# Grande Care Ltd

Grande Care Ltd is a CQC-regulated home-care agency in Warwick.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 05/08/2025

## Practical info

- Postcode: CV34 5AE
- Registered manager: Kaur, Amrit
- Local authority: Warwickshire
- Region: West Midlands
- City: Warwick
- Last CQC check: 05/Aug/2025 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-04-12
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-04-12
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-04-12
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-04-12
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-04-12

### Other

- Finding
  - Evidence: Registered manager worked in partnership with other health and social care professionals to promote positive outcomes.
  - Published: 2023-04-12
- Finding
  - Evidence: Safe recruitment practices in place including DBS checks and eligibility to work verification.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff received infection prevention and control training and were provided with PPE.
  - Published: 2023-04-12
- Finding
  - Evidence: Positive feedback received from people, relatives, staff and health professionals about the quality and responsiveness of care.
  - Published: 2023-04-12
- Finding
  - Evidence: Registered manager visited each person weekly to observe staff practice and ensure standards were met.
  - Published: 2023-04-12
- Finding
  - Evidence: Provider assessed people's needs and choices before they began using the service, including specialist training for conditions such as autism and epilepsy.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff received safeguarding training and were confident reporting concerns; safeguarding referrals made appropriately.
  - Published: 2023-04-12
- Finding
  - Evidence: Consistent staff team with time to build trusted relationships with people and their relatives.
  - Published: 2023-04-12
- **supervision_appraisal** _(minor)_
  - Evidence: Formal staff meetings were not taking place.
  - Published: 2023-04-12
- **record_keeping** _(moderate)_
  - Evidence: Record keeping needed to improve. Some recording systems were informal and records of staff competencies in relation to medicines management were not kept.
  - Published: 2023-04-12
- **governance** _(critical)_
  - Evidence: Medicine checks had not identified the issues we found which placed people at risk of receiving unsafe care. Systems were not in place to audit people's risk assessments and care plans.
  - Published: 2023-04-12
- **care_planning** _(critical)_
  - Evidence: One person had a food allergy, but there was no information about the signs or symptoms or what action staff should take if the person had an allergic reaction.
  - Published: 2023-04-12
- **medication_management** _(moderate)_
  - Evidence: Staff dispensed medicines into multi-compartmental aids (MCAs). This is known as secondary dispensing and does not follow best practice guidance or recommendations.
  - Published: 2023-04-12
- **medication_management** _(critical)_
  - Evidence: Where people were prescribed PRN medicines, there were no guidelines in place to inform staff under what circumstances they should be given.
  - Published: 2023-04-12
- **medication_management** _(critical)_
  - Evidence: MAR charts did not always include medicines that were given on an 'as required' (PRN) basis and were not consistent with the list of medicines in people's care plans.
  - Published: 2023-04-12

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-04-12
- Finding
  - Preventing and controlling infection
  - Published: 2023-04-12
- Finding
  - Staffing and recruitment
  - Published: 2023-04-12
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-04-12
- Finding
  - Using medicines safely; Assessing risk, safety monitoring and management
  - Published: 2023-04-12

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2023-04-12
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-04-12
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-12
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-04-12

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-3732231356

HomeCare Compass is an independent guide and is not affiliated with the CQC.