CQC report explained · a residential care home
What the CQC found at The Grange Rest Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, effective risk assessments and safe medicines management. People said staff responded promptly when they asked for help.
- Effective?
- Good
- Staff were trained and supported, and people received appropriate food, healthcare and support with decisions. The home had applied for required Deprivation of Liberty Safeguards authorisations.
- Caring?
- Good
- Staff were consistently kind, respectful and attentive. People were involved in decisions, supported to remain independent and helped to keep in touch with family and friends.
- Responsive?
- Good
- Care was based on people's needs, abilities, life history and preferences. People could choose activities, spend time alone and raise complaints.
- Well-led?
- Good
- Inspectors found an open, friendly and supportive culture. Managers used audits, meetings and feedback to identify improvements and involve people, relatives and staff.
What inspectors found, May 2019
Rated Good; inspectors found safe, kind and person-centred care, with laundry standards being improved.
This was an unannounced inspection on 8 and 9 April 2019. One inspector reviewed records, observed care and spoke with people, relatives, staff and healthcare professionals. The inspector also checked medicines, care plans, training, equipment and quality checks.
The home supports up to 26 older people living with dementia and does not provide nursing care. There were 23 people living there during the inspection. People said they felt safe and happy, and inspectors found staff to be kind, respectful and attentive.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found legal requirements were met and that people generally received good care. The home was also rated Good at its previous inspection, published in 2016.
People felt safe
People told inspectors they felt safe, and staff understood how to recognise and report abuse. The home had systems for reviewing incidents and learning from them.
“People who were able to speak with us told us they felt safe at the home.” from the report
Kind and respectful care
Staff knew people well and supported their dignity, privacy, choices and independence. Inspectors saw staff knock before entering rooms and ask for consent.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised support
Care plans recorded people's needs, abilities, life histories and preferences. Activities and emotional support were adapted to individual interests and circumstances.
“People received person-centred care. Their needs, abilities, life history, and preferences were documented, known and supported by staff.” from the report
Good food and healthcare support
People were offered choices, different portion sizes and support with eating and drinking when needed. Staff helped people access health professionals promptly.
“People's dietary needs and preferences were known and met.” from the report
Open management
Staff, relatives and people spoke positively about the management. Meetings, surveys and audits were used to listen to views and make changes.
“The home had an open and friendly culture.” from the report
Laundry had previously gone missing
minorA few people had been unhappy about missing laundry. The home had responded by labelling clothes and giving key workers time to check clothing.
“In the residents' survey a few people had expressed they were unhappy about laundry going missing.” from the report
Some signage was still planned
minorSignage helped people understand what rooms were used for, but the manager said more signage would be added to cover all areas.
“The registered managed told us that they were going to increase the availability of signage so that it covered all areas of the home.” from the report
- 01How do you manage laundry now, and how do you check that clothes are returned to the right person?
- 02How would you support my relative if their care needs increased and they needed nursing care?
- 03What activities would match my relative's interests, abilities and wish to spend time alone?
- 04How do you review changes in a person's health and involve their family and healthcare professionals?
- 05What extra signage is now available to help people living with dementia find their way around?
This was a planned, unannounced inspection covering all five CQC questions, including the care provided and the care home premises. This explanation was written from the published report of 31 May 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.
What inspectors found, October 2016
Rated Good; inspectors found safe, kind and personalised care, with no areas of concern recorded.
This was an unannounced inspection on 10 October 2016. Inspectors spoke with people living at the home, a relative, staff, the registered manager and a healthcare professional. They also reviewed care records, medicines records, staff files, incident reports and quality checks, and observed care and lunchtime.
Inspectors found that people were safe and received medicines correctly. Staff had suitable training, knew people's needs and responded to health concerns. People were treated with kindness and respect, involved in decisions, and supported to remain independent.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The previous inspection in November 2013 had found no areas of concern.
People felt safe
People told inspectors they felt safe and received help quickly when they needed it. Staff numbers were adjusted when people needed extra support.
“People were protected from harm and abuse. There were sufficient quantities of appropriately skilled and experienced staff” from the report
Kind and respectful care
Staff built warm relationships with people and respected their privacy, dignity, choices and independence.
“People were cared for by staff that were kind, caring and compassionate.” from the report
Personalised support
Care plans included people's interests, history, preferences and health needs. Staff used this information to provide care and activities that were specific to each person.
“Care plans documented people's individual social, emotional and health needs and enabled staff to care for people in accordance with their needs and preferences.” from the report
Responsive leadership
The home used feedback, audits and incident monitoring to identify improvements. Inspectors found people, relatives, staff and healthcare professionals positive about the management.
“Quality assurance processes ensured the delivery of high quality care and drove improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and adjust staffing if my relative becomes unwell or needs extra support?
- 02How will you keep my relative's care plan updated as their needs, preferences and abilities change?
- 03What activities would you offer based on my relative's interests, and how would you support them if they preferred to spend time alone?
- 04How would you recognise a change in my relative's health and arrange help from healthcare professionals?
- 05How would you support my relative to make decisions and maintain their independence while keeping them safe?
This was an unannounced inspection of the home's overall quality, covering all five CQC questions; the previous inspection in November 2013 found no areas of concern. This explanation was written from the published report of 22 October 2016 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 Rest Home Limited
2 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Grange Rest Home Limited →
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Grange Rest Home Limited →
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2011
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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46 live-in carers within about an hour of Brighton and Hove
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 £1,020 to £1,280 a week. 37 can care for a couple. 10 years' experience on average.
“Lottie showed incredible patience and empathy, adapting her routine to fit in with Mum's moods. Most importantly, Lottie's cheerful manner helped Mum to get some enjoyment out of life.”
“He was infinitely patient with them and got on very well with us to the extent that we now regard him as a personal friend.”
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.