CQC report explained · a residential care home
What the CQC found at Wentworth Hall Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and risks were assessed and managed. Medicines were given safely, although some as-needed medicine instructions needed more detail and were updated after the inspection.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- Inspectors found an open, person-centred culture and systems for monitoring quality. Recruitment difficulties in the senior team meant some issues were not identified before the inspection.
What inspectors found, January 2024
Rated Good; inspectors found safe, kind care, but some staffing, medicine and maintenance checks needed attention.
This was an unannounced focused inspection on 9 January 2024. One inspector and an Expert by Experience spoke with 8 people, 4 relatives and 5 staff. They also reviewed care, medicine, recruitment and management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. People said they felt safe, received their medicines as prescribed and were happy with the care and support.
Inspectors found some minor problems. These included gaps in one staff member's employment history, limited detail in some as-needed medicine instructions, and small cleanliness and maintenance issues. The home addressed these points immediately, according to the report.
This inspection only looked at Safe and Well-led. The ratings for Effective, Caring and Responsive were carried forward from the last inspection, which was published on 9 January 2018.
People felt safe
People told inspectors they felt safe and that staff responded to their needs. Staff were observed supporting a transfer safely.
“People told us they felt safe living at the home.” from the report
Safe medicines support
Staff had training and were assessed as competent to administer medicines. People said they received medicines at the correct times.
“People were supported to receive their medicines safely.” from the report
Kind and personal care
People described staff as caring and said staff knew them well. Inspectors found that people were included in decisions about their care.
“Staff included people in decisions about their care and support and asked people what they preferred.” from the report
Open management
Inspectors found a positive and open culture. People and relatives said communication was good and that their views were listened to.
“There was a positive and open culture at the service.” from the report
Learning from incidents
The home recorded and analysed accidents and incidents to look for patterns and reduce future risks.
“The management team completed an analysis of accidents and incidents to identify trends and patterns.” from the report
Senior team recruitment
needs fixingThe registered manager was struggling to recruit senior staff and there was no deputy manager. Inspectors said the reduced senior team had allowed some issues to go unnoticed.
“The reduction of senior staff had led to some issues not being identified prior to our inspection.” from the report
Recruitment record gap
minorOne staff file had gaps in employment history. The manager explained the gaps and updated the documents after the inspection.
“However, we found some gaps in employment history for 1 member of staff.” from the report
As-needed medicine instructions
needs fixingSome instructions for medicines given when needed did not contain enough detail. The home confirmed these had been reviewed and updated after the inspection.
“However, these required more detailed information.” from the report
Minor environment issues
minorInspectors found some small issues during a tour, including bins without pedals and maintenance needed to help keep areas clean. The home addressed these after the inspection.
“We identified some minor issues such as the lack of pedal operated bins, and some maintenance that was required to keep things clean.” from the report
- 01Have you recruited a deputy manager or strengthened the senior team since the inspection?
- 02How do you now check that as-needed medicine instructions contain enough detail?
- 03What checks make sure staff employment histories and other recruitment records are complete?
- 04Have all the maintenance and cleanliness issues found during the inspection been kept under review?
- 05When will Effective, Caring and Responsive next be inspected rather than relying on the older ratings?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the last inspection. This explanation was written from the published report of 30 January 2024 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.
What inspectors found, March 2021
Wentworth Hall Residential Home was inspected but not rated; inspectors were assured about its infection prevention and control arrangements.
This was an announced, targeted inspection on 9 March 2021. It was carried out during the coronavirus pandemic and looked only at infection prevention and control in the home.
Inspectors found arrangements for safer visiting, including visits in a summer house, through a gazebo or at windows. The home also supported phone, Skype, email and video calls. Staff used personal protective equipment, washed their hands and had completed infection control training.
The home had a testing programme for staff and residents. Inspectors found the home clean, with high-touch areas cleaned regularly, and were assured that infection prevention and control guidelines were being met.
The service was inspected but not rated overall. The Safe question was also inspected but not rated, so this report does not provide a broad judgement about the quality of care.
Safer family visits
The home had several ways for relatives to visit while reducing infection risks, including a summer house, gazebo and window visits.
“The provider had a process in place to enable relatives to visit their family members in a safe way by using a summer house with screening in place, gazebo and window visits.” from the report
Keeping people connected
The home supported phone, Skype, email and video calls so people could stay in contact with family and friends.
“The home also facilitated phone calls, skype, email and video calls, to ensure people were able to communicate with their family and friends.” from the report
PPE and hand hygiene
Staff used personal protective equipment, washed their hands and used hand sanitiser. They had completed infection control and coronavirus-related training.
“Staff wore appropriate personal protective equipment (PPE), regularly washed their hands and applied hand sanitiser.” from the report
Testing arrangements
Staff were tested three times a week and residents monthly. The report says appropriate action was taken after positive tests.
“Staff were tested three times a week and people using the service were tested monthly.” from the report
Clean environment
Inspectors found the home clean and without unpleasant smells. High-touch areas such as door handles and handrails were cleaned regularly.
“The home was clean and there were no malodours.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and when was the policy last updated?
- 02How can relatives visit now, and what checks or precautions are required?
- 03How often are staff and residents tested now, and what happens if someone tests positive?
- 04How often are high-touch areas such as door handles and handrails cleaned?
- 05What training have staff completed in infection control and the safe use of personal protective equipment?
This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated overall and the other questions were not assessed. This explanation was written from the published report of 26 March 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.
Every inspection of Wentworth Hall Residential Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- January 2024Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wentworth Hall Residential Home →
- March 2021Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Wentworth Hall Residential Home →
- January 2018Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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.
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