We carried out our on-site assessment on 18 and 25 January 2024, assessment activity started on 13 January 2024 and ended 28 February 2024 We looked at 21 quality statements within the key questions of Safe, Effective, Caring and Well led. Risks to people were not adequately identified and managed. Incidents affecting people’s health and welfare were not managed safely. Staff failed to understand their responsibilities under safeguarding with respect to identifying potential abuse, escalation and reporting concerns. Blanket measures designed to keep people safe were restrictive to some people. Medicines were not always managed safely or in line with current guidance. As required medicine (PRN) protocols and care plans failed to provide guidance to staff on when it was appropriate to administer a particular medicine or associated risks. Staff did not always receive effective training or support to monitor and improve learning and practice. For example, staff had completed safeguarding training, however, they had not implemented it in practice. Staff did not always respond to peoples calls in a timely manner. Some staff felt supported by managers, however, others disagreed. Existing leadership and governance measures were not effective in identifying service shortfalls and failed to assess, monitor and mitigate risks relating to health, safety and welfare for people. There were indications of a closed culture at Grove Park. A closed culture is a poor culture in health and social care that increases the risk of harm.