CQC report explained · a nursing home
What the CQC found at Grange Ave
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks were identified and managed through personalised plans. Staff were trained in positive behaviour support, medicines records were clear, and recruitment checks had been completed.
- Effective?
- Good
- Assessments included people's goals and longer-term hopes. Staff had relevant training and people were supported with their physical and mental health, eating, communication and legal decision-making.
- Caring?
- Good
- Staff knew people well, respected their privacy and involved them in decisions. People were supported to become more independent, including with shopping and cooking.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People were supported to choose activities, keep in touch with family and use communication tools suited to them.
- Well-led?
- Good
- There was a clear management structure and regular quality checks. The rating fell from Outstanding at the previous inspection to Good, although inspectors found the home consistently managed and well-led.
What inspectors found, January 2022
Rated Good; inspectors found safe, kind and personalised care, with a small record-keeping issue fixed during the visit.
Inspectors visited without warning on 14 and 15 December 2021. They spoke with three people, six staff members and five visiting professionals. They also contacted three relatives and checked care, medicine, recruitment and management records.
The home supported five people with mental health needs, a learning disability and autistic people. Inspectors found that people had individual support plans, received medicines as prescribed and were supported to make choices, build independence and take part in activities in the community.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was previously rated Good overall in 2019. Well-led changed from Outstanding to Good, meaning inspectors still found consistent, effective management but did not give the higher rating at this inspection.
Building independence
Staff encouraged people to make choices and do things for themselves. This included preparing food, shopping and going out where it was safe.
“People had increased their independence whilst living at Grange Ave.” from the report
Kind and respectful staff
People appeared comfortable with staff, who understood their histories and interests. Staff entered people's flats only after getting consent.
“People were comfortable chatting and engaging with members of staff.” from the report
Good health support
The home worked closely with health professionals. People had health action plans and hospital passports, and their physical and mental health was monitored.
“People were effectively supported to maintain their physical and mental health and wellbeing.” from the report
Strong oversight
Managers and nurses carried out regular checks on areas such as care plans, medicines and staff training. Actions were recorded when issues were found.
“A quality assurance system was in place. The service manager and nurses made regular checks for a range of areas, including care plans, medicines and staff training.” from the report
Paper care plans were not always current
needs fixingThe newest care plan was not always printed in the person's paper file. This meant staff might see old information, but the service corrected the issue during the inspection.
“However, the most recent plan was not always printed for each person's file, which meant staff may read old information from the paper files.” from the report
- 01How do you make sure the latest care plan is available to every staff member in both electronic and paper records?
- 02How will you involve me in my relative's care while respecting their choices about what information can be shared?
- 03How do you check that staff are following each person's positive behaviour support plan?
- 04How do you support people to become more independent and take part in activities outside the home?
- 05What changes were made after the Well-led rating changed from Outstanding to Good?
This was an unannounced inspection covering all five CQC questions, including infection prevention and control, and the home was selected as part of a random check of services rated Good or Outstanding. This explanation was written from the published report of 27 January 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.
What inspectors found, July 2019
Rated Good overall, with Outstanding leadership; inspectors found safe, kind and personalised care.
The inspection took place on 8 and 10 May 2019. It was announced, and one inspector visited the home. The inspection looked at the premises, care, records, medicines, staffing, training and management systems. Inspectors also spoke with people living there, staff and health and social care professionals.
The home supported five people with mental health needs. Inspectors found that people felt safe and were treated with kindness, dignity and respect. Staff knew people well, supported their independence and involved them in care planning, risk assessments and decisions.
All five care areas were rated Good except well-led, which was rated Outstanding. This means the inspection found a good standard of care overall, with especially strong leadership, improvement work and partnership with other professionals.
People felt safe
People told inspectors they felt safe. Staff understood safeguarding procedures and the individual strategies needed to reduce risks.
“People told us they felt safe while being supported by staff from the service.” from the report
Personalised support
Assessments and care plans recorded people's backgrounds, preferences, goals and ways to manage anxiety or distress.
“Assessments were extremely detailed, person centred and very clearly captured people's goals and aspirations” from the report
Choice and independence
People were involved in decisions, care planning and running the home. Staff supported people to build daily living skills and move towards greater independence.
“Choice and control of how people wished to spend their day was at the heart of the service.” from the report
Strong leadership
Inspectors found exceptional leadership, good governance and a clear focus on improving people's lives in the community.
“Service leadership was exceptional and distinctive.” from the report
Good partnership working
The home worked closely with health and social care professionals to support people's wellbeing and help them remain in the community.
“We saw many effective practices and interventions delivered by a multi-disciplinary team to keep people's mental health stable and keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's particular mental health needs, triggers and risks?
- 02How would my relative be involved in their care plan and risk assessments?
- 03What restrictions might apply, and how could my relative challenge them or have them reduced?
- 04How would you support my relative to build independence, access the community and work towards their personal goals?
- 05How would you involve our family and other health or social care professionals in reviews and changes to care?
This was a scheduled inspection covering all five CQC questions, including the premises, care provided, records, staffing and management systems. This explanation was written from the published report of 2 July 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.
Every inspection of Grange Ave
3 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015
Registered with the Care Quality Commission on 23 October 2015.
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
At least 100 live-in carers within about an hour of Manchester
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 £980 to £1,260 a week. 89 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
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.