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Archived: The Grange Good

Inspection Summary

Overall summary & rating


Updated 1 May 2019

About the service:

The Grange is a ‘care home’ for 11 people. The home had been extended and had a bungalow area (attached by a corridor) to the main house for two people. The service supports adults living with a learning disability, acquired brain injury or complex behavioural needs.

To ensure this felt like people’s own home there were no deliberate signs to indicate The Grange was a care home. The home is in a residential area within Gloucestershire. Support staff wore their own clothes when working with people including when supporting people in the community. Three ladies and seven gentlemen were living at The Grange at the time of our inspection. One person stayed at the home for respite on a weekly basis, however had his own dedicated room.

People’s experience of using this service:

The service was developed to reflect the principles and values that underpin Registering the Right Support and other best practice guidance. Registering the Right Support ensures that people who use the service can 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 using the service receive planned and co-ordinated person-centred support that was appropriate for them.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:

• Staff understood how to communicate with people effectively to ascertain and respect their wishes.

• People’s independence was respected and promoted. Staff prompted people during household tasks and activities, to enable them to do things for themselves and learn new skills.

• People's support focused on them having opportunities to be part of their community, meet their wellbeing needs and maintain existing relationships.

• Health and social care professionals guided staff to support people with their behaviour in accordance with national best practice guidelines.

• Risks to people had been assessed and plans were in place and followed by staff to keep people safe.

• Safe recruitment practices were followed to protect people from unsuitable staff. There was minimal staff turnover which promoted a high continuity of care and support.

• Staff were knowledgeable around safeguarding and understood provider policies and procedures in this regard. There were good links with local safeguarding bodies.

• Systems were in place to ensure people received appropriate support to take their medicines safely.

• Staff received supervision, felt supported in their role and received the training they needed to support people’s needs.

• Staff attitudes and behaviours were responsive, respectful and caring.

• People were supported to take positive risks and their goals and wishes were acknowledged and worked towards.

• Interactions between staff and people demonstrated personalised, collaborative, action-oriented care and support.

• There were processes in place to manage adverse incidents and complaints. There was evidence that learning from incidents was shared across the service and with healthcare professionals.

• Effective quality monitoring systems were in place and regular audits and checks supported the registered manager and deputy manager to identify concerns promptly to take action to improve the service.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

We received positive feedback about the service and the care people received. The service met the characteristics of ‘Good’ in all areas. For more details, please see the full report which is at the CQC website at

Rating at last inspection: We last inspected The Grange on 16 March 2016. This was a planned comprehensive inspection. At the last inspection the service was rated ‘Good’ (this report wa

Inspection areas



Updated 1 May 2019

The service was safe.

Details are in our Safe findings below



Updated 1 May 2019

The service was effective.

Details are in our Effective findings below



Updated 1 May 2019

The service was caring.

Details are in our Caring findings below



Updated 1 May 2019

The service was responsive.

Details are in our Responsive findings below



Updated 1 May 2019

The service was well-led.

Details are in our Well-Led findings below.