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CQC report explained · a nursing home

What the CQC found at Wentworth Grange

Goodpublished 15 September 2025, 12 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, December 2023

Rated Requires Improvement; inspectors found kind, knowledgeable care but weaknesses in medicines records and oversight.

This was an unannounced, focused inspection on 23 October 2023. Inspectors looked at Safe and Well-led. They spoke with people, relatives, staff and external professionals, observed care, and checked care, medicines and management records.

The home was not always safe. Medicines guidance and records were inconsistent. Audits and investigations did not reliably identify problems or show lessons learned. Some information was also not shared promptly with CQC and other agencies.

There were positive findings. People felt safe and supported. Staff understood people's risks and needs, care plans were detailed, the environment was clean, and staff were trained and checked as competent. However, the weaknesses in oversight led to a breach of Regulation 17 and an overall rating of Requires Improvement.

What inspectors praised
  • Detailed care planning

    Care plans included useful information about people's needs and risks. Staff understood how to reduce those risks.

    “Risk assessments were contained within people' care planning documentation and were detailed.” from the report
  • Trained staff

    Staff received training and supervision, and their competence was checked regularly. They showed good knowledge of people's medicines and needs.

    “Staff were trained, supervised and had their competence regularly assessed.” from the report
  • People felt safe

    People and relatives said they felt safe and supported. Staff checked on people's wellbeing and responded promptly to individual incidents.

    “People felt safe and supported. Staff regularly checked on people's wellbeing.” from the report
  • Warm relationships

    Inspectors saw staff interact warmly with people. People valued the stable core staff team and continuity of care.

    “Staff were welcoming and interacted warmly with people throughout.” from the report
What inspectors were concerned about
  • Medicines records and guidance

    needs fixing

    Guidance for medicines given when needed was not always person-centred. Records for creams and patches were inconsistent or missing on some occasions.

    “Guidance to support staff in the safe administration of when required medicines needed to be more person-centred.” from the report
  • Weak oversight

    serious

    Medicines and care plan audits were irregular or ineffective. They did not identify the problems found during the inspection.

    “Audits of medicines were irregular and had not picked up on the areas we identified.” from the report
  • Incident investigations

    serious

    Internal investigations did not always show clear lessons or follow-up actions. This meant the home could not demonstrate that repeat problems would be avoided.

    “The provider did not always conduct sufficiently rigorous internal investigations following incidents; lessons learned and follow up actions were not always apparent.” from the report
  • Delayed information sharing

    needs fixing

    Information and records were not always shared promptly with CQC and other relevant agencies. The report said the culture was not always open.

    “The provider did not always share information promptly when requested, with CQC and other relevant agencies.” from the report
  • Staffing concerns raised

    needs fixing

    Some people and external professionals felt there were times when staff were stretched in communal areas. Inspectors did not see staff struggling during the visit, but the provider agreed to review how staffing levels were calculated.

    “People felt there were times when there were too few staff in communal areas.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to guidance and records for medicines given when needed, creams and patches?
  2. 02How often are medicines and care plan audits now completed, and who checks that they identify problems?
  3. 03How do you investigate incidents and record the lessons learned and follow-up actions?
  4. 04How quickly will you share information and records with CQC and other agencies when requested?
  5. 05What has your review found about staffing levels in communal areas?

This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 6 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, May 2021

Inspected but not rated; inspectors were assured by the home's infection control arrangements.

This was an unannounced, targeted inspection on 13 April 2021. It followed information of concern about infection prevention and control.

Inspectors looked at measures for visiting, testing, admissions, protective equipment, social distancing, cleanliness and managing outbreaks. They were assured by the arrangements they found.

The home was inspected but not rated. This report does not give an overall rating or assess the other four areas of care.

What inspectors praised
  • Visiting arrangements

    The home followed government guidance for visits and continued to offer outdoor visits and video calls.

    “Outdoor visiting opportunities were still provided as were video calls.” from the report
  • Regular testing

    Systems were in place for people living in the home and staff to take part in regular COVID-19 testing.

    “Robust systems were in place to ensure staff and people living at the home participated in regular testing for COVID-19.” from the report
  • Protective equipment

    There was enough protective equipment, and staff understood how and when to use it safely.

    “There was a good supply of PPE and staff understood when it should be worn and how to put it on and take it off safely.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are current visiting arrangements being managed and reviewed?
  2. 02How often are people living in the home and staff tested for COVID-19 now?
  3. 03How do you check that staff use protective equipment correctly?
  4. 04How is the infection prevention and control policy kept up to date?
  5. 05What information can you provide about the home's care, staffing and management, which were not assessed in this inspection?

This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 14 May 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Wentworth Grange

4 rated inspections over 8 years: the service has held its Requires improvement rating throughout.

  1. December 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Wentworth Grange →

  2. May 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Wentworth Grange →

  3. February 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. November 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 25 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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