CQC report explained · a residential care home
What the CQC found at Wentworth Lodge Residential Care Home Ltd
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough suitably skilled staff, safe medicines procedures, regular risk assessments and effective infection control.
- Effective?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Well-led?
- Good
- The home had systems for audits, feedback, learning from incidents and person-centred care. Inspectors also found some management systems needed updating or strengthening.
What inspectors found, September 2022
Wentworth Lodge Residential Care Home is Rated Good; inspectors found safe, well-managed care, with some record-keeping systems needing improvement.
This was an unannounced focused inspection on 2 and 4 August 2022. It followed concerns about medicines management. The inspection looked only at Safe and Well-led, including infection prevention and control. An inspector visited the home and an expert by experience spoke with relatives.
Inspectors spoke with four people, 10 staff, a health professional and 10 relatives. They reviewed care records, medicine records, staff recruitment files, audits, policies and training records. They found enough suitably trained staff, safe medicines practices, regular risk reviews and effective infection control arrangements.
Safe and Well-led were both rated Good. The overall rating stayed Good, as the other areas were not inspected and their previous ratings from 2019 were carried forward. Inspectors found no evidence that people had been put at risk by the concern that led to the inspection.
Enough skilled staff
Inspectors found enough staff available to support people safely, and recruitment checks were completed in line with the provider's policy.
“There were enough staff available with the right skills to support people safely.” from the report
Safe medicines practice
People received their medicines as prescribed. Staff followed individual guidance, medicines were stored securely and records were completed.
“Medicines were safely secured, and temperatures were checked for the safe storage of medicines in the room and a refrigerator every day.” from the report
Person-centred culture
Staff knew people's preferences and used this knowledge to support them individually. People and relatives said they were listened to.
“People's preferences were documented in care plans and these were followed by staff.” from the report
Learning from problems
The home reviewed accidents and used feedback to make changes to training, incident systems and care plan processes.
“The registered manager encouraged a learning culture.” from the report
One missed notification
minorOne incident had not been notified to CQC as required. The error was corrected straight away and the system was changed.
“At the inspection we found an error meant one incident had not been notified; this was corrected straight away” from the report
Care plan alerts failed twice
needs fixingThe system that alerted the provider when care plans needed completing or updating did not work on two occasions. No one was affected, and the issue was addressed during the inspection.
“We found this had not been effective on two occasions and plans were not in place.” from the report
Medicines policy needed updating
minorThe medicines policy did not reflect the latest guidance, although staff procedures and training did. The registered manager said the policy would be updated.
“We found the medicines policy required review to ensure it reflected up to date guidance.” from the report
- 01What changes were made to the care plan alert system, and how have you checked that it now works reliably?
- 02Has the medicines policy been updated to reflect current guidance?
- 03What was the incident that was not notified to CQC, and what checks now prevent this happening again?
- 04How are medicines audits and medicine administration records checked for mistakes or missed doses?
- 05What are the current ratings or most recent findings for Effective, Caring and Responsive, which were not assessed in this inspection?
This was an unannounced focused inspection of Safe and Well-led, including infection control; the other ratings were carried forward from the previous inspection in 2019. This explanation was written from the published report of 9 September 2022 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, July 2019
Wentworth Lodge Residential Care Home Ltd was rated Good; inspectors found kind, safe and personalised care, with some people wanting more activities and some concerns about staff being busy.
This was an unannounced inspection visit on 25 March 2019. The inspector and an expert by experience spoke with six people living in the home, three relatives and staff. They also observed care and checked care plans, medicines records, training, staffing and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, medicines were managed safely, staff knew people's needs and healthcare was arranged when needed.
The home supported people's choices, routines, independence and activities. The report says some support with personal routines and activities was exceptionally well managed. The home had also been rated Good at the previous inspection, published in January 2016.
Personalised routines
People were supported to choose their own daily routines, including when they got up and went to bed. Staff encouraged independence and knew how each person wanted to be supported.
“People made decisions about their routines and lifestyles.” from the report
Kind and respectful care
Staff spent time with people, spoke respectfully and protected their dignity and privacy. People and relatives gave positive feedback about the care.
“People were supported with kindness and consideration. Staff knew how to keep people safe and had received training in safeguarding” from the report
Safe medicines
Medicines were stored securely, given safely and recorded when administered. Staff were trained and regular checks were carried out.
“People received their medicines on time and in a safe way.” from the report
Activities and interests
The home supported activities inside and outside the home, including singing, films, trips and individual sessions. Inspectors said some support with routines and activities was exceptionally well managed.
“some aspects of the support they received to establish their own routines and their activities of interest were exceptionally well managed.” from the report
Approachable management
People, relatives and staff said managers could be approached with concerns. The home used audits, meetings and feedback to monitor and improve care.
“Quality assurance checks were being undertaken regularly and staff and people spoke highly of the registered manager and deputy manager” from the report
Staff sometimes felt rushed
minorAlthough inspectors found enough staff rostered to meet people's needs, one person said staff were very busy and rushing around. Families may want to ask how staffing levels are managed at busy times.
“The staff are very busy; they could do with more staff. They are always rushing around.” from the report
Some people wanted more activities
minorThe home provided activities, but not everyone felt there were enough activities that suited their interests. Families should ask how activities are matched to each person's preferences.
“Although many of the people found that enough activities were available some people said that they would like more activities in the home that they would enjoy.” from the report
- 01How many care staff are normally on duty on each shift, and what happens when staff are absent or the home is busy?
- 02How do you find out which activities each person enjoys, and what individual activities are available?
- 03How are changes in a person's health, risks or care needs shared with all staff?
- 04How will relatives be involved in reviewing care plans when a person cannot take part themselves?
- 05How are complaints and feedback recorded, investigated and used to make improvements?
This was an unannounced planned inspection that looked at the overall service, including care, accommodation, records, staff and all five CQC questions. This explanation was written from the published report of 16 July 2019 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 Lodge Residential Care Home Ltd
3 rated inspections over 6 years: the service has held its Good rating throughout.
- September 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wentworth Lodge Residential Care Home Ltd →
- July 2019Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Wentworth Lodge Residential Care Home Ltd →
- April 2016
Report published without a new overall rating.
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 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 10 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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