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CQC report explained · a residential care home

What the CQC found at Cantley Grange

Goodpublished 16 January 2026, 8 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, April 2022

Cantley Grange was rated Good; inspectors found kind, safe and personalised care, with minor issues in infection control and end-of-life planning.

This was an unannounced inspection on 7 March 2022. Inspectors spoke with 10 people, three relatives and six staff. They observed care and checked care records, medicines records, staff files and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, staff were kind, and relatives were generally positive about the care.

The home had systems for managing risks, medicines, safeguarding and accidents. Staff understood people's needs, supported their choices and worked with health professionals. Minor infection control issues were dealt with promptly, while end-of-life care plans needed more detail.

This was the first rated inspection since the service registered under the current provider. The previous provider's last rating was Good, published in December 2019.

What inspectors praised
  • Safe care systems

    Risks were assessed and managed, medicines were given as prescribed, and accidents were reviewed so the home could learn from them.

    “Accidents and incidents were recorded and analysed to identify any trends or patterns.” from the report
  • Kind and respectful staff

    Staff knew people well and provided care that respected their dignity, privacy and individual needs.

    “Staff supported people in a caring and person-centred way.” from the report
  • Personalised support

    Care plans recorded people's choices and preferences. Staff adapted communication and activities to suit individuals.

    “Care plan documentation showed people's needs, their choices and preferences were included in their care.” from the report
  • Responsive management

    The management team listened to feedback and used quality checks to identify and address improvements.

    “This was effectively used to identify areas to improve and maintain quality within the home.” from the report
What inspectors were concerned about
  • Minor infection control issues

    minor

    Some worn areas could not be cleaned effectively. The report says these issues were dealt with immediately and an action plan was put in place.

    “However, we identified some minor issues as some areas were worn and not able to be cleaned effectively.” from the report
  • End-of-life plans needed more detail

    needs fixing

    Care plans included some end-of-life information, but inspectors said it could be more detailed. The manager was working to add more personalised information.

    “People's care plans included some information regarding end of life care; however, these could be more detailed.” from the report
  • Staffing pressures

    minor

    Some staff said there were times when they felt more staff would help, although the home had a tool to calculate staffing hours against people's needs.

    “Some staff told us there were times when they felt they could do with more staff.” from the report
  • Communication during changes

    minor

    One relative thought communication could improve, including updates about staff changes and COVID-19 arrangements.

    “Things like changes in staff and where they are with covid, that sort of stuff.” from the report
Questions to ask them, based on this report
  1. 01What has been done since the inspection to keep worn areas cleanable, and how are these areas checked now?
  2. 02How will you record each person's wishes and preferences for end-of-life care?
  3. 03How do you decide how many staff are needed on each shift, and what happens when staff feel more cover is needed?
  4. 04How will you keep families updated about staff changes and infection or COVID-19 arrangements?
  5. 05How do you use feedback, accidents and incidents to make improvements?

This was an unannounced inspection covering all five CQC key questions, including infection prevention and control; it was the first rated inspection for this newly registered service. This explanation was written from the published report of 13 April 2022 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.

An earlier report, explained

What inspectors found, December 2020

Cantley Grange was inspected but not rated overall; inspectors rated safe and well-led Good, with no serious concerns found.

This was a focused inspection carried out from 25 to 30 November 2020. Inspectors visited the home, spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.

The home was rated Good for Safe. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely, and infection control measures were in place during the COVID-19 pandemic. Accidents and incidents were reviewed so lessons could be learned.

The home was rated Good for Well-led. Inspectors found that managers were approachable, staff understood their roles, people’s views were collected, and audits were used to monitor quality.

The overall service was not rated because this was a focused inspection of Safe and Well-led only. The other three key questions were not inspected because no concerns had been identified in them.

What inspectors praised
  • Safeguarding

    Staff had safeguarding training and knew how to recognise and report abuse. Relatives felt their family members were protected.

    “Staff received training in safeguarding and knew how to recognise and report abuse.” from the report
  • Safe medicines

    People received their medicines as prescribed. Staff were trained and checked for competence, and medicine audits led to action when issues were found.

    “Effective systems were in place to ensure people received their prescribed medicines in a safe way.” from the report
  • Infection control

    Inspectors were assured that the home was using protective equipment, testing and other measures safely during the pandemic.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Management

    Managers were described as approachable and supportive. Staff felt able to raise issues and believed their contributions were listened to.

    “Staff felt able to raise issues with the management team and felt their contributions were listened to.” from the report
What inspectors were concerned about
  • Staffing concerns raised

    minor

    Some staff said there were times when they felt there were not enough staff. Inspectors observed enough staff available when people needed support, so this was not recorded as a safety failure.

    “Staff we spoke with felt there were times when there were not enough staff around.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure there are enough staff on duty at all times, especially when staff feel numbers can sometimes be low?
  2. 02How are risks for my relative reviewed and updated as their needs change?
  3. 03How do you check that staff remain competent to give medicines safely?
  4. 04What infection control and visiting arrangements are currently in place?
  5. 05When will the other three key questions, Effective, Caring and Responsive, next be reviewed?

This was a focused inspection of Safe and Well-led, including infection prevention and control; Effective, Caring and Responsive were not inspected and had no new ratings. This explanation was written from the published report of 18 December 2020 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 Cantley Grange

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. April 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cantley Grange →

  2. December 2020Inspected but not rated
    Safe: GoodWell-led: Good

    Read what inspectors found at Cantley Grange →

  3. December 2019Requires improvementstayed Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  4. November 2018Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  5. February 2020

    Registered with the Care Quality Commission on 6 February 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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