Wentworth Grange

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At the last inspection we rated this key question good. At this assessment the rating has remained to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The registered manager ensured the assessments were completed in a timely manner and were accurate. These were used as the basis for the care records. Overall, the care records detailed people’s needs and important information about their lives. Staff used care records to understand people’s ongoing needs and monitor their well-being. For example, staff understood what may cause individuals to become distressed and used this knowledge to reduce the chance of this happening.

Staff always planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation. They worked to develop evidence-based good practice and standards. Staff ensured best practice guidance was obtained and followed. For example, they had considered all sources of support and information to determine the best way to support people manage their physical health needs. We also observed how staff followed best practice around dementia care. We observed staff consistently engaged people in ways, which promoted their wellbeing and enabled them to retain their social skills. We saw staff consistently engaged people in conversation and encouraged individuals to join in activities, which people appeared to enjoy. A relative said, “The home was able to meet the care needs of [person] who had dementia and increasingly limited mobility. It was very important to us that [person] could stay with our other relative who also lived at the home. Staff put everything in place to make sure this could happen and their needs were very well met.”

Staff worked closely with people and in very creative ways, to ensure they had balanced and nutritious diets. The catering team were always at hand during mealtimes to check if people were happy. The catering staff were consistently looking at how to enhance the mealtimes and provided a variety of experiences, such as fine dining night, meals from around the world and wine tasting events. They let people know in advance what was on the menu and would take requests for different options. People were extremely complimentary about the food and discussed how responsive the catering staff were to their requests. A person said, “The food is superb and we have such fantastic meals. They are so attentive and if you don’t feel up to a particular meal will always make something which will whet your appetite.”

Staff worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked with other agencies and professionals such as diabetic nurses and GPs. Staff work very effectively as a team to ensure people’s support needs were met.

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff assisted people to live healthier lives and, where possible, reduce their future needs for care and support. Staff liaised with external health and social care professionals to ensure people received consistent care and support. A relative said, “The staff with nursing responsibilities ensure that her medication is taken on time, and have made a number of suggestions as to how she can be helped to remain physically well. Where necessary, these staff have arranged for visits from the District Nurses and from the GP.”

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People, relatives and professionals reported individuals had experienced positive outcomes since moving to the service. Staff work as a team to ensure people’s support needs were met. A person said, “This is a wonderful place to live and the staff always make sure you get everything you need.”

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. People made their own choices and decisions on a day-to-day basis about what they did, what they ate and how they filled their time. Staff understood the requirements of the Mental Capacity Act and associated codes of practice. They completed capacity assessments and ‘best interests’ decisions. However, these did not always cover all aspects of care, for example, where staff were imposing restrictions, or the person could not give their consent. The management team immediately took action to ensure the documents were improved.