CQC report explained · a residential care home
What the CQC found at Garfield Grange
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People said they felt safe. Inspectors found that risks, medicines, safeguarding, staffing, recruitment and emergency arrangements were managed safely.
- Effective?
- Good
- People's needs were assessed and care was based on their preferences. Staff received training and supervision, and people's health and nutritional needs were monitored.
- Caring?
- Outstanding
- Inspectors found exceptionally caring and compassionate support. People were treated as individuals, involved in decisions and supported by staff who knew them well.
- Responsive?
- Outstanding
- Support was highly personalised and flexible. People were helped to enjoy activities, develop independence, communicate their wishes and receive dignified end-of-life care.
- Well-led?
- Good
- The service had an open, caring culture and effective systems to check quality and safety. People, relatives, staff and healthcare professionals spoke positively about its management.
What inspectors found, August 2018
Rated Outstanding; inspectors found exceptionally caring and responsive support, with safe, effective and well-led care rated Good.
This was an announced comprehensive inspection on 20 and 21 June 2018. The inspector visited the office, three supported living homes and a planned event. They spoke with people, relatives, staff and a healthcare professional, and reviewed care, medicines, recruitment and management records.
The service had improved from Good at the previous inspection in December 2015 to Outstanding overall. Caring and Responsive were rated Outstanding. Safe, Effective and Well-led were rated Good.
Inspectors found people were safe, supported to make choices and helped to live as independently as possible. Care plans were detailed and personal. Staff were described as kind and compassionate, and the service helped people take part in activities, build confidence and maintain relationships.
Kind and compassionate staff
Inspectors saw warm relationships between people and staff. Relatives and professionals were very positive about the care and emotional support provided.
“People and their relatives felt staff were exceptionally caring, compassionate and went out of their way to make sure they had a good quality of life and wellbeing.” from the report
Personalised support
Care plans described people's wishes, routines, communication needs and the support they needed. People and relatives were involved in planning and reviewing care.
“People had highly person-centred plans that were developed with their full involvement or that of their relatives.” from the report
Promoting independence
Staff supported people to do things for themselves, including cooking, shopping, going out and building confidence. Inspectors found examples of people moving towards greater independence.
“Staff supported people to do the things they enjoyed and encouraged independence with daily living.” from the report
Safe care arrangements
Inspectors found enough staff, safe recruitment, detailed risk assessments and safe medicines systems. Records checked for medicines had been completed accurately.
“People received their medicines on time and in a safe way.” from the report
Strong community involvement
People were supported to take part in activities and use local services, including shops, restaurants, swimming, horse riding and social events.
“Activities and community engagement were an important part of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would the care and support described in this report apply to the particular person and supported living home we are considering?
- 02What would the person's first assessment and visits before moving in involve?
- 03How would you support this person to make their own choices and become more independent?
- 04How are medicines, risks and health needs assessed and reviewed for this person?
- 05How would the person and their family be involved in creating and reviewing the support plan?
This was a comprehensive inspection of personal care and support, mainly in three supported living homes; no one was living at the registered care home, and the inspection focused on nine of 27 people receiving personal care. This explanation was written from the published report of 11 August 2018 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 Garfield Grange
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- August 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.