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Cuerden Developments Limited - Alexandra Grange Good

Inspection Summary

Overall summary & rating


Updated 12 December 2019

About the service

Alexandra Grange is a care home providing personal care to 51 people at the time of the inspection. The service accommodates up to 54 people in one building split over two floors.

People’s experience of using this service and what we found

People’s outcomes were consistently good, and people’s feedback confirmed this. One person told us, “I do everything I can for myself [regarding personal care] and the staff do the rest. They listen to you and everything and talk to you.”

Medicines were managed safely. One relative told us, “I would say they manage my [relative’s] medication very well.”

People told us they felt safe. Staff had a good understanding of how to safeguard people from abuse.

People enjoyed the food they ate and told us they had choices in the menu. A relative told us, “By all accounts, the menu is very good; very varied. The carers have to feed [my relative] and say they are eating well.”

Person-centred care was promoted and people told us the staff knew them well and responded to their needs in a person-centred way.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us staff were kind and sensitive. One relative said, ‘[The staff] are decent people. They treat [my relative] very well and do things like mess around dancing with them, which they love.”

Person-centred assessments and care plans had been completed which reflected people’s needs, wishes and preferences. Staff knew people well and told us how they identified if people's needs changed or if they needed additional support.

Best practice guidance was not being implemented in regard to modified diets which was not flagged on the provider’s quality processes prior to our inspection. We have made a recommendation about the provider reviewing their audit processes.

We found the service required refurbishment and areas of flooring required replacing. The provider told us they had a plan to address this.

People and relatives told us the laundry process required improving as people had clothing items misplaced or missing on a regular basis We have made a recommendation about the provider reviewing their laundry processes.

Staff said they were happy working at the service and spoke positively about the management team.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 9 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 12 December 2019

The service remained safe.

Details are in our safe findings below.



Updated 12 December 2019

The service remained effective.

Details are in our effective findings below.



Updated 12 December 2019

The service remained caring.

Details are in our caring findings below.



Updated 12 December 2019

The service remained responsive.

Details are in our responsive findings below.


Requires improvement

Updated 12 December 2019

The service was not always well-led.

Details are in our well-led findings below.