CQC report explained · a nursing home, run by Welltower
Sherwood Grange
1a Robin Hood Lane, London, SW15 3PU
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, December 2023
Sherwood Grange was rated Good; inspectors found safe care and strong management, but some staff said more staff were needed.
This was an unannounced focused inspection. Inspectors visited early in the morning because of concerns about night staffing and people being helped out of bed before they wanted to. They also reviewed an allegation of inappropriate sexual activity between people using the service.
Inspectors found enough staff on duty during their visit. People were getting up at times that suited them. Risks, safeguarding concerns, accidents and incidents were recorded and reviewed. Medicines were managed safely, and infection control arrangements were satisfactory.
The home was well managed and had an open and person-centred culture. People, relatives, staff and healthcare professionals gave positive feedback. Audits and checks were regularly completed.
Only Safe and Well-led were inspected. Both were rated Good. Effective, Caring and Responsive were not inspected during this visit, so their previous ratings were used when calculating the overall Good rating. The previous overall rating was also Good.
Risk management
People's risks were identified and reviewed. Staff followed care plans and took action to reduce risks while allowing people to enjoy their lives.
“People had risks to them identified and understood by staff who took action to prevent and safely manage risks.” from the report
Medicines
Inspectors found medicines were stored, administered and checked safely. The records they reviewed had no errors or omissions.
“People's medicine records were kept up to date with no recording errors or omissions found on any of the MAR sheets we looked at.” from the report
Management checks
The home had regular checks covering areas such as care plans, incidents, fire safety, infection control and health and safety.
“Audits were thorough, and regularly carried out by the registered manager, staff, and the provider.” from the report
Open culture
Inspectors found the home was person-centred and inclusive. People, relatives and staff said management listened and communicated well.
“The home's culture was person-centred, open, inclusive, and empowering.” from the report
Some staffing pressure
minorInspectors found enough staff during the visit, but recruitment was continuing and some staff said more staff were needed. The report also said there was no activities co-ordinator at that time, although a replacement had been recruited.
“some staff felt that more staff were needed.” from the report
- 01How many staff are normally on duty overnight, and how do you cover sickness or absences?
- 02How will you make sure people continue to get up at the time they choose?
- 03Has the new activities co-ordinator started, and what activities are currently available?
- 04How are safeguarding concerns and incidents reviewed, and how are families told about the outcome?
- 05What were the previous ratings for Effective, Caring and Responsive, which were not inspected this time?
This was an unannounced focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 8 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.
Every inspection of Sherwood Grange
4 rated inspections over 7 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2023Gooddown from OutstandingSafe: GoodWell-led: Good
- November 2019Outstandingup from GoodSafe: GoodResponsive: OutstandingWell-led: Outstanding
- April 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016
Registered with the Care Quality Commission on 9 September 2016.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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