Mandeville Grange Nursing Home

Updated 10 February 2026

Date of assessment: Tuesday 10 March 2026 to 27 March 2026. The service is a nursing home providing care and support to older people, including people with dementia. At the time of this inspection, 12 people were living at the service.

The inspection was carried out to follow up on previous enforcement action and to review the rating. At this inspection we found the provider had taken action to address previous breaches of regulations relating to safe care and treatment, safeguarding, staffing, consent, notifications and good governance and the provider was no longer in breach of these regulations.

Risks to people were identified, assessed and managed, with safeguarding systems in place to protect people from harm. The service worked in line with the principles of the Mental Capacity Act 2005, with consent sought and people supported to be involved in decisions about their care and treatment. A strong learning culture was embedded throughout the service with effective systems in place to review incidents and concerns. Lessons learned were consistently identified, shared with staff to promote ongoing learning and improve practice.

Staffing arrangements were effective in supporting safe, consistent and person-centred care. Safe recruitment processes were followed to ensure suitable staff were employed. Staff received comprehensive induction, regular supervision and on-going training, alongside access to a wide range of training opportunities. Competencies were routinely assessed to ensure staff could carry out their roles safely and effectively. The registered manager promoted a strong learning culture through the use of scenario-based training and coaching when delegating tasks, which supported staff to develop confidence, competence, and accountability in their roles. Staffing levels were sufficient to meet people’s needs and enabled flexible, responsive care delivery.

The service was effectively managed and monitored with clear governance and oversight arrangements in place. This enabled the provider to identify improvements and take action where required.

The registered manager was knowledgeable, skilled, open, honest and transparent. They had made significant improvements to the service, promoting a person- centred approach and creating a positive, inclusive and open culture for both people and staff.

The service had undergone extensive refurbishment and provided a homely, welcoming and comfortable environment.

This service had been in Special Measures since 11 April 2025. The provider demonstrated improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Updated 10 February 2026

People told they got safe care. A person commented, “Whenever I ring the bell, someone shows up quickly and they are helpful.”

People and relatives were happy with the care provided. They felt their family member got safe care and gave examples such as being supervised 24/7 and having access to equipment such as sensor mats, codes on doors and stair gates.

Relatives reported their family members were receiving good care and attention. They had observed their family member appeared comfortable and at ease around staff, with staff described as ‘caring, attentive, friendly and engaged in regular supportive conversations’ with them and their family member.

Relatives told us the staffing levels were sufficient, and they felt assured their family member got the care they required. A relative commented, “The staff do everything for [family member] and [they] are always clean and well presented.'

People told us they would talk to the manager if they had any concerns. A person told us they had no complaints and always felt able to speak out and advocate for themself and others. They commented, “The place is amazing and the staff are amazing.”

Relatives felt able to raise concerns and felt confident any issues raised would be appropriately addressed by the registered manager. They described the home as calm, relaxed, happy, lovely, friendly and there is a warm feeling when you walk in with staff working well together.

Relatives told us activities for people had improved with activities such as birds of prey and a visiting dog brought into the service. A relative commented, “The residents seem to spend more time in the lounge now with all the activities going on. It seems to be a more supportive environment. They put on things on certain memorable days, and it seems to be a more inclusive kind of care.”

Relatives spoke positively about the improvements in their family members care since the new registered manager has been in post. They described the registered manager as “Approachable, very polite, is interested in people and is doing a lot to improve the home.”