- Care home
Grange Court
Assessment report published 20 August 2026
Contents
Ratings
Our view of the service
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.
People's experience of this service
People at the service were not able to communicate their views with inspectors. However, we observed people being supported in a kind and compassionate way.
We spoke to relatives of people who told us they were very happy with how people were being supported. One relative told us that leaders were “the best” they had come across in this type of setting.
Relatives felt permanent staff were “very good”. They knew people well and understood how to support them. Staff were in regular contact with relatives to keep them informed of what was happening and to engage with them around planning activities. One relative said “I never go to bed worrying about [person] and thinking who is working with them.”
Relatives expressed concern that there were not enough permanent staff in the home and that this led to issues as people were not always supported by staff who knew them well.
One relative told us that new and agency staff could be risk averse when they did not know the person they were working with. This meant people were not always doing activities they would enjoy. They also raised ongoing concerns about the lack of drivers and the impact that had on people not being able to go out as much as they would like.