• Care Home
  • Care home

Archived: Wren House

Mencap, 3 Wren Avenue, Malvern, Worcestershire, WR14 2QB (01684) 574278

Provided and run by:
Royal Mencap Society

All Inspections

19 September 2013

During a routine inspection

Five people lived at the home when we inspected. We spoke with all five people and they told us they were very happy living at the home. One person said: 'It's nice here, it's all nice here.' Another person said: 'I like the people who look after me.' We also spoke with the manager, who is not the registered manager, two members of staff and a relative.

Staff provided care and support that met people's needs. We found that staff knew about the needs of the people they cared for. We looked at two people's care records and found that these contained guidance for staff on how to meet people's needs. We saw that people's needs had been reviewed regularly. People had been involved in planning their own care and staff promoted independence.

People who lived at the home and their relations told us they were happy with the food that they had been given and that they had been offered choices.

We found that where medicines were prescribed they were given to people appropriately. We also found that medicines had been secured stored and managed safely.

The provider had taken reasonable steps to ensure that suitable people had been employed to work at the home although we found one occasion when a full working history had not been completed.

Records had been maintained appropriately and stored securely although we found that on one day the delivery of medicines had not been recorded.

1 August 2012

During a routine inspection

During the inspection we spoke with four people who used the service and two members of staff. We also spent some time in communal areas of the home observing the interaction between staff and people who used the service.

The atmosphere in the home was very relaxed and people appeared comfortable in the environment. We spoke with one person who used the service who told us they were 'very happy here, staff are nice'.

We spoke with one person who used the service and they told us that staff looked after them well. People's privacy and dignity was respected and their independence promoted.

There were arrangements for monitoring and supporting people's personal health and well being and people were supported to participate in recreational activities of their choosing.

We saw that people who used the service had good relationships with staff. The staff on duty appeared to know the people well and they told us they received appropriate training to meet people's needs. We found that people who used the service expressed their views and were involved in making decisions about their care and how they wanted to spend their time. People that we spoke with told us they felt safe.

22 February 2012

During an inspection in response to concerns

We spoke to three people who lived in the house and we saw that the people using the service were relaxed and happy. They told us that they were treated with respect by the staff and that they were able to choose how they spent their time. For example, they could choose what time they went to bed. They said that they were encouraged and helped to do the sorts of things that they liked doing as well as to undertake tasks around the house like helping keep their rooms and communal areas tidy. One person told us 'I like living here. I have my own space and these are all my friends'.

Some people using the service had benefited from specific arrangements to accommodate their preferences. A small separate room had been created for one person who preferred a quiet space and a lounge had been created where two people using the service could go and play music. This showed that the service had responded to the issues raised by people living at the house.

We observed the way that support workers interacted with the people who lived in the house. We saw that the relationship was friendly and relaxed.

People who used the service told us that they were given advice about healthy eating by staff and that staff supported them while they were shopping for their groceries. They knew that the staff were being helpful but they also knew that, ultimately, they were able to spend their money as they wished. We saw that the majority of food purchased for the people who lived at the home to prepare their own dinners promoted healthy eating. One person using the service wanted to lose weight .They told us that they had been supported by staff to do this. This showed that the staff were encouraging people to eat well but that they also respected their independence and decision making.

We spoke to two support workers. They told us that they had received information about encouraging people to adopt healthy diets. Staff knew the individual nutritional needs of people living in the house and told us that they encouraged healthy eating and portion control.

One person we spoke to was visiting the home to support a person who lived in the home. They said that the atmosphere was warm, friendly and relaxed and had improved in recent years.

We spoke to most of the people using the service and to three people in detail. They told us that they felt safe and that they knew how to complain if they had a problem and gave us an example of this from their own experiences.

We were told that there were occasional disagreements between people who living in the house. We saw from records that these were recorded appropriately as incidents or accidents and appropriate action taken.

The service had a well structured system for recording training and identifying the required dates for additional or refresher training. We saw records that showed that all staff in the service had had recent safeguarding training provided by Mencap.

We looked at staff training records and spoke to two support workers. Staff told us that they were aware of the procedures regarding safeguarding and where they were kept in the house. They told us that they had undertaken recent training through the Mencap scheme. The staff that we spoke to were confident and knowledgeable about how to make a complaint through the line management process or through the whistle blowing route.

The service had a well established annual questionnaire in place. People who use the service were supported in completing this document by staff from an independent day care centre. The questionnaires were filed but no action had been taken to bring the issues that had been raised in the survey process together to identify themes and trends. Specific issues relating to the individual care of people who used the service had been addressed and recorded.