Fairmile Grange Care Home

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.

Date of assessment: 25 July 2025 – 12 August 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 72 people were living at the service.

This is the first assessment for this newly registered service therefore we inspected all quality statements under the key questions of safe, effective, caring, responsive and well-led. We visited the service on 25, 27, 28 July and 8 August 2025.

This inspection was prompted by concerns about people’s care and whether people were safeguarded from avoidable harm.
We found the provider was in breach of 3 of the legal regulations in relation to; safeguarding, safe care and treatment, and good governance.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations have been concluded.
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.

Safeguarding procedures were not always followed and therefore this had placed people at increased risk of harm .
People were unlawfully deprived of their liberty. Where people, their relatives and staff raised concerns to the manager and provider these were not always investigated to ensure people safe from harm. During the inspection, we observed both relatives and health professionals intervene in the care and support of people as they had identified risks to the person which the provider had failed to mitigate.
Actions taken by the service had not been carried out with the required urgency and this had placed people at further risk of harm. The service had not always informed the CQC of events which had occurred within the service, as required by law.
Risks to people's health, safety and well-being had not always been identified, assessed or managed and this had placed people at risk of harm. Not all people receiving a service had a care plan in place and completed care plans were consistently overdue review which meant they did not always include information to guide staff on how to provide safe care and treatment. Staff did not support people in the least restrictive way possible or in their best interests; systems in the service did not support best practice.

The providers governance systems were not operating effectively and had failed to identify the shortfalls found within this inspection.