Archived: Wren Care Home Limited

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive to people's needs?

Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with a member of staff and looking at the person's care plan. We also contacted Manchester City Council. If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Wren House provides residential care for up to eight people with a physical and or learning disability. However at the time of our inspection there was only one person living at the home.

We found Wren House to be clean, tidy, decorated and furnished to a reasonable standard. However we did find that safety and service checks on the lift, electrical and gas installations had either not taken place or not completed within appropriate time scales. These must be carried out to meet with Health and Safety legislation in order to ensure that the people who live and work at Wren House are kept safe from unsafe equipment and installations.

Training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) took place which ensured that people who were not able to make decisions or choices were protected and kept safe. Best interest meetings and any other legal requirements such as applications to DoLS were completed in conjunction with Manchester City Council.

The provider said that before anyone was admitted they received an assessment of their care needs to ensure that the home could meet their needs.

There were a sufficient number of people employed to ensure that the one person who was living at Wren House was supported with their care needs.

Is the service effective?

Training in National Vocational Qualifications (NVQ) and mandatory training which included moving and handling, safeguarding adults, infection control were all completed by the staff team. This ensured that services were provided by a qualified staff team with up to date skills to provide support.

The person who lived at the home had a care plan and a daily record of the care provided. The information contained within the care plan enabled the care workers to meet the person's needs.

Is the service caring?

The person who lived at Wren House was unable to communicate verbally however we observed that the person was relaxed and comfortable with the care worker and the provider/manager. The person was able to indicate to the care worker that they wanted their neck massaged. The person's preferences which had been obtained over the years they had lived at the home were recorded in the care plan.

We observed that the person was being treated with respect and patience.

We also spoke with a family member of a previous person who used the service. They told us that nothing was ever neglected or overlooked and that the staff team were amazing.

Is the service responsive to people's needs?

We saw that person's health care needs were met and that they had received visits from health care professionals such as GP, dentist and chiropodist. They had also recently received a visit from the Occupational Therapist.

Is the service well led?

The owner of Wren House is also the registered manager. No surveys to obtain views and opinions of people who used the service had taken place which was due to there being only one person living at the home. The person also had no contact with family members or friends with whom we could talk to.

The provider/manager worked at the home as part of the small staff team that provided support to the person who lived at Wren Care Home. Therefore they were in daily contact with the staff and the one person who lived at the home and the care staff. This means that they were able to monitor the service and support provided on a day to day basis.

We found that the provider/manager needed to improve the quality and monitoring of systems especially with regard to the safety of the building so that people were kept safe.

We did not speak with any people using the service during this inspection. We found that the provider worked in co-operation with other healthcare professionals.

We found the environment in the home to be mostly clean, safe and well maintained. We found that people were cared for by staff that had been through the appropriate recruitment checks.

There was an effective complaints system available, in case anyone wished to raise a complaint.

'They (staff) are first class. They are kind and thoughtful.'

'The staff are all very respectful. They have all worked at the Wren a long time and understand their residents really well.'

'I have always seen the staff to be polite and nice with the people they look after. They care for them well and nothing is too much trouble.'

'I think the care provided is very good, the staff are very attentive.'

We found that people's care and welfare needs and nutritional needs were met appropriately. Suitable arrangements were in place to minimise the spread of potential infections. Staffing provision was adequate and an appropriate system was in place to monitor the quality of the service provided.