CQC report explained · a residential care home
What the CQC found at Dean Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that staff understood safeguarding, risks were assessed, medicines were managed safely and staffing levels were adequate. The report also records that plans were made to level an uneven garden surface after a person tripped.
- Effective?
- Good
- People's needs were assessed and staff had relevant training. People were supported with meals, healthcare, oral health and decisions about their care.
- Caring?
- Outstanding
- Inspectors found exceptionally caring support. Staff helped people develop confidence, independence and skills while respecting their choices, privacy and dignity.
- Responsive?
- Good
- Care was personalised to people's needs, preferences and routines. People were supported with activities, community involvement, family contact and accessible information about complaints.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits and positive relationships with people, staff and health and social care professionals. The manager was described as approachable and accessible.
What inspectors found, December 2019
Dean Grange was rated Good overall; inspectors found Outstanding caring support that helped people build confidence and independence.
This was an unannounced planned inspection on 5 November 2019. One inspector spoke with two people, the manager and one staff member. They also reviewed care, medicine and management records, training information and quality checks, and contacted a social care professional.
The home was rated Good overall. It was rated Good for Safe, Effective, Responsive and Well-led, and Outstanding for Caring. Inspectors found people were safe, treated with kindness and involved in their care.
The strongest area was support for independence. People were helped to use public transport, take up voluntary or paid work, cook, manage daily tasks and achieve personal goals. Inspectors also noted that plans had been made to level an uneven area in the garden after someone tripped there.
The overall Good rating remained unchanged from the previous inspection, published in June 2017. The report says the home met the relevant legal requirements.
Building independence
The home supported people to gain confidence and practical skills. This included independent travel, cooking, work, education and managing money.
“Staff excelled at supporting people to develop and maintain their confidence and independence through managing risks and providing individualised support.” from the report
Kind and respectful care
People told inspectors that staff were kind and polite. Staff respected privacy and involved people in decisions about their support.
“We observed staff speaking respectfully to people and taking time to respond to people's requests for support or information.” from the report
Personal goals
People were supported to take part in activities and achieve individual ambitions, including voluntary work, paid work and holidays.
“People had been enabled to achieve their personal goals of taking up activities, voluntary work and seeking paid work.” from the report
Regular quality checks
The home used audits to identify and complete improvements to care plans and the environment.
“Regular audits were taking place to support the registered manager to meet the regulatory requirements and identify shortfalls in the service.” from the report
Uneven garden surface
minorA person had tripped on an uneven surface in the garden. The home had planned work to level this and another area, so families should check that the work was completed.
“Following a person tripping on an uneven surface in the garden, plans had been made to level this and another area.” from the report
- 01Has the uneven garden surface and the other area mentioned in the report now been levelled?
- 02How are risks managed when people are in the home without staff for limited periods?
- 03How are each person's independence goals reviewed, and how will you support my relative's goals?
- 04How would you support my relative with future end of life wishes, given that end of life care was not being provided at the inspection?
- 05How can my relative make a complaint or raise a concern using accessible information?
This was an unannounced planned inspection covering all five CQC key questions, including the care provided and the care home premises. This explanation was written from the published report of 20 December 2019 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.
What inspectors found, June 2017
Dean Grange was rated Good overall, with Outstanding care; inspectors found kind, personalised support and one minor medicines-recording issue.
This was an unannounced inspection. One inspector spoke with people living at the home, staff and the manager. They reviewed care records, recruitment, training, medicines and management records, and toured the premises.
The home supports five people with learning disabilities. Inspectors found people were protected from abuse, risks were assessed, medicines were generally managed safely and staffing was sufficient. Staff had suitable training and people were involved in their care, meals, activities and home environment.
The strongest area was caring, which was rated Outstanding. Inspectors saw respectful and kind relationships, and found that people were supported to become more independent. Safe, effective, responsive and well-led were all rated Good.
The overall Good rating means the home was meeting the required standards at this inspection. It remained Good since the previous inspection in December 2014.
Kind and respectful care
Inspectors found positive relationships between people and staff. People were treated with dignity and kindness and staff responded to their requests.
“People had developed positive relationships with staff and were treated with respect and kindness.” from the report
Support for independence
People were encouraged to manage more of their daily lives. The home supported education, money management, voluntary work and plans for more independent living.
“People's desire for more independence and their potential for more independent living was recognised and actively promoted.” from the report
Personalised support
Care plans reflected people's preferences, routines and communication needs. People were involved when their plans changed.
“People received care that was personalised and responsive to their needs.” from the report
Activities and community links
People took part in activities such as swimming, gardening, farming, voluntary work and football, both at the home and in the wider community.
“People were supported to take part in activities and interests both in the home and in the wider community.” from the report
Timing of medicines temperature checks
minorThe home recorded medicines storage temperatures in the morning. Inspectors said an afternoon check might be more useful, especially in warm weather, and the manager agreed to review this.
“However we discussed with the registered manager the practice of recording storage temperatures in the morning whereas a temperature check in the afternoon may be more useful particularly in warm weather they agreed to look into this.” from the report
- 01Have you changed the time of day when medicines storage temperatures are checked, particularly during warm weather?
- 02How are people involved in updating their care plans and risk assessments?
- 03How does the new Imagined futures approach turn each person's goals into planned actions?
- 04How do you check that people have enough staff support when they are in the home without staff for short periods?
- 05How are people's views from monthly house meetings recorded and acted on?
This was an unannounced inspection covering all five questions and the overall rating; the report says the service remained Good since the previous inspection in December 2014. This explanation was written from the published report of 3 June 2017 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.
Every inspection of Dean Grange
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
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.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.