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Inspection Summary

Overall summary & rating


Updated 26 March 2019

About the service: The Grange Residential Home provides accommodation and support for up to nine people who have a learning disability. On the day of our visit, there were seven people living in the service.

At our last inspection in November 2017 we were concerned that people were not supported and encouraged to be independent. At that time people did not live in an environment that valued and underpinned the best practice guidance. Following that inspection, we met with the registered manager and deputy manager and discussed their action plan for making the necessary improvements.

At this inspection we found the necessary developments had been made. The registered manager and staff were working within the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People’s experience of using this service:

There were enough, suitably recruited staff who worked well as a team to ensure people received the care and support they needed.

People received personalised care which met their needs and risks were well managed.

Medicines were managed safely and records evidenced that people had received their medicines as prescribed.

People were treated with dignity and their privacy was respected. They were supported to make choices and decisions for themselves and encouraged to express their views.

People made their own choices about where they spent their time and had the opportunity to participate in a range of recreational and social activities.

People were supported with good nutrition and could access appropriate healthcare services when needed them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The registered manager had managed and run the service for 30 years, staff were also long serving and all knew people and their support needs very well.

Rating at last inspection: The service was rated ‘Requires Improvement’ at our last inspection. The report following that inspection was published on 12 February 2018.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas



Updated 26 March 2019

The service was safe

Details are in our Safe findings below.



Updated 26 March 2019

The service was effective

Details are in our Effective findings below.



Updated 26 March 2019

The service was caring

Details are in our Caring findings below.



Updated 26 March 2019

The service was responsive

Details are in our Responsive findings below.



Updated 26 March 2019

The service was well-led

Details are in our Well-Led findings below.