Christopher Grange Residential Care

Date of Assessment: 7 July to 24 July 2026. Christopher Grange is a care home providing accommodation and personal care for up to 78 people, some of whom are living with dementia. At the time of our assessment, 45 people were living at the home.

The provider has been in Special Measures since 27 March 2026. This assessment found sufficient improvement for the provider to no longer rated Inadequate overall or in any key question. As a result, the provider will no longer be in Special Measures.

At the previous assessment, the provider was in breach of regulations relating to safe care and treatment, staffing, person-centred care, nutrition and hydration, safeguarding, and governance. During this assessment, we found significant improvements across the home and all previous breaches had been addressed, with the exception of Regulation 12 (Safe Care and Treatment). Although people told us they felt safe and improvements had been made to safeguarding, risk management and oversight, we found medicines and treatments were not always managed safely.

The provider demonstrated a clear commitment to improving the quality and safety of care and had worked hard to address concerns identified at the last assessment. The most significant improvements were seen in leadership, governance and oversight. Strengthened auditing, monitoring and quality assurance systems had improved oversight of care delivery, safeguarding, staffing, environmental risks and people's outcomes. Managers used audits, daily flash meetings, management walkarounds and reviews to identify concerns, monitor performance and drive improvement.

People received effective, caring and person-centred support. Care records demonstrated a good understanding of people's health conditions, communication needs, preferences, routines and life histories. Staff worked closely with healthcare professionals to support people's health and wellbeing, monitor outcomes and respond to changing needs. Improvements made since the last assessment meant people were receiving more consistent support with areas such as nutrition, hydration, personal care, skin integrity and risk management, helping to improve their overall health, wellbeing and quality of life. People were supported to make choices about their daily lives, maintain important relationships and practise their faith. Staff worked collaboratively with people, relatives and professionals to ensure care remained responsive and coordinated.

Date of Assessment: 31 October, 6, 11 and 24 November 2025. Christopher Grange is a care home providing accommodation and personal care for up to a maximum of 78 people, some of whom are living with dementia. At the time of our assessment, there were 57 people living at the home.

We undertook this assessment following concerns we received about the management of risk. We found the provider was in breach of regulations in relation to safe care and treatment, staffing, person centred care, nutrition and hydration, safeguarding and governance.

Systems intended to protect people from harm were ineffective and lacked coordination. The provider and registered manager did not have sufficient oversight to ensure care was delivered safely, promptly, or in a way that reflected people’s individual needs. People were not consistently treated with dignity, respect, kindness, or compassion. Risks to people’s health and wellbeing were not routinely reviewed or managed in line with their risk assessments, including risks associated with pressure wounds, poor nutrition, and dehydration.

Staffing arrangements were not robust enough to ensure people’s safety. High reliance on agency staff affected continuity of care and meant people’s needs were not always met. Staff did not always have access to accurate or detailed information to enable them to understand people’s preferences and support needs. Not all staff had completed mandatory training, and competency assessments in key areas had not been consistently undertaken.

Parts of the environment and some equipment were unsafe or inadequately maintained, increasing the risk of harm. Routine checks and audits failed to identify or address ongoing environmental and infection prevention and control (IPC) issues.

Medicines were not managed in a way that ensured people’s safety. Governance and quality monitoring systems were ineffective and did not support continuous improvement. There were no reliable processes to identify concerns, take timely action, or review outcomes. Feedback from people, relatives, and staff was not systematically sought or used to inform service improvement.

In instances where CQC has decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.