Wentworth House

Updated 13 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Wentworth is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wentworth House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection, there was a registered manager in post.

Notice of inspection

This inspection was unannounced and we visited the home on 18 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service, although did not review the provider information return (PIR) as part of this inspection. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 6 people who used service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the provider, care manager, deputy manager and 4 care staff.

We reviewed a range of records. This included care plans, recruitment information, staff training records and records associated with the provider's quality monitoring systems.

Updated 13 July 2023

About the service

Wentworth House is a care home in Salford which is registered with CQC to provide care for a maximum of 25 people. There were 23 people using the service at the time of the inspection.

People's experience of using this service and what we found

We found record keeping needed to improve and some care plans lacked important details about the care people required. Some people did not have appropriate care plans in place, despite living at the home for several months. Audits were carried out to monitor the quality of service, however these needed to improve to ensure gaps in record keeping were identified and addressed.

Some medicines were not stored securely, mainly creams and sluice room doors were not always locked to prevent people being placed at risk. Fire doors were seen to be held open by inappropriate means which could stop them closing properly. We raised these concerns with the care manager and these areas of concern were addressed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, an MCA/Best Interest decision had not been completed for one person with bed rails in place.

There were enough staff to care for people safely and correct staff recruitment procedures were followed. Staff understood about safeguarding and how to report concerns. Equipment and the premises were well-maintained

There were systems in place to seek feedback from people living at the home, including the use of satisfaction surveys. Out of hours spot checks were also undertaken and staff supervisions held.

Rating at last inspection

The last rating for this service was good (published March 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.

For those key questions not inspected (effective, caring and responsive) we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Wentworth House on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in good governance, particularly in relation to record keeping.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk