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Ranelagh Grange Care Home, Prescot, is rated as Inadequate by the Care Quality Commission

17 June 2015
Amberley Court Care Home
  • Media

The Care Quality Commission (CQC) has told Prime Healthcare UK Limited that they must make urgent improvements at Ranelagh Grange Care Home in Rainhill, Prescot in order to ensure the safety and wellbeing of people living there.

During an unannounced inspection in April and May 2015 inspectors found that the provider was failing to provide care which was safe, effective, caring, responsive to people’s needs or well led.

Under CQC’s programme of inspections, all adult social care services are being given a rating to help people choose care. Overall, Ranelagh Grange has been rated as Inadequate.

A full report from the inspection has been published on the CQC website.

  • Inspectors raised concerns regarding the safety of the premises as they found that some fire doors were being wedged open making them ineffective at holding back smoke in the event of a fire.
  • Potential risks to people living in the home had not been assessed or planned for.
  • There were no personal evacuation plans for people living in the home to ensure people’s safety in an emergency situation.
  • Care and treatment was not planned and delivered in a way that ensured people's safety. People’s needs were not assessed and not all people living at the home had a plan of care in place.
  • Medicines were not always stored securely and medicines that had not been required for four months were still being stored in the home.
  • Records relating to staff recruitment were not available for all members of staff and staff were not always provided with sufficient training and supervision. 
  • People living at the home were being deprived of their liberty without appropriate authorisation and there were no systems in place to ensure that people’s rights were protected under the Mental Capacity Act 2005.
  • The provider did not have an effective system in place to regularly assess and monitor the quality of service that people received

Debbie Westhead, CQC’s Deputy Chief Inspector of Adult Social Care in the North, said:

“It is essential that Prime Healthcare UK Limited takes action to address the concerns we identified at this inspection. The provider has a responsibility to ensure that people are safe and protected from the risk of harm. All people living at the home have a right to receive care which is of a high quality, compassionate and safe.

“It is unacceptable that the provider has failed to make improvements following our previous visit in December last year. Systems should be in place to monitor the quality of the service, and it is of significant concern that Prime Healthcare UK Limited did not have such systems in place to halt the deterioration in the service.

"Since the inspection we have been working closely with St Helens Metropolitan Borough Council and St Helens CCG to ensure that residents are not at risk. We have placed this service in special measures and are taking further action in relation to this provider. We will report on this action when it is completed.

“We will re-inspect the home within six months to check whether sufficient improvements have been made. If we find that the service being provided remains inadequate, we will consider taking further steps to cancel its registration with CQC."


For further information please contact Kirstin Hannaford on 0191 233 3629.

For media enquiries about the Care Quality Commission, please call the press office on 020 7448 9401 during office hours. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. (Please note: the duty press officer is unable to advise members of the public on health or social care matters). For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report detailing the findings of their inspection.


In October 2014, CQC began to roll out its new inspection regime for adult social care services across England, using specialist teams who will inspect and rate services against what matters to the people who use them. Click here for more information about the new inspection regime.


Since 1 April, providers have been required by law to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. This should be done within 21 days of publication of their inspection report. Click here for more information about the display of CQC ratings.


Special Measures
All adult social care services inspected since 1 April 2015 that receive an overall rating of Inadequate will be placed into special measures by CQC. The regime is designed to make sure there is a timely and coordinated response to Inadequate care and we will use it alongside our enforcement policy.


When a service is in special measures it is the provider’s responsibility to improve, seeking appropriate support from its own resources and from other relevant organisations. When we can, we will signpost providers to improvement support agencies.


Those services will be inspected again within six months. If a service demonstrates improvements and is no longer rated as inadequate for any of the five key questions we will take it out of special measures. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include cancelling the registration of that service


Click here for more information about our special measures process.


About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.