Updated 19 November 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
This was a focussed inspection where we looked at Safe and Well Lead.
This was completed as part of our planned routine inspection programme.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (report published 07 November 2017).
This inspection was prompted by a review of the information we held about this service.
Inspection team
The inspection team consisted of an inspection manager and an inspector.
Service and service type
Wren house 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. Wren 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 12/10/2022 and ended on 20/10/2022. We visited the location’s service on 12/10/2022
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). 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. We looked at other information held about the service, this included previous inspection reports and notifications. Notifications are how the service tells us about important issues and events that have happened in the service. We used all this information to plan our inspection.
During the inspection
We spoke to two people who use the service and looked around the house. After the visit we spoke to three relatives. Most residents chose to stay in their rooms whilst we were there. In addition, we spoke to the assistant cook, a senior care worker, the deputy manager the registered manager and a visiting doctor. After the visit we spoke to some more staff.
We spent time looking at records, including service user files, daily records, staff files, medication management and quality assurance tools.