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Inspection Summary


Overall summary & rating

Good

Updated 6 February 2018

Wentworth Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This inspection took place on 28 November and 7 December 2017 and was unannounced. We last inspected the home on 15 and 20 December 2016 and found the provider was meeting the requirements of the regulations.

Wentworth Grange accommodates 51 people across two separate units, each of which have separate adapted facilities. One of the units specialises in providing care to people living with dementia.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager actively sought people’s and relative’s views. Feedback forms were available for people to share their views about the home and people could also attend meetings.

People and staff told us the home was a safe place to live. Staff showed a good understanding of the provider’s safeguarding and whistle blowing procedure including how to raise concerns. Staff did not raise any concerns about safety with us. One previous safeguarding concern had been dealt with and investigated appropriately.

Sufficient staff were on duty to meet people’s needs. People told us staff responded quickly when they needed assistance. Throughout our inspection we observed there was a visible staff presence at all times.

The provider had effective recruitment checks to ensure only suitable staff worked at the home.

Medicines were managed safety. Only trained staff were able to administer medicines. There were accurate records for the receipt, administration and disposal of medicines and medicines were stored safely.

Where a potential risk had been identified, a risk assessment had been completed. These had been reviewed regularly to ensure they were up to date.

Regular health and safety checks were carried out to help maintain people’s safety. The provider had up to date procedures to deal with unforeseen emergency situations.

People told us the home was clean and hygienic, we also observed this to be the case.

Incidents and accidents were logged and investigated. Where required action had been taken to keep people safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Meeting nutritional needs was an area of strength at the home. The registered manager was motivated to make people’s mealtimes special with great attention to detail and quality ingredients used. Chefs were skilled at preparing and presenting special diets so that people requiring these had a good experience.

People were supported to access a range of healthcare services in line with their needs such as professionals including speech and language therapy, chiropody, opticians and mental health professionals including the behaviour support service.

The provider had adapted the environment to meet the needs of people living with dementia. This included low sheen plain flooring, good levels of lighting and contrasting toilets with flooring. The registered manager was motivated to make the home "special" whilst still meeting the needs of people living with dementia.

People's care plans were up to date, individualised and reviewed regularly. Although care plans were detailed and personalised, some of the very specific information staff were aware of was not always included in the plans. We discussed this with the registered manager who agreed to ensure care plans were deve

Inspection areas

Safe

Good

Updated 6 February 2018

The service was safe.

There were sufficient staff on duty to meet people�s needs. Effective recruitment checks were in place to ensure new staff were suitable to work at the home.

People received their medicines safely.

The provider carried out regular health and safety checks and had up to date procedures to deal with emergency situations.

The home was clean, hygienic, well maintained and decorated to a high standard.

Incidents and accidents were fully investigated.

Effective

Good

Updated 6 February 2018

The service was effective.

Staff were well supported and received the training they needed.

The provider followed the requirements of the Mental Capacity Act 2005 (MCA).

People�s nutritional needs were met to a very high standard.

People were supported to meet their healthcare needs.

The home had been adapted to meet the needs of people living with dementia using high quality fixtures and fittings.

Caring

Good

Updated 6 February 2018

The service was caring.

People confirmed they received good care.

Staff were kind, considerate and caring.

People were treated with dignity and respect.

People were supported to make their own choices and to be as independent as possible.

Responsive

Good

Updated 6 February 2018

The service was responsive.

People had individualised and up to date care plans. Some very specific information about people�s needs had not been recorded in care plans.

Risk assessments and risk management plans were in place as required.

Activities were provided for people to take part in. We have made a recommendation about the provision of activities for people living with dementia.

People knew about the complaints procedure. There had been no complaints made about the home.

Well-led

Good

Updated 6 February 2018

The service was well led.

Staff described the registered manager as supportive and approachable.

There were regular opportunities for people and staff to share their views about the care provided at the home.

The provider had a clear vision for the future development of the home.

The provider had a structured approach to quality assurance and carried out regular audits.