CQC report explained · a nursing home
What the CQC found at The Grange Care Centre
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People received their medicines safely and as prescribed. Inspectors found enough staff, suitable risk plans, safe recruitment checks and systems for infection control and learning from incidents.
- Effective?
- Good
- People's needs were assessed and staff had suitable training, skills and support. Food was tailored to people's preferences and staff worked with health and social care professionals.
- Caring?
- Outstanding
- Inspectors saw exceptionally caring interactions. Staff respected people's choices, dignity and independence, and built strong relationships with people and their families.
- Responsive?
- Outstanding
- Care plans and activities reflected people's individual interests, communication needs and choices. Staff supported people to stay involved in the home and wider community, and complaints were dealt with effectively.
- Well-led?
- Outstanding
- The managers were visible and approachable, and promoted a strong person-centred culture. Feedback, audits and learning were used to improve the service.
What inspectors found, December 2018
The Grange Care Centre was rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced inspection on 6 and 12 November 2018. Inspectors spoke with people, relatives, staff and health professionals. They observed care and reviewed care files, medicines, staff records, recruitment checks, training and management records.
People and relatives were extremely positive about the care. Inspectors saw kind and respectful relationships, enough staff, safe medicines support, good staff training and effective work with health professionals. Food was described as high quality, and activities were varied and shaped around people's interests.
The home was rated Outstanding overall. Caring improved from Good to Outstanding since the 2016 inspection. Responsive and well-led remained Outstanding, while Safe and Effective remained Good.
Kind and respectful care
Inspectors observed warm relationships and found that staff respected people's dignity, choices and independence.
“The service was exceptionally caring.” from the report
Activities that mattered
Staff offered a wide range of activities and adapted them to people's interests and feedback. People were supported to take part in community links, gardening, music and other events.
“There was a huge commitment and effort that went into organising the wide range of the social and community based activities people enjoyed.” from the report
Good staffing and training
Inspectors found enough staff, many of whom had worked at the home for several years. Staff received induction, ongoing training and supervision.
“People were supported by sufficient numbers of staff.” from the report
Individual support
Care records reflected people's abilities and support needs. Staff knew people's likes and dislikes and helped them maintain interests and independence.
“Staff supported people to live an active and full life that met their interests.” from the report
Medicines records needed checking
minorThe inspection identified a need to record opening dates on liquid medicines and to strengthen some 'as required' medicines protocols. The managers acted quickly, and inspectors were satisfied that medicines had been given safely.
“This included putting in place protocols for medicines that were known as 'as required', (PRN), and ensuring medicines audits captured issues such as ensuring dates of opening were on liquid medicines.” from the report
New care-record system still being introduced
minorThe home had introduced an electronic system, but information was still being transferred from the previous records and staff were still being supported to use it confidently.
“Information was in the process of being transferred over from the previous recording systems and the staff team were being helped to feel confident to use the new system.” from the report
- 01How do you now check that opening dates are recorded on liquid medicines?
- 02Has the transfer to the electronic care-record system been completed, and how are records checked for accuracy?
- 03How would you support my relative to take part in activities that match their interests, including if they prefer one-to-one time?
- 04How will you involve us in care planning and communicate changes in our relative's health or care?
- 05How do you use feedback, complaints and incident reviews to make improvements?
This was an unannounced inspection covering all five CQC questions; the first day was on 6 November and a further visit took place on 12 November 2018. This explanation was written from the published report of 22 December 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. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of The Grange Care Centre
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- December 2018Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- June 2016OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- October 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 18 November 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.
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38 live-in carers within about an hour of Oxfordshire
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 £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
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.