Mandeville Grange Nursing Home

The inspection was carried out to follow up on previous enforcement action and to review the rating. At this inspection we found the provider had taken action to address previous breaches of regulations relating to safe care and treatment, safeguarding, staffing, consent, notifications and good governance and the provider was no longer in breach of these regulations.

Risks to people were identified, assessed and managed, with safeguarding systems in place to protect people from harm. The service worked in line with the principles of the Mental Capacity Act 2005, with consent sought and people supported to be involved in decisions about their care and treatment. A strong learning culture was embedded throughout the service with effective systems in place to review incidents and concerns. Lessons learned were consistently identified, shared with staff to promote ongoing learning and improve practice.

Staffing arrangements were effective in supporting safe, consistent and person-centred care. Safe recruitment processes were followed to ensure suitable staff were employed. Staff received comprehensive induction, regular supervision and on-going training, alongside access to a wide range of training opportunities. Competencies were routinely assessed to ensure staff could carry out their roles safely and effectively. The registered manager promoted a strong learning culture through the use of scenario-based training and coaching when delegating tasks, which supported staff to develop confidence, competence, and accountability in their roles. Staffing levels were sufficient to meet people’s needs and enabled flexible, responsive care delivery.

The service was effectively managed and monitored with clear governance and oversight arrangements in place. This enabled the provider to identify improvements and take action where required.

The registered manager was knowledgeable, skilled, open, honest and transparent. They had made significant improvements to the service, promoting a person- centred approach and creating a positive, inclusive and open culture for both people and staff.

The service had undergone extensive refurbishment and provided a homely, welcoming and comfortable environment.

This service had been in Special Measures since 11 April 2025. The provider demonstrated improvements had been made. 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.