Sherwood Grange

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

There were capable and compassionate leaders in place. The registered manager was being supported by the provider’s senior management team, to make a number of changes at the service, and these were welcomed by the staff team. The staff team focused on providing high quality care and felt able to speak up should they have any concerns. There was a focus on continuous improvement and developing the service, to ensure people’s health and wellbeing was protected. A clear service improvement plan was in place which ensured timely action was taken and improvements were sustained.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider was committed to support the staff team on an ongoing basis. The registered manager was aware of their legal duties and were supported by the provider’s senior management team to stay up to date with best practice. All staff were guided by the provider’s policies and procedures and were notified of any changes to these. Staff felt well supported in their role and guided by capable leaders. They said, “Right now we have good management in place. “, “We work as a team... The managers are good, they understand everything…Actions are taken immediately if anything is being raised as an issue.”

Staff were empowered in their role. There was clear delegation of duties through a team leader system. Staff were encouraged to take additional responsibilities, in line with skill set and training, such as carrying out medicines audits and providing manual handling training.

Staff were encouraged to raise the concerns they had and felt confident to do so. Staff’s comments included “I feel ok to say if things are not ok” and “We have information about the whistleblowing everywhere. We would report to the CQC and raise a safeguarding if any abuse is taking place.”

The management team had ensured that information on how to challenge poor practice was easily accessible at the home. Guidance for people on how to raise complaints was available in their bedrooms. Contacts for the safeguarding team and CQC were shown on the home’s noticeboards should staff feel the provider had not taken appropriate action to support their raised concern.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us that lots of changes had occurred recently to improve practices at the service. They felt the management team had a clear focus on providing quality care, and they were encouraged to raise concerns so they could be addressed. The management team were clear of their role in reviewing the quality and safety of practices at the home. They were aware of the provider’s governance and reporting system to ensure there was transparency about care provision.

A comprehensive governance framework was in place. This included a range of processes designed to review risk, safety and quality across the service. A range of audits and checks were undertaken by the staff, the management team and the provider’s quality team to review practices. Any areas identified as requiring improvement from these processes were picked up and followed through to ensure they were addressed in a timely manner.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

There was a culture of continuous learning at the service. The management team told us that monitoring of the care at the home had been improved recently. This was in relation to on-going checks of documentation and communication with the staff team. Staff were provided with targeted training to enhance their skills in specific areas. We also found that actions were taken quickly by the management team to make improvements when necessary. This included the shortfall we identified during the inspection and in relation to the mental capacity assessments and staff’s interactions with people.

A service improvement plan was in place to ensure actions to address quality concerns were completed and that improved practice was sustained. These plans were regularly reviewed to ensure that action taken was having the intended impact and quality and safety of care improved.