SafeAre people protected from abuse and avoidable harm?53%Requires improvement
See the breakdownHide the breakdown6 of 8 below good
Infection prevention and controlSignificant shortfalls
Involving people to manage risksSome shortfalls
Learning cultureSome shortfalls
Medicines optimisationSome shortfalls
Safe and effective staffingSome shortfalls
Safe environmentsSome shortfalls
Safe systems, pathways and transitionsGood
SafeguardingGood
EffectiveDoes care achieve good outcomes and a good quality of life?71%Good
See the breakdownHide the breakdown1 of 6 below good
Consent to care and treatmentSome shortfalls
Assessing needsGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Monitoring and improving outcomesGood
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?75%Good
See the breakdownHide the breakdownAll 7 good
Care provision, integration and continuityGood
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 breakdown3 of 7 below good
Governance, management and sustainabilitySignificant shortfalls
Learning, improvement and innovationSome shortfalls
Shared direction and cultureSome shortfalls
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Partnerships and communitiesGood
Workforce equality, diversity and inclusionGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 23 good, 10 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. ?
Melwood Grange is in the Requires improvement tier ?, with 49 other homes in Hertfordshire.
76% of rated homes here are Good or Outstanding (England: 82%).
Quantum Care Limited runs Melwood Grange, a nursing home in Royston, Hertfordshire with room for 73 residents. It is registered to care for older people, people with dementia, younger adults, people with a physical disability, people with mental health needs and people with a sensory impairment. That is larger than most homes in Hertfordshire, where the typical home has 30 beds.
CQC's latest rating, from March 2026, is Requires improvement overall. Safe and well-led were also Requires improvement. CQC rated effective, caring and responsive as Good. That is more recent than most ratings in Hertfordshire, where the typical rating is about 5 years old. CQC found significant shortfalls in “infection prevention and control”, one of 10 standards out of 33 scored below good.
Quantum Care Limited runs 23 care homes, and 14 of the 19 rated are Good or Outstanding. About 1.3 km away, Walsingham Support – Hardy Drive is rated Good. In Hertfordshire, 76% of rated care homes are Good or Outstanding (England 82%). The kitchen has a food hygiene rating of 5 (very good), from December 2025. That is true of 92% of homes in Hertfordshire.
