CQC report explained · a residential care home
What the CQC found at Grange Lea Residential Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing infections, using personal protective equipment safely, carrying out testing and keeping its infection control policy up to date.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2021
Grange Lea Residential Home Limited was inspected but not rated; inspectors found good infection control and visiting arrangements.
This was an announced, targeted inspection on 2 February 2021. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors found that the home had strict visiting arrangements. These included temperature checks, questionnaires, personal protective equipment, hand washing and lateral flow testing. A separate garden visiting area helped relatives visit without entering the main building.
The home was clean and well maintained. Staff followed cleaning schedules, used protective equipment appropriately and had recent infection control training. Inspectors were assured about the home's infection control arrangements.
The service was inspected but not rated. This was not a full inspection of the home's overall quality, and the report does not give ratings for the other areas of care.
Safe visiting
The home used several checks and protective measures for relatives and professionals visiting. It also created a separate visiting building so relatives did not need to enter the main home.
“The service followed strict visiting processes for relatives and professionals that protected people and staff from the potential spread of Covid-19 within the home.” from the report
Clean premises
The premises were clean and well maintained. Staff regularly cleaned frequently touched areas such as door handles and light switches.
“The premises were clean and well-maintained.” from the report
Trained staff
Staff had recent training in infection prevention and control. Inspectors saw them using protective equipment appropriately and washing or sanitising their hands regularly.
“Staff had received recent training in infection prevention and control, including how to put on and take off their PPE in a safe way.” from the report
Infection control arrangements
Inspectors were assured that the home had arrangements covering visitors, admissions, testing, protective equipment, outbreaks and its infection control policy.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are currently in place for visitors?
- 02How do you test and manage infection risks for residents and staff now?
- 03How often are high-touch areas cleaned, and how do you check that cleaning is completed?
- 04What arrangements are used for relatives who want to visit, and do visitors need to enter the main building?
- 05What is the most recent full inspection rating for the home, since this inspection was targeted and not rated?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide an overall rating or ratings for the other areas of care. This explanation was written from the published report of 17 February 2021 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, October 2018
Rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns identified.
This was an unannounced, comprehensive inspection on 22 and 23 August 2018. One inspector reviewed care records, staff files, medicines and quality checks, and spoke with people, relatives, staff and healthcare professionals.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe, respected and involved. Inspectors also saw kind interactions, enough staff, safe medicines practice and care that reflected people's choices.
The overall Good rating continued from the previous inspection. The Effective rating improved to Good. The home had made improvements to its decoration, furniture, flooring and nurse-call system, with further improvements planned.
People felt safe
People and relatives told inspectors they trusted staff and felt safe. Inspectors found suitable safeguarding procedures, risk assessments and staffing arrangements.
“People and their relatives told us they trusted the staff and felt safe living at the home.” from the report
Kind and respectful care
Staff took time to speak with people, respected their privacy and followed their personal choices. Inspectors observed dignity and kindness in practice.
“The service continued to have a visible person-centred culture and we observed people were treated with kindness and dignity during the inspection.” from the report
Good staff preparation
Staff received induction, shadowing, training, supervision and appraisals. Inspectors found they understood people's health conditions and legal rights.
“Staff induction and training was robust and supervisions were undertaken regularly.” from the report
Personalised support
Care plans covered people's preferences, health needs, communication needs and daily routines. The home also provided different food choices and a range of activities.
“Care plans contained information about how to provide support to people, what they liked and disliked and their preferences.” from the report
Effective management checks
The home used audits and feedback to monitor the service. Inspectors found notifications were sent to CQC as required and records were stored securely.
“Audit and governance systems were in place and operated effectively and statutory notifications were sent to CQC appropriately.” from the report
Inspectors raised no specific concerns in this report.
- 01What further improvements to the building, decoration and furniture have been completed since this inspection?
- 02What happened with the care coordinator role due to start in September 2018, and how did it affect support with falls?
- 03How do you keep care plans, risk assessments and monitoring charts up to date when a person's needs change?
- 04What activities and communication support are available for someone with dementia or difficulty reading written information?
- 05How are complaints, compliments and family feedback recorded and used to improve care?
This was an unannounced comprehensive inspection covering all five key questions; the overall Good rating continued from the previous inspection, while Effective improved to Good. This explanation was written from the published report of 9 October 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 Grange Lea Residential Home Limited
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Grange Lea Residential Home Limited →
- October 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Grange Lea Residential Home Limited →
- February 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 19 April 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.
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 Bolton
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. 92 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.