Downham Grange

“Date of Assessment: 08 May 2025 to 11 June 2025. This is a service providing residential and nursing support to adults of all ages and some people living with dementia and can accommodate up to 63 people. We carried out a comprehensive inspection due to inherent risk. At the time of the inspection, there were 38 people living in the service. We gained feedback from 1 person and 8 relatives, 9 staff and 5 healthcare professionals that supported people, that lived in the service. We found that peoples medicines were not always well managed, and not all staff were fully trained to meet people’s individual needs. There were inconsistencies in peoples care records and we identified shortfalls in the governance oversight and the systems in place. The provider was in breach of the legal regulations relating to safe care and treatment, safe and effective staffing and good governance. However, people lived in a purpose-built home that was clean and environmentally safe. They were actively involved with the community and there were a range of activities for people to participate in or they were supported to carry out their own daily activities. A variety of nutritious meals and snacks were provided daily. We received positive feedback from 1 person living in the service, relatives and healthcare professionals that visited the service about the staff and management being kind and caring and this aligned with our findings from being in the service. The provider was proactive throughout the inspection in addressing the shortfalls we had identified. This service has been in special measures since June 2023. The provider demonstrated improvements had been made in most areas. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in special measures.”