CQC report explained · a residential care home
What the CQC found at Noble Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found effective safeguarding, detailed risk planning, enough staff, safe medicines management and suitable infection control.
- Effective?
- Good
- This area was not assessed in this inspection, so no new rating was given.
- Caring?
- Good
- This area was not assessed in this inspection, so no new rating was given.
- Responsive?
- Good
- This area was not assessed in this inspection, so no new rating was given.
- Well-led?
- Good
- Inspectors found consistent, person-centred leadership, regular checks on quality and risks, open communication and good partnership working.
What inspectors found, May 2022
Rated Good; inspectors found safe, well-managed care with enough staff and strong medicines and safeguarding systems.
This was an unannounced inspection. Inspectors visited on 26 April 2022 and completed inspection activity from 26 to 29 April. They spoke with people living at the home, relatives, staff and healthcare professionals. They also checked care, medicines, recruitment and management records.
The inspection looked at Safe and Well-led. Both areas were rated Good. Inspectors found effective safeguarding, detailed risk plans, enough staff and safe medicines systems. Infection prevention and visiting arrangements were also found to be suitable.
The home had a positive, open culture. Staff worked with healthcare professionals and reviewed restrictions to keep them lawful, ethical and as limited as possible. The overall rating remained Good, the same as at the previous inspection published in February 2019.
Safeguarding
People and relatives said people felt safe. Concerns were investigated promptly and referred to outside safeguarding organisations when needed.
“People and their relatives told us people were safe from the risk of abuse.” from the report
Detailed risk support
Care records gave staff clear information about health risks, distress and positive behaviour support. Emergency plans were also in place.
“Each person had a detailed 'Positive Behaviour Support' care plan which focussed on understanding the person” from the report
Medicines
Medicines were ordered, stored, given and disposed of safely. Staff used non-medicine approaches first where medicines were prescribed to manage distress.
“The providers robust systems and processes ensured medicines were ordered, stored, administered and disposed of safely.” from the report
Staffing
Inspectors found enough staff, with rotas arranged around people's needs. Recruitment checks were completed to support safer hiring.
“There were enough staff to keep people safe.” from the report
Leadership and oversight
Management checks were part of the home's regular work. Leaders welcomed outside scrutiny and worked with healthcare professionals.
“Governance is well-embedded into the running of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you create and review a Positive Behaviour Support plan for my relative?
- 02If my relative needs medicines for distress, what non-medicine approaches will staff try first?
- 03How will you manage and monitor my relative's specific health risks, including any feeding tube or complex condition?
- 04How are staff numbers and rotas adjusted around my relative's individual needs?
- 05How will you explain, review and reduce any restrictions placed on my relative's care?
This was a focused inspection of Safe and Well-led, including infection prevention and control; the other key-question ratings were not assessed in this visit. This explanation was written from the published report of 19 May 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, February 2019
Noble Grange was rated Good in all five areas; inspectors found kind, personalised care and one minor medicines-record gap.
This was an unannounced comprehensive inspection on 6 February 2019. One inspector spoke with people living at the home, staff, managers and a relative. They also observed medicines being given, checked care records and looked at management checks.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, clean premises, suitable training and good links with health professionals.
People were treated with kindness, dignity and respect. Their care was personalised, and they were supported to make choices, keep in touch with family and take part in activities. The rating remained Good, as it had been at the previous inspection, with no serious risks or concerns identified.
Kind and respectful staff
Inspectors saw staff treating people with kindness and protecting their dignity and privacy during personal care.
“People received care from staff who were kind, treated them with dignity and respected their privacy.” from the report
Personalised support
Care records gave staff current information about people's likes, dislikes and needs. People were supported to follow their interests and join activities.
“People received personalised care that was responsive to their needs.” from the report
Safe staffing and recruitment
The home had good staffing levels and completed work, character and criminal record checks before new staff started.
“There were good staffing levels. The provider informed us they increased staffing levels when necessary” from the report
Good healthcare links
The home worked well with GPs, mental health professionals, speech and language professionals and district nurses.
“We found good relationships had been established with other healthcare professionals to support people with their needs.” from the report
Choice and involvement
People were involved in decisions about their care and daily activities, and the home supported contact with family and friends.
“People were actively involved in decisions about their care and support” from the report
Some medicines records were incomplete
minorRecords did not always show when prescribed creams had been applied, although the home assured inspectors that they had been applied as required.
“The record did not always inform when prescribed creams had been applied but we were assured these had been applied as required.” from the report
- 01How do you now record when prescribed creams have been applied?
- 02What medicines recording system are you using now, and how do you check it is working reliably?
- 03How will you assess whether my relative is suitable to live with the people already at the home?
- 04How will my relative be involved in decisions about their care and daily activities?
- 05How will you support my relative to keep in touch with family and take part in activities they enjoy?
This was an unannounced comprehensive inspection covering all five key questions, and the Good ratings remained unchanged from the previous inspection. This explanation was written from the published report of 22 February 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 Noble Grange
3 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Goodstayed GoodSafe: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Registered with the Care Quality Commission on 12 September 2013.
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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What to check when you visit
At least 100 live-in carers within about an hour of Warwickshire
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 £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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.