Grange Hill, in the deep rural hills of Westmoreland, is a thriving community and the second largest commercial centre in the parish. The town is located in west central Westmoreland, in an area long used for horse breeding and rearing. Even today, a number of notable breeders still operate horse farms here. Most of the people in Grange Hill work in agriculture or in tourism, as the town lies on the fringes of Westmoreland's sugar belt only about three miles away from the sugar factory at Frome. With the resort area of Negril only fifteen minutes drive away, many others commute to staff the hotels, restaurants and bars in that town. The people of Grange Hill, however, maintain the spirit of independence and self-sufficiency that is characteristic of country folk in Jamaica; and although most work for the two large industries, many families maintain a 'family ground', small farms where market produce is grown to feed the family and to supplement the household income.

The Police Station in Grange Hill is not called the Grange Hill Police Station as almost all community outposts of the Jamaica Constabulary Force are called. The Morgan's River Police Station, as it is called, sits in the centre of town, named for the river that passes close to the community. The tributary, Morgan’s River, eventually joins the Cabaritta River flowing into the sea near Savanna-La-Mar. It was named for the infamous pirate and Jamaica's first Lieutenant Governor, Sir Henry Morgan. Incidentally, the area never took the river’s name and, apart from the Police Station, nothing else seems to bear that name.

The fertile soil in Grange Hill has earned the area its island-wide reputation for producing some of the best crops available. In addition, the area has been one of the most recognized horse breeding areas in Jamaica and even today, one of the best racehorse breeders in Jamaica still maintains a small ranch there.

Down Belle Isle road just beyond the town centre, there is an impressive stone mausoleum containing the remains of an old planter family. Since Grange Hill is a predominantly pedestrian and bicycle community, a short excursion to find this monument may be an interesting experience!