This was an unannounced inspection carried out on the 12 and 18 April 2017. At the last inspection in March 2016 we found systems in place did not ensure medicines were managed safely and incidents that affected people’s welfare and safety were not always properly investigated. We also found people were not consistently provided with meaningful and stimulating activity. At this inspection we found the provider had made the required improvements.

Grove Park Care Home is situated in the Headingly/Meanwoood area of Leeds. It is a purpose built home with 80 beds; providing care for older people and those living with dementia. All rooms have en-suite facilities. The accommodation is situated on two floors that are serviced by the stairs and a passenger lift. There is level access to the enclosed garden and terrace. The home is located in a residential area close to local amenities and public transport.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People told us they felt safe in their home. One person said,; “I absolutely feel safe here." Another person said, “I feel safe and secure here.” Staff had a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe. People had plans in place to manage risks, which staff understood and followed.

There were systems in place to ensure people received their medication safely and as prescribed. Medicines were stored correctly and medication administration record (MAR) charts showed people received their medicines as prescribed. Everyone we spoke with told us they received their medicines when they needed them.

The registered manager and provider had systems in place to make sure staff were recruited safely and there was sufficient staff to meet people's needs. People who used the service said staff were always around and came quickly when called. Recruitment procedures were robust to ensure staff were suitable and fit to be employed at the service.

There were policies and procedures in place in relation to the Mental Capacity Act (MCA) 2005. Staff were trained in the principles of the MCA and could describe how people were supported to make decisions. Where people did not have the capacity, decisions were made in their best interests.

Staff were well trained and supervised which meant they were able to carry out their roles effectively. People received support from staff who showed kindness and compassion. Their dignity and privacy was protected. People told us the staff were kind and friendly. Staff understood people's individual needs in relation to their care. Support plans were person centred and reflected individual's preferences.

People were provided with the food and drink they liked to eat. There were choices available on the menus and alternatives if people didn't like what was on offer. Nutritional risk was assessed and people’s weight was monitored. Health, care and support needs were assessed and met by prompt and regular contact with health professionals.

There were systems in place to ensure complaints and concerns were fully investigated. The registered manager had dealt appropriately with any complaints received.

The registered manager provided clear leadership and management for the staff team to ensure staff understood their roles and what was expected of them.

Effective systems for monitoring quality were in place. A range of checks and audits were undertaken to ensure people's care and the environment of the home were safe and effective.

This was an unannounced inspection carried out on the 2 March 2016. This was the first inspection of the service.

Grove Park Care Home is situated in the Headingley/Meanwoood area of Leeds. It is a purpose built home with all rooms having en-suite facilities. The home is spread across three suites with a maximum occupancy of 80. At the time of the inspection the service provided nursing care but this was due to cease shortly after our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People who used the service were not protected against the risks associated with the unsafe management of medicines. We found some aspects of medicines management were effective and ensured safety and others were not. There were systems in place to record accidents and incidents and monitor for any patterns or trends. However, we found two serious incidents had occurred regarding medication prescribing and administration and a full investigation had not been completed to show how to prevent any re-occurrence of this.

People told us they enjoyed the food and got the support they needed with meals. However, some improvements were needed to ensure the meal time experience was positive for all people who used the service. Records were not always fully completed to monitor and therefore respond to nutritional and hydration risks for people.

People were not consistently provided with meaningful and stimulating activity. People who used the service and their relatives said there needed to be more to do. Some people who used the service said they were not able to access the ‘resident’s’ meetings to air their views on issues that affected the home.

The provider’s system to monitor and assess the quality of service provision was not fully effective. It was not consistently clear that when actions had been identified to improve the service they were always implemented.

People told us they felt safe at the home and there were enough staff to meet their needs. The premises and equipment were well maintained to ensure people’s safety. Staff had a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe.

Staff were recruited appropriately in order to ensure they were suitable to work within the home. They were provided with training and support to develop their knowledge and skills. Most staff were trained in the principles of the MCA and could describe how people were supported to make decisions; and where people did not have the capacity; how decisions were made in their best interests.

People were supported by staff who treated them with kindness and were respectful of their privacy and dignity. Care plans contained information relating to people’s choices and preferences and staff were able to demonstrate they knew people well.

There were systems in place to ensure complaints and concerns were fully investigated and people who used the service and their relatives said they felt confident to talk to staff about any concerns.

At this inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the registered persons to take in relation to each of these breaches of the regulations at the end of the full version of this report.