CQC report explained · a residential care home
What the CQC found at Residential Care
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Inspected but not rated; inspectors were assured that infection prevention and visiting arrangements were safe.
This was an announced, targeted inspection on 12 March 2021. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors were assured that the home was managing visitors, testing, personal protective equipment, cleaning, social distancing and admissions safely. They were also assured that the infection control policy was up to date.
The inspection did not give an overall quality rating. The safe question was marked 'Inspected but not rated', and the other areas were not covered in this inspection.
Safer visiting
The home created a garden visiting pod so relatives could visit without entering residential areas. Visitors had to take a rapid COVID-19 test and have a negative result before entering.
“The provider had created a visiting pod in the garden.” from the report
Accessible technology
People could use sensory-room features through contactless technology. The home also adapted voice recognition for people with speech impairments.
“People using the service had access to a sensory room with assistive technology.” from the report
Family communication
Relatives received regular updates during the pandemic and were involved in their loved ones' care.
“Relatives had received regular updates throughout the pandemic and were involved in the care of their loved ones.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visits arranged, and are visitors still tested or given other safety instructions?
- 03How often are families updated about their relative's care and wellbeing?
- 04What arrangements are available for people who need assistive technology or have a speech impairment?
- 05When were the other care quality areas last assessed, and what were their ratings?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess the other key questions and gave no overall rating. This explanation was written from the published report of 24 March 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, April 2019
The Grange - Residential Care was rated Good; inspectors found safe, kind and personalised care, but staffing shortages sometimes limited outings.
This was an unannounced, comprehensive inspection on 26 March 2019. Two inspectors spoke with people living at the home, relatives and staff. They reviewed care records, staff recruitment and training files, policies and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, involved in their care, supported to stay healthy and offered activities and opportunities for independence.
There were enough staff at the time of the inspection, but some people and staff said shortages could leave staff rushed and sometimes meant people could not go on trips out. The home had a recruitment and staffing plan to address this. Inspectors also noted that end of life information in care plans was limited, although they found enough information for staff to provide person-centred care if needed.
Kind and homely care
Inspectors found a warm home where people were supported by caring staff. Mealtimes were described as family occasions.
“People were supported to live in a homely environment with a caring team of staff.” from the report
Personalised support
Care plans gave staff clear information about people's needs, communication and preferences. People were involved in decisions about their daily lives.
“People's care plans were accurate guides for staff in how to support, communicate with and assist people.” from the report
Respect and independence
People were supported to express themselves, make choices and do as much as possible for themselves. Inspectors found that privacy and dignity were respected.
“People were encouraged to be independent and to do as much for themselves as they could.” from the report
Activities and community links
People could choose from activities at the home and trips into town. The home also worked with local groups and businesses to create opportunities and support activities.
“People had access to a wide range of activities on the site and through trips into town.” from the report
Active management
The management team used audits, meetings and feedback to identify improvements. A staffing action plan was already being put into practice.
“There was a clear action plan in place to drive improvements for people living at the home.” from the report
Staffing and outings
needs fixingAlthough inspectors found enough staff during the visit, some people and staff said shortages sometimes left staff rushed. They also said people could not always go on trips out.
“We did receive some feedback from staff and people that staff were sometimes rushed due to shortages or that people couldn't always go for trips out.” from the report
End of life information
minorInspectors found limited end of life information in care plans. They judged there was still enough information for staff to provide person-centred care if someone needed it.
“Although there was limited end of life details in people's care plans, there was sufficient information to enable staff to provide person-centred end of life care should the need arise.” from the report
- 01What progress has been made with the staffing plan and recruitment since the inspection?
- 02How often can residents currently go on trips out, and how do you make sure staffing shortages do not reduce these opportunities?
- 03How are each person's end of life wishes recorded, especially if they do not want to discuss the subject?
- 04How often are care plans reviewed when a person's needs, communication or preferences change?
- 05What activities are available now, both at the home and in the local community?
This was an unannounced comprehensive inspection covering all five key questions, and the previous overall rating in August 2016 was also Good. This explanation was written from the published report of 27 April 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 Residential Care
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 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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77 live-in carers within about an hour of Surrey
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 £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.