Wentworth Grange

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At the last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people were safe and protected from avoidable harm.

This service scored 81 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The management team had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. The team used the information to identify areas where lessons could be learnt. A staff member said, “From the beginning I was asked for my opinion in work related problems. This wasn’t my experience before and I couldn’t believe I had a voice. I am heard, listened, supported, advised in my work and constantly involved in decisions. We all work together to make improvements.”

Staff worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. A relative said, “I have had experience with 3 local care homes recently– relatives have been in 2 of them - which is why we chose Wentworth Grange for [person]. I can honestly say that we have not regretted this decision at all. The staff are lovely, helpful and cheerful and many go over the top to make sure [person] is comfortable.”

Staff worked with individuals and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The management team shared concerns quickly and appropriately. A relative said, “I was contacted by a manager once as they had discovered an unexpected bruise. The incident was handled well and monitored.” Staff had training and a good understanding of what to do to make sure people were protected from harm or abuse. The management team ensured, Deprivation of Liberty Safeguards (DoLS) authorisations were sought when needed and any conditions imposed by them were followed.

Staff worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. A staff member said, “The management team is really efficient, they do risk assessments in a daily manner, and they ask for our suggestions and opinions.” A person told us, “I have discussed with staff how to manage the difficulties I face with my poor mobility and we have put a very good plan in place.”

The provider was fully aware of all potential risks in the care environment and controlled them well. They made sure equipment, facilities and technology supported the delivery of safe care and worked with external professionals to review people’s aids. The provider and maintenance team always made sure the equipment staff had was the latest and most effective. For example, they had purchased mattresses, which had an airflow system integrated into it and was a leading design in the management of skin integrity. Systems were in place such as Alexa and pendant alarms so people, when possible, could opt not to be checked at night. This meant they could enjoy uninterrupted sleep. A person said, “[Registered manager] is always on the ball when it comes to making sure we have everything we need to make our lives easier and will buy the latest piece of equipment if it will help us.” The staff team knew who to contact when people might benefit from additional aids or equipment. Staff were trained to use any equipment people needed.

People were supported to be as independent as possible within the environment. The provider had designed the service as two buildings, one which supported people living with a dementia and provided a lot of communal areas plus access to gardens. The other building offered a hotel experience, with a separate team of staff who ran a café and restaurant. The buildings were maintained to a high standard which the maintenance staff routinely decorated, and the gardens were meticulous. A staff member said, “We have access to all equipment we need and if we ever need anything extra [the registered manager] gets it for us.”

The provider made sure there were always enough qualified, skilled and experienced staff, who received thorough support, supervision and strong development opportunities. A comprehensive team worked within the service, which included the management team, nurses, care staff, restaurant and catering staff, the activities team, concierge and administration staff, domestic and laundry staff and the maintenance team. They worked as a team to ensure people experienced a seamless service and their needs were met. The management team closely monitored staffing levels to ensure people’s needs were readily met. They had recently increased the number of staff on nightshift, as they found people in Hampton would benefit from more support overnight. A staff member said, “The manager has always been very supportive and is always there when you need them, for help, support or just a chat. I have had no issues whatsoever over the years. In my view there is enough time/staff to complete what needs to be done. Working as a team is a key priority to deliver the care and support our guests need and deserve along with their family and friends.”

The management team promoted a learning culture. The training manager ensured staff received a wide range of training including mandatory and condition specific courses. Staff found the training really supported them to provide the best care possible. Recruitment practices were meeting requirements. A person said, “Another guest (person living at the home) and I are always involved in interviewing potential new employees and are views about the person’s suitability are really listened to. We have just recruited a nurse and I found they ticked all the boxes, as they were competent but also personable.” Staff supervision sessions were completed in line with the provider's policy.

The management team assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff followed the required infection control guidelines. A relative said, “The atmosphere is great and doesn't have the feel (or smell) of a care home. The laundry service works amazingly efficiently and rarely does an item go missing...which compared to previous experiences is a novelty and I haven't had to do the laundry myself!”

Staff made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff who administered medicines had the appropriate training and competency checks. Staff worked closely with the GP and pharmacist to make sure medicines were managed appropriately.