- Homecare service
Grande Care Ltd
Assessment report published 5 August 2025
Contents
Ratings
Our view of the service
Date of assessment: 14 July to 22 July 20025. This service is a homecare service providing personal care to adults of all ages, people with dementia, mental health conditions, a physical disability and a sensory impairment. At the time of the inspection 4 people were receiving personal care support.
This assessment was carried out to follow up on action we told the provider to take at the last assessment. During this assessment we spoke with people who used the service, their relatives, staff, the registered manager and sought feedback from other healthcare professionals. We looked at care plans, recruitment files and quality assurance records. The provider was previously in breach of the legal regulations in relation to safe care and treatment and good governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations.
Following our last inspection, the registered manager had completed further qualifications to ensure their effective management of the service and compliance with legislative requirements. The registered manager had worked with people, their relatives and staff to build a culture focused on putting people at the centre of their support and where staff felt able to speak up, confident their voice would be heard. Staff described the registered manager as visible, supportive and encouraging of their professional development.
Risks to people's health had been identified and there was a joined-up approach to risk management. Staff understood their role in keeping people safe and reporting any concerns they had about people’s health, wellbeing or safety. Checks were in place to ensure staff followed current best practice to reduce the risk of any infections spreading. Staff received training on medicines administration which included checks of their competency. Improvements had been made in the management of ‘as required’ medicines. However, we found medicines care plans required more detail to reflect people’s capacity and independence and to ensure accurate records were maintained.
People had a robust assessment of their needs before they began using the service to ensure their needs and preferences could be effectively met. The registered manager made referrals to, and worked with, other external health and social care teams which helped to ensure continuity of care. Staff described good communication and teamwork to ensure people received the support they needed, when they needed it.
People received support that was tailored to their individual needs and delivered by a core team of staff who knew them well. The registered manager promoted effective communication and recognised the importance of providing people and their families with regular opportunities to share their feedback about the service provided.
People's equality and diversity needs were understood and supported by the service. Staff gave people choices about how they lived and were able to explain how they enabled people to maintain independence in their home.
The registered manager had a 12-month service improvement plan with planned strategies and budgets for achieving the actions identified.
People's experience of this service
People and their relatives were positive about the quality and standards of care provided by Grande Care Ltd. One relative told us, “I can live my life with the knowledge that [Name] is able to live their life independently and in a safe environment even though their needs are complex.”
People and relatives told us staff had the right skills and provided care and support that kept people safe. Relatives described a robust assessment process that gave them confidence the service could meet their family member’s needs. Relatives also spoke of positive outcomes for people due to effective monitoring of their health and told us complex medication regimes were managed well.
People and their relatives spoke of good communication between the staff team and other health and social care professionals. They told us staff were responsive to signs of ill-health and responded promptly to prevent further deterioration.
People told us they received person-centred support from a consistent staff team who responded to them with understanding and sensitivity. Staff were respectful of people’s decisions and encouraged their independence. Staff enabled people to maintain their hobbies and interests to support their physical, mental and social wellbeing.