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Christopher Grange Residential Care Good

We are carrying out a review of quality at Christopher Grange Residential Care. We will publish a report when our review is complete. Find out more about our inspection reports.


Inspection carried out on 23 May 2019

During a routine inspection

About the service: Christopher Grange Residential Care Home provides accommodation and personal care for up to 78 people. It is part of a range of services provided in Liverpool by the Catholic Blind Institute. The home consisted of four units named Vincent, Marillic, Andrew and Greenside. At the time of inspection 70 people were living in the home.

People’s experience of using this service:

There had recently been an external audit carried out by the local authority medicines management who had identified issues. We looked at the medicines management within the home and found additional problems. The registered manager was implementing the action plan from the findings and implemented a change to the auditing systems following the feedback received from inspectors during inspection.

We identified that although the care and support being provided to people living in the home was person centred and staff knew the people well, the care plan documentation had not always been completed. This was immediately actioned following the inspection showing the registered manager was responsive and that the quality of the service was a priority.

Feedback from people living in the home and visitors indicated that staffing was not sufficient, however the registered manager was fully aware of this and was in the process of recruiting additional staff.

Staff were recruited safely and received regular training, supervisions, attended staff meetings and had regular practice checks.

Incident and accidents were analysed for patterns and trends. Risks to people were assessed safely and referrals were made to other professionals in a timely when people living in the home were in need.

People we spoke with told us they liked the staff and that they felt comfortable in their home. Feedback received during the two days of inspection was all positive from people using the service, relatives and staff. This was supported in observations during the inspection.

Staff, people living in the home and visitors told us the registered manager was approachable and that they would feel comfortable raising any concerns. Systems were in place to gather feedback from people, including meetings or surveys.

Measures were in place to reduce the risks associated with the spread of infection. We found the home to be clean and well maintained. Environmental risks were assessed and well managed to prevent any harm to people.

Consent to care and treatment was sought in line with the principles of the Mental Capacity Act 2005.

People received the support they needed to eat and drink and maintain a healthy and balanced diet. Staff knew people's dietary needs and people told us they enjoyed the food available to them and were able to choose alternative meals if they did not like what was on the menu.

People were able to access enjoyable and fulfilling activities.

Rating at last inspection: At the last inspection the service was rated Good (published 2 December 2016).

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.

For more details, please see the full report which is on the CQC website at

Inspection carried out on 8 November 2016

During a routine inspection

This inspection visit took place on 08 November 2016 and was unannounced.

Christopher Grange Residential Care Home provides accommodation and personal care for up to 78 people. It is part of a range of services provided in Liverpool by the Catholic Blind Institute. Car parking facilities are available within the grounds. At the time of the inspection 76 people lived at the home.

At the last inspection on 30 September 2013 the service was meeting the requirements of the regulations that were inspected at that time.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We looked at the recruitment process for staff at Christopher Grange. We found appropriate checks had been undertaken before they had commenced their employment confirming they were safe to work with vulnerable people.

Staff spoken with and records seen confirmed an induction training and development programme was in place. Staff received regular training and were knowledgeable about their roles and responsibilities. They were encouraged to attend courses to develop their skills and gain professional qualifications. We found staff had the skills, knowledge and experience required to support people who lived at the home. One staff member said, “Training opportunities here are very good.”

The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take appropriate action when needed. Staff had received safeguarding training and they confirmed this when we spoke with them.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

We found sufficient staffing levels were deployed in the units to support people. This was confirmed by our observations and people we spoke with. However at times people we spoke with felt staff were ‘very busy’ in one of the units. The registered manager told us they monitored staffing levels and were aware of the issue in one unit. They were in the process of assessing staff in one unit to increase support during the day so that people felt safe and staff were able to provide support people required.

We found medication procedures at the home were safe. Staff responsible for the administration of medicines had received training to ensure they had the competency and skills required. Medicines were safely kept with appropriate arrangements for storing in place.

