CQC report explained · a nursing home
What the CQC found at The Grange Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing infections, using protective equipment safely, supporting social distancing and testing people and staff. They also found arrangements for cleaning, safe admissions and managing outbreaks.
- 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, December 2020
Inspected but not rated; inspectors were assured that the home had effective infection prevention and control measures.
Inspectors visited the home on 4 November 2020. This was an announced thematic review during the coronavirus pandemic, focused on infection prevention and control in care homes.
Inspectors found good practice in visiting arrangements, handwashing, use of protective equipment, cleaning, social distancing and outbreak planning. People were involved in decisions about how visits should take place, and staff had been trained to cover different roles if needed.
The home was marked as inspected but not rated overall. Safe was also marked inspected but not rated. Inspectors said they were assured about the home's infection prevention and control arrangements, but this report does not give a full rating for all five areas of care.
Safer visits
Visits were arranged in a controlled way, with protective equipment, temperature checks and a visiting pod or garden marquees to support social distancing.
“Visits were by appointment and staggered to minimise visitor numbers.” from the report
People involved
People were consulted about visiting arrangements, and the provider changed its approach after listening to their views.
“People told us how valued they felt to have been consulted and included in this decision making.” from the report
Contact and activities
Family liaison staff helped people keep in touch with others and take part in meaningful activities when usual contact was restricted.
“The provider utilised their 'family liaison officers' to facilitate alternative forms of maintaining social contact” from the report
Outbreak planning
The home had plans for future outbreaks and other events. Staff had also been trained in different roles to help maintain cover during staff shortages.
“Contingency plans were in place to manage ongoing or future outbreaks or other events effectively.” from the report
Cleaning and protective measures
Inspectors found cleaning schedules for frequently touched areas, extra handwashing facilities and arrangements for disposing of used protective equipment.
“Cleaning staff had cleaning schedules, which they were required to complete which included evidence that high touch areas were regularly cleaned.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current full CQC rating for caring, effective, responsive and well-led care?
- 02How are infection prevention and control policies checked and updated when guidance changes?
- 03How are visits arranged now, and what alternatives are available if in-person visits are restricted?
- 04How does the home make sure it has enough trained staff during sickness, shortages or an outbreak?
- 05How often are high-touch areas cleaned, and how is this recorded?
This was an announced thematic inspection focused on infection prevention and control during the coronavirus pandemic; it did not provide full ratings for all five key questions. This explanation was written from the published report of 25 December 2020 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
The Grange Nursing Home was rated Good; inspectors found safe, caring and well-organised care, with a few records and review processes needing attention.
Inspectors visited on 2 October 2018 without notice and continued on 3 October with notice. They spoke with people living there, relatives, friends, staff and professionals. They reviewed care files, medicines records, staff files, complaints, training and quality checks, and observed care and mealtimes.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practices, suitable recruitment checks and good systems for managing risks and incidents.
People and relatives described staff as kind, caring and friendly. Care was personalised, people's choices and independence were respected, and activities were available seven days a week. Inspectors also found effective leadership and quality monitoring.
There were some smaller gaps. Best-interest decisions about shared bedrooms were not clearly recorded, one complaint did not have a recorded outcome, a memory box was not regularly refreshed, and some staff spot checks were not formally recorded.
Safe medicines and staffing
Medicines were given safely by trained staff, and inspectors found enough staff to meet people's needs.
“Medicines were administered and managed safely by trained staff.” from the report
Kind and respectful care
People and families described staff as caring and friendly. Inspectors saw staff protect people's dignity and encourage independence.
“People and their families described the staff as caring, kind and friendly and the atmosphere of the home as warm and inviting.” from the report
Personalised support
Care plans included people's needs, preferences, life histories and important relationships. People and relatives were involved in reviews.
“People received personalised care that was responsive to their needs.” from the report
Activities and engagement
The activities team provided varied activities throughout the week, based on people's interests.
“Activities took place in the home and were enjoyed by people seven days a week.” from the report
Positive leadership
Inspectors found an open culture, good partnership working and quality checks that helped drive improvements.
“The service had an open and positive culture that encouraged involvement of people, their families, staff and other professional organisations.” from the report
Shared bedroom decisions
needs fixingSome people shared bedrooms, but the home had not clearly recorded the best-interest decisions or how people had been matched. The management said it would review this.
“However, there were some people living in shared bedrooms and the service had not evidenced best interest decisions in relation to these.” from the report
Complaint outcome not recorded
needs fixingThe most recent complaint, logged in January 2018, did not have a recorded outcome even though management believed it had been resolved.
“However, we found that the most recent complaint logged in January 2018 had not had a recorded outcome.” from the report
Memory box not refreshed
minorThe memory box was not regularly updated and was therefore not used much. Staff said they would consider obtaining more resources.
“However, this was not regularly refreshed or added to which meant it was not used much.” from the report
Spot checks not recorded
minorThe deputy manager carried out staff spot checks, but these were not officially recorded. The home said it would create a record for them.
“The deputy manager told us that they completed spot checks on staff however, these were not officially recorded.” from the report
- 01How do you now record best-interest decisions for people who share bedrooms, and how do you check that both people's wishes are respected?
- 02What was the outcome of the complaint logged in January 2018, and how do you make sure all complaints are fully recorded and closed?
- 03What changes have you made to keep the memory box regularly refreshed and useful to residents?
- 04Are staff spot checks now recorded, and are the records used in staff supervision or feedback?
- 05How will you keep us involved in regular care plan reviews and decisions about changing needs?
This was an inspection of the overall service and all five key questions, following a previous Good rating that remained unchanged. This explanation was written from the published report of 23 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 The Grange Nursing Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Goodstayed GoodEffective: Good
- April 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Registered with the Care Quality Commission on 1 June 2014.
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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