Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvementRated 1 year ago↑ Up from Inadequate
SafeAre people protected from abuse and avoidable harm?59%Requires improvement
See the breakdownHide the breakdown4 of 8 below good
Safe and effective staffingSignificant shortfalls
Involving people to manage risksSome shortfalls
Medicines optimisationSome shortfalls
SafeguardingSome shortfalls
Infection prevention and controlGood
Learning cultureGood
Safe environmentsGood
Safe systems, pathways and transitionsGood
EffectiveDoes care achieve good outcomes and a good quality of life?67%Good
See the breakdownHide the breakdown2 of 6 below good
Assessing needsSome shortfalls
Monitoring and improving outcomesSome shortfalls
Consent to care and treatmentGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Supporting people to live healthier livesGood
CaringAre staff kind, compassionate and respectful?75%Good
See the breakdownHide the breakdownAll 5 good
Independence, choice and controlGood
Kindness, compassion and dignityGood
Responding to people's immediate needsGood
Treating people as individualsGood
Workforce wellbeing and enablementGood
ResponsiveAre services organised to meet people's needs?71%Good
See the breakdownHide the breakdown1 of 7 below good
Care provision, integration and continuitySome shortfalls
Equity in accessGood
Equity in experiences and outcomesGood
Listening to and involving peopleGood
Person-centred careGood
Planning for the futureGood
Providing InformationGood
Well-ledIs the home well managed, with a culture of high-quality care?61%Requires improvement
See the breakdownHide the breakdown2 of 7 below good
Governance, management and sustainabilitySignificant shortfalls
Learning, improvement and innovationSome shortfalls
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Partnerships and communitiesGood
Shared direction and cultureGood
Workforce equality, diversity and inclusionGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 24 good, 9 below good. Use “See the breakdown” on each key question for its standards. ?
CQC hasn't inspected this home for more than 5 years. It re-inspects based on risk, so an old rating doesn't count against a home on this site, but it may not reflect the home today. ?
Downham Grange is one of 311 care homes in Norfolk: a 62-bed nursing home in Downham Market, run by Kingsley Care Homes Limited. CQC registers it to look after older people, people with dementia and younger adults. That is larger than most homes in Norfolk, where the typical home has 29 beds.
The kitchen has a food hygiene rating of 5 (very good), from January 2026. 89% of homes in Norfolk also score 5. 87 other homes in Norfolk share its tier, “Requires improvement”. The nearest home with a higher rating is High Haven (Good), 0.6 km away. 6 of Kingsley Care Homes Limited’s 8 rated homes are Good or Outstanding (compare care home groups).
CQC's latest rating, from July 2025, is Requires improvement overall. It was Requires improvement for safe and well-led as well. For effective, caring and responsive, the rating was Good. Before that, in October 2023, it was rated Inadequate. Ratings in Norfolk are typically about 5 years old, which makes this one newer than most. 9 of its 33 scored standards were below good, including “safe and effective staffing”.
