The Care Quality Commission
  • Care Home
  • Care home

Grange Court

Overall: Requires improvement read more about inspection ratings

115d Hilperton Road, Trowbridge, Wiltshire, BA14 7JJ (01225) 774177

Provided and run by:
Achieve Together Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of assessment 15, 16 and 20 April 2026. The service is a care home providing support for up to 5 younger adults with a learning disability and autistic people. At the time of the inspection there were 5 people using the service.

The assessment was carried out due to concerns identified at the previous inspection. We assessed the service against Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At the previous inspection we found 3 beaches of regulation. The service was asked to provide and implement an improvement plan. At this inspection we found not enough improvement had been made by the provider. We identified 5 breaches of regulation relating to safe care and treatment, person centred care, safe environments good governance and safe and effective staffing. We found that whilst the provider had now applied for all appropriate Deprivation of Liberty Safeguards authorisations (DoLS) people were still living under significant restrictions. The provider had not given enough consideration to ensuring systems and processes were the least restrictive for people. The provider had failed to address ongoing issues with permanent staff and were still reliant on agency staff. Staff training and learning from incidents were not adequate. The number of drivers available to support people to access their community had reduced. This meant people’s opportunities were limited by restrictions that were not of their making. Whilst there had been steps taken to ensure 1 person’s environment had significantly improved, the provider had not yet addressed the living conditions of another person, despite having completed an improvement plan where they stated this would take place.

We saw people were being supported in a kind and caring way by staff. We also saw that permanent staff knew people well. People were getting some opportunities to access their local community by walking from their home to local shops and 1 person was walking to a local pub for meals.

We have asked the provider for an action plan in response to the concerns found at this assessment.

 

During an assessment under our new approach

Date of Assessment: 28 January to 14 February 2025. The service is a care home providing support for up to 5 younger adults with learning disabilities. At the time of the assessment there were 5 people using this service. This assessment was carried out to provide the service with a rating in all key questions and overall. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found 3 breaches of regulations in relation to safeguarding, safe environments and good governance. People’s care and support was not always person-centred. People were living with restrictions which had not always been authorised through the Deprivation of Liberty Safeguards process. In addition, the service failed to consistently review and reduce restrictive practices in a timely manner. People’s engagement with activities and the local community was at times restricted due to insufficient staffing and inconsistent availability of drivers. People’s environments were not always cleaned safely and thoroughly due to being poorly maintained. Governance systems were not always used effectively in assessing, monitoring and driving improvement where needed. Some records seen were not person-centred and legible. Staff were not recording people’s fluid monitoring consistently so that action could be taken to mitigate risks if needed. Medicines were being managed safely. Staff were only recruited once all pre-employment checks had been completed. New staff had an induction and refresher training when required. Staff worked with healthcare professionals to make sure people’s health needs were met.