CQC report explained · a nursing home
What the CQC found at Romford Grange Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, staffing levels met people's needs, recruitment checks were completed and medicines were managed safely. Infection control arrangements and responses to accidents and incidents were also found to be suitable.
- Effective?
- Good
- People received assessments before moving in, and staff had induction, training and supervision. People were supported with food, drink, health care and lawful decision-making. However, some parts of the building needed maintenance and redecoration.
- Caring?
- Good
- People and relatives spoke positively about staff. Inspectors saw people being treated politely and respectfully, with their privacy, dignity, independence and personal choices supported.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. Staff knew people's preferences, communication needs were considered, activities were available and complaints were responded to appropriately.
- Well-led?
- Good
- People, relatives and staff spoke positively about the management. Inspectors found an open, person-centred culture, regular audits, staff and resident involvement, and appropriate action when things went wrong.
What inspectors found, October 2023
Rated Good; inspectors found safe, kind and personalised care, but some parts of the building needed maintenance and redecoration.
This was an unannounced inspection on 10 August 2023. Inspectors spoke with people living in the home, relatives, staff and visiting health professionals. They also observed care and reviewed care plans, medicines records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training, personalised care, respectful staff and good management systems.
The main shortfall was the condition of some parts of the building. Inspectors saw marks and stains on walls, leaking shower heads and flooring that needed replacing. The provider had identified these issues and planned work by the end of 2023.
The overall Good rating means the service was meeting the regulations inspected and providing a good standard of care. The rating was unchanged from the previous inspection, published on 16 May 2022.
Risk management
Inspectors found that people's risks were recorded, reviewed and managed. The home had measures to reduce risks such as choking, falls and unsafe moving.
“Risks to people were assessed, monitored and managed.” from the report
Food and drink
People were offered choices and received support with eating and drinking. Special diets were provided for health and cultural reasons.
“People were supported to eat and drink enough to maintain a balanced diet.” from the report
Kind and respectful care
People and relatives thought staff were caring. Inspectors saw staff treating people politely, protecting their privacy and encouraging independence.
“People were well treated and supported by staff.” from the report
Personalised care
Care plans reflected people's needs, interests and preferences. Staff could describe people's routines and likes.
“Care plans were person-centred, and staff knew what people liked.” from the report
Open management
The report describes a positive culture where people, relatives and staff could raise issues. Audits and meetings were used to monitor and improve the service.
“A positive person-centred culture was promoted within the service.” from the report
Building maintenance
needs fixingSome decoration was aged and needed replacement. Inspectors saw marks or stains on walls, leaking shower heads and flooring that needed replacing. The provider had planned work by the end of 2023.
“However, some of the premise's decoration was aged and required replacement.” from the report
- 01Which maintenance and redecoration work identified at the inspection was completed by the end of 2023?
- 02Have the planned dementia-friendly improvements, including more signage and brighter colours, been completed?
- 03How are staffing levels adjusted when people's needs change or shifts need cover?
- 04How will you make sure medicines records and audits continue to identify and prevent errors?
- 05How are residents and relatives involved in decisions about food, maintenance, activities and their care plans?
This was an unannounced inspection covering all five key questions and included infection prevention and control; the previous overall rating and all five key question ratings were Good. This explanation was written from the published report of 14 October 2023 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 2022
Rated Good; inspectors found safe care and good management, with no major concerns recorded.
This was an unannounced inspection on 16 May 2022. One inspector spoke with people, relatives, staff and managers. They observed care and checked care plans, medicines records, safety records and quality checks.
The home was rated Good overall. Safe was rated Good, with suitable risk assessments, safe medicines management, enough staff and infection control arrangements. Well-led was also rated Good, with audits, meetings and systems for gathering feedback.
The rating was unchanged from the previous inspection, published in July 2018. There was no registered manager in post during this inspection, although the operations manager and deputy manager supported the inspection.
Risk management
Care plans included risk assessments for falls, skin care, nutrition and health conditions. These gave staff guidance about what to do if someone's health worsened.
“Care plans contained suitable and sufficient risk assessments to effectively manage risks and help keep people safe.” from the report
Medicines
Records showed medicines were given as prescribed. Staff were trained, medicines were securely stored and checks were made for medicines given when needed.
“Medicine Administration Records showed that medicines were administered as prescribed.” from the report
Staffing and recruitment
Inspectors found enough staff on duty and saw staff respond quickly to requests and call bells. Required pre-employment checks had also been completed.
“There were appropriate numbers of staff on duty to support people safely.” from the report
Quality monitoring
The home used audits, meetings and surveys to monitor safety and gather views from people and staff. Care plans were reviewed for accuracy.
“There was an effective system to gather people's and staff feedback on the service.” from the report
No registered manager
needs fixingThere was no registered manager in post when inspectors visited. The operations manager and deputy manager supported the inspection, while the overall well-led rating remained Good.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01Who is currently responsible for managing the home while there is no registered manager in post?
- 02How are staffing levels checked against people's changing care needs?
- 03How are medicines given when needed monitored and reviewed?
- 04How are infection prevention checks and outbreak arrangements kept up to date?
- 05What changes have been made as a result of feedback from residents, relatives and staff?
This inspection looked at Safe and Well-led only; the report does not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 1 June 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.
Every inspection of Romford Grange Care Home
2 rated inspections over a year: the service has held its Good rating throughout.
- October 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2022GoodSafe: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- July 2020
Registered with the Care Quality Commission on 31 July 2020.
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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At least 100 live-in carers within about an hour of Havering
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 £1,230 a week. 81 can care for a couple. 11 years' experience on average.
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“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
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