Fairmile Grange Care Home

Updated 26 October 2025

Date of assessment: 15 October 2025 – 24 October 2025

Fairmile Grange Care Home is registered to provide accommodation for people who require nursing or personal care. The service supported people living with dementia and autistic people. The service can accommodate up to 80 people. At the time of our inspection 66 people were living at the service.

At our previous inspection, we found the provider was in breach of the legal regulations in relation to safeguarding, safe care and treatment, and good governance. This inspection was targeted to check if the provider had made improvements in relation to safeguarding and safe care and treatment.

In response to shortfalls previously identified, the provider produced an action plan outlining improvements they would make. The provider continued to engage with organisations, including CQC and the local authority.

We found the provider had made improvements. For example, incidents were investigated, and lessons were learnt to identify and embed good practice. Adverse events were reviewed and actioned by the management team and changes to people’s care plans communicated to all staff.

The ethos of the staff team was open and transparent. Staff demonstrated an improved understanding of providing people with person-centred care and spoke confidently about how people preferred their care and support to be given.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Updated 26 October 2025

People told us the service had improved, and they felt safe at Fairmile Grange Care Home. People said, “I know I’m safe here” and “Communication has improved significantly, staff seem more visible now and are far more engaged so the whole system seems to be working much, much better.”

A health and social care professional told us, “I’ve noticed an improvement since the summer, the registered manager is responsive. Even when not available on the phone, emails are responded to in a reasonable timeframe with all requested information.”

However, people and their relatives expressed continued concern about whether there are always enough staff on duty. Comments included, “I choose to eat in my room and sometimes by the time food gets to me, it is cold”, “Staff don’t always respond to call bells very quickly or when they do they come in a rush to leave again” and, “The lack of staff continuity, staff shortages and a heavy reliance on agency staff has caused many problems, however I have met with the new registered manager and am hopeful things will change.” We shared this feedback with the provider who committed to review how staff are deployed throughout the day.