People had access to healthcare professionals and their healthcare needs were met.

People we spoke with were happy with the quality and quantities of meals provided. They also told us there were choices at meal times. During the day we saw regular snacks and drinks were provided between meals to ensure people received adequate nutrition and hydration. The staff confirmed at any time if people required refreshments it was available. One person who lived at the home said about the quality of food, “The food is good you cannot knock it.”

Christopher Grange had its own chapel within the building. A pastoral team of religious sisters lived on the site. They provided support and company for people who wanted pastoral support. Mass was conducted daily and everybody was welcome as well as people from the local community from all religious denominations.

People told us they enjoyed activities and the entertainers organised by the service. Activity coordinators were employed and people who lived at the home were pleased with the regular trips out and entertainment provided. One person who lived at the home said, “Y

Inspection carried out on 30 September 2013

During a routine inspection

People who lived at the home told us: �It is calm with no fuss, everyone is straight-forward.�; �We can have drinks whenever we want them.�; �Everything�s fine here.�; �The staff always do their best.� A member of staff who was fairly new to the home said �I love it here and I�m proud to say that I work at Christopher Grange.�

We looked at a sample of care files for people who lived at the home. The care plans provided staff with information about the care and support people needed in daily living including mobility, personal care, eating and drinking, accessing the community, social interests and communication.

All parts of the home that we visited were clean and well-maintained.

Staff received training in subjects relevant to their work including safeguarding, moving and handling, first aid, fire awareness, health and safety, food hygiene, and infection control. Some staff had also received training about end of life care, dementia awareness, medication, mental capacity, person centred planning and dignity awareness.

Inspection carried out on 16 January 2013

During a routine inspection

We spent time in each of the units and 'The Market Place� and spoke with fifteen people using the service, seven of their relatives and fourteen staff. We found that people living at the home had been treated with respect and that they and/or their relatives had been involved in the planning and delivery of their care and treatment. Comments made by people using the service and their relatives included, "I love it here�. �I consider this to be my home�. �It couldn�t be better�. I have no complaints�. �All the staff are polite and friendly�. �I can speak up for myself�. �I wouldn�t want my mum to live any where else�. We found that people had had their care needs assessed and that staff had information about how to meet those needs in a way which ensures people's health, safety and welfare. People were being cared for by staff who were well supported and trained. People using the service and their relatives told us they thought the staff were very good at their jobs. Everybody we spoke with told us they had no concerns about the way people had been treated at the home and they told us they were confident that people were safe. They told us they knew how to complain and would do if they needed to.

Inspection carried out on 23 June 2011

During an inspection in response to concerns

People who use the service told us that they like living at the home and that they are treated well by all the staff. One person commented, �The staff are very good, they treat me well and are respectful and helpful�. Another person said, �The staff are very attentive and nothing is too much trouble for them�.

People told us that they get the support they need from the staff team and think their care needs are met well at the home. One person said, �I am very satisfied with what I am paying for�.

People told us that they have a care plan which they helped with. People also said they make choices and are encouraged to do things for themselves and are involved in making decisions about the care and support they receive. One person commented, �I go to bed and get up when I choose and I choose the clothes I wear each day�.

People told us that they are provided with equipment and aids to help them with their mobility and comfort.

The people living at Christopher Grange had mixed views regarding whether there were enough staff available to provide support to them. One person told us that they always get the help they need from staff. They explained that at night if they need support they only have to press the call bell and night staff respond quickly. They also told us that during the night staff regularly check they are okay.

Another person told us that staff come quickly when they use their call bell, they commented, �they come quick, very good�. However the person expressed the view that one night staff was not enough to support people although they did not give any examples of when this support was not available.

Another person who was using the service said, �I never feel rushed by staff and they are all attentive and helpful". The person also said, "Staff are very busy most of the time and don�t really get much time to sit down and talk to us".

Reports under our old system of regulation (including those from before CQC was created)