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The Grange Retirement Home Good

We are carrying out a review of quality at The Grange Retirement Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 27 September 2019

About the service

The Grange Retirement Home is a residential care home that provides accommodation and nursing or personal care for up to 62 people, many of whom receive end of life care, have physical disabilities and are living with dementia. At the time of this inspection, 55 people were receiving support from this service.

People’s experience of using this service and what we found

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. We made a recommendation about this.

Although staff had skills required for their role, they were not always trained in mental health awareness which the service made mandatory to ensure staff received the training as necessary. The premises were not always appropriately adapted to meet people’s living with dementia care needs. We found that people would benefit to be shown meal options to help them to choose just before they had their meals. The management team told us that these areas of concern would be addressed immediately. We will check their progress at our next comprehensive inspection.

Staff reported their concerns as necessary if they noticed people being at risk of abuse or when incidents and accidents took place. Risk management plans were in place to mitigate the potential risks to people. The service was in the process of recruiting permanent staff and used agency staff to provide cover as necessary. People had support to manage their medicines where they required support to do so.

People told us that call bell alarms were answered by staff quickly when they needed assistance with personal care tasks. Staff supported people to meet their health needs which ensured their well-being.

People told us that staff were kind and caring. Staff encouraged people to make everyday choices about the care they wanted to receive. People’s ability to engage in activities was assessed and supported which encouraged their participation. People had their cultural and religious needs identified where they required assistance to meet them. Confidentiality principles were followed to keep private information about people safe.

People’s care records were personalised and person-centred. People addressed their concerns with the staff team if they wanted to make changes to the services they received. Staff received training in how to provide good care for a person who has died and their family.

There was a supportive leadership at the service with robust monitoring systems in place to ensure quality care delivery for people. Staff were encouraged to develop in their role which motivated their involvement in providing good support for people. The service used external resources to keep them up-to-date with the changes taking place in legal requirements.

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

Rating at last inspection- The last rating for this service was good (published 11 January 2017).

Why we inspected- This was a planned inspection based on the previous rating.

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

Inspection areas



Updated 27 September 2019

The service was safe

Details are in our Safe findings below.



Updated 27 September 2019

The service was effective

Details are in our Effective findings below.



Updated 27 September 2019

The service was caring

Details are in our Caring findings below.



Updated 27 September 2019

The service was responsive

Details are in our Responsive findings below.



Updated 27 September 2019

The service was well-led

Details are in our Well-Led findings below.