Working at Gracefield Health Care Limited (GHC) - 31 St Domingo Grove
St Domingo House, Liverpool, L5 6RP
Operated by Gracefield Health Care Limited (GHC)
6 bedsResidential homes
Workplace Score
4.8/10
AI analysis of latest data
Our AI workplace review
PlainSight AI Review
Last updated: 10 February 2026
Score: 4.8/10
Key Finding
"Good training in positive behaviour support and enough staff, but no activity charts and poor incident recording hold it back."
Safety & Risk
5/10
!
Risk assessments and care plans had improved since the last inspection. However, staff were not always following the identified control measures to effectively manage periods of emotional distress.
Staff Culture
5/10
!
Further work was required to improve staff culture as records showed that not all staff were following people's behaviour support plans to support people's wellbeing and to reduce periods of emotional distress.
Staffing Levels
5/10
!
There were enough staff to support people. However, records showed that some agency staff members did not have the relevant training to support a person who had frequent periods of emotional distress.
Training & Dev
6/10
✓
The provider had invested in training for restrictive practices and positive behaviour support to ensure staff had the relevant skills to provide safer care to autistic people and people with a learning disability.
Management
4/10
!
Governance processes were not always effective at improving the quality and safety of the service. We identified shortfalls with the system to record and analyse incidents and found care plans still contained some inconsistent, contradictory and missing information.
Programmes
3/10
✕
The behavioural support plans for 2 people stated that a weekly activity chart should be in place as this strategy is needed for consistency. We found that no activity charts were in place.
Points to consider
No structured activities programme like weekly charts even when needed in care plans, so the role sticks to basic personal care.
The behavioural support plans for 2 people stated that a weekly activity chart should be in place as this strategy is needed for consistency. We found that no activity charts were in place.
Managers do not always oversee accident records well or set clear dates to fix care plan gaps, so problems linger.
We identified shortfalls with the system to record and analyse incidents... there was not always a clear timescale of when these would been actioned.
Some agency staff lack training for residents emotional distress needs, even though overall numbers are okay.
records showed that some agency staff members did not have the relevant training to support a person who had frequent periods of emotional distress.
AI Generated
CQC Inspection Overview
CQC Inspection
Last inspected: October 2022
Requires improvement
Safe
!
Requires improvement
Effective
!
Requires improvement
Caring
!
Requires improvement
Responsive
!
Requires improvement
Management Quality
Well-led: Requires improvement
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- Care Quality Commission (CQC) Inspection Data
- PlainSight staff reviews