The Grange

Updated 27 November 2018

The Grange provides a residential substance misuse and eating disorder treatment programme for adults. It also provides treatment for mental health conditions when these occur alongside a primary addiction or eating disorder diagnosis. The Grange provides medical detoxification and a therapeutic recovery programme based on the 12 steps model.

The service is provided in a large Grade II listed Georgian manor house in Woking, Surrey. The building is set in its own grounds, with a large walled rear garden.

There was accommodation for 17 clients on the first floor of the main building, single and twin rooms all with en-suite bathrooms. Two bedrooms were adjacent to the nursing station for clients who were undergoing the early days of a detoxification. Therapy, activity and communal rooms are located on the ground floor. There was also a two-bedroom annex next to the main building known as ’The Cottage’ where staff provided a bespoke care package. All clients who have used the residential services at the service could access day-care as part of the step-down process from residential treatment. There were 10 beds occupied at the time of our inspection.

Clients at The Grange self-funded their treatment or their treatment was funded by health insurance. They either self-referred or were referred to the service by doctors and therapists. Some referrals were international. The Grange did not take NHS referrals or referrals of people detained under the Mental Health Act.

The service has been part of the Priory Group of services since September 2015.

We last inspected The Grange in July 2016. At this time we rated the whole location of the service as the service model was in the process of changing to the current model. The service received a Good rating overall. However, we told the provider it must make improvements to ensure the proper and safe management of medicine. During this inspection we saw that these improvement had been made.

The Grange is registered to provide the following regulated activities: accommodation for persons who require treatment for substance misuse and treatment of disease, disorder or injury.

We have inspected one core service – substance misuse services/detoxification as this forms the majority of the treatment provided at The Grange. Between September 2017 and August 2018 there were 153 clients, of which only 29 were treated for an eating disorder. This would not be a large enough amount to inspect as a separate core service. Whilst we have described services provided for clients receiving treatment for eating disorders the rating is based on the substance misuse service. We will monitor the service and will inspect differently next time if the proportion of clients receiving treatment for eating disorders increases.

Updated 27 November 2018

We rated The Grange as good because:

• Staff provided safe detoxification and treatment for clients based on national guidance and best practice. The Grange had a thorough assessment process which ensured that only clients who were appropriate for the service were admitted.

• The environment was well-kept and fit for purpose and there were adequate rooms to provide therapy, activities and safe detoxification. Call alarms had recently been fitted to allow clients to alert staff.

• Since the last inspection The Grange has made improvements in both its management of medicines and the building safety.

• The staff were well trained, specialist and focused on client care, treatment, and recovery. Staff were up to date with their training.

• Clients and family members consistently reported that the care and treatment that the clients received was exceptional. Staff were dedicated to client recovery and passionate about delivering a high standard of person-centred care to clients. Staff were aware of client’s individual needs.

• The Grange had a comprehensive structured week of activities and therapy.

• The service provided opportunity for clients, staff and families to provide feedback about the service and there were systems in place to monitor service risk through a register which was regularly reviewed by the senior management team.

Updated 27 November 2018

Updated 22 November 2016