CQC report explained · a nursing home
What the CQC found at Wren Hall Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Inspectors were assured that infection risks were being managed, including the use of PPE, testing, cleaning, social distancing and safe admissions. They also considered how the home was managing COVID-19-related staffing pressures.
- Effective?
- Outstanding
- This question was not assessed or rated during this targeted inspection.
- Caring?
- Outstanding
- This question was not assessed or rated during this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed or rated during this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed or rated during this targeted inspection.
What inspectors found, April 2022
Inspected but not rated; inspectors found strong infection control and safe arrangements for visiting during the COVID-19 outbreak.
This was an announced, targeted inspection on 29 March 2022. Inspectors gave the home 24 hours' notice. They looked mainly at infection prevention and control, and asked about staffing pressures linked to COVID-19.
Inspectors were assured that the home was managing infection risks. They found effective use of personal protective equipment, testing, cleaning, social distancing and visitor arrangements. The home had an up-to-date infection control policy, regular audits and action plans.
People were supported to keep in touch with relatives through technology and window visits when normal visiting was restricted. They were also encouraged to remain independent and take part in activities.
The home was inspected but not rated. This report gives a finding only for Safe, and does not provide an overall rating or ratings for the other four questions.
Clean environment
Inspectors found the home exceptionally clean. Staff regularly cleaned and disinfected frequently touched surfaces.
“The home looked exceptionally clean throughout and maintained to a high standard.” from the report
Infection control systems
The home had a detailed infection control policy, regular audits and action plans to address risks.
“There was a comprehensive infection prevention and control (IPC) policy in place and monthly audits were conducted that highlighted issues effectively.” from the report
Safe visiting
The home arranged visits in line with current guidance and took steps to reduce the risk of isolation and loneliness.
“The provider ensured people were able to see their visitors in such a way that did not increase the risk of the spread of infection throughout the home.” from the report
Contact and activities
When visiting was restricted, people could keep in touch with relatives through technology and window visits. People were also encouraged to remain independent and socially engaged.
“The provider had ensured that people were able to maintain contact with relatives using technology and window visits whilst visiting was restricted.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are currently in place?
- 02How are you managing any current staffing pressures, and could these affect people's care?
- 03How can relatives visit now, and what testing or protective equipment is required?
- 04How are people supported to maintain contact with relatives if normal visits are restricted?
- 05What is the home's latest full CQC rating, given that this inspection was not rated?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the home was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 20 April 2022 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.
What inspectors found, January 2020
Rated Outstanding; inspectors found consistently exceptional, safe and personalised care across all five areas.
This was an unannounced inspection on 05 and 06 November 2019. Inspectors spoke with people living there, relatives, nurses and other staff. They observed care and checked care plans, medicines records, training, recruitment and quality checks.
The inspectors found people were treated with exceptional kindness, dignity and respect. Care was personalised and staff knew people very well. People were supported to make choices, stay independent, enjoy activities and maintain relationships.
The home was found to be exceptionally safe and well managed. Inspectors found enough trained staff, safe recruitment, strong risk management, safe medicines procedures and thorough learning from incidents. Food, healthcare and end of life support were also highly praised.
All five areas were rated Outstanding. The overall rating was unchanged from the previous inspection. Safe and Effective improved from Good to Outstanding, while Caring, Responsive and Well-led remained Outstanding.
Personalised care
Staff knew people extremely well and used their histories, preferences and interests to shape daily care and activities.
“People's needs, choices and preferences had been comprehensively and holistically assessed prior to moving into the service.” from the report
Kind and respectful staff
People and relatives consistently described staff as kind, thoughtful and respectful. Inspectors also saw warm and compassionate interactions.
“Throughout our visit we saw staff treat people with exceptional kindness, empathy and compassion.” from the report
Independence and safety
The home supported people to take positive risks and keep control of their lives, while putting safety measures in place.
“The registered manager and staff team constantly thought of innovative ways to support people whilst maintaining their safety.” from the report
Activities and relationships
Activities were based on what mattered to each person. The home also supported family involvement and links with the local community.
“Throughout our visit people were being supported to carry out meaningful activities.” from the report
Strong leadership
Inspectors found clear values, open communication and detailed checks on care quality and safety. Staff felt supported and valued.
“Comprehensive internal systems were also in place to monitor the quality and safety of the service.” from the report
End of life care
End of life plans included people's personal wishes. A dedicated suite and family room had also been created since the previous inspection.
“The registered manager and staff team were committed to providing outstanding end of life care that was dignified, comfortable and pain free.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you use my relative's history, interests and preferences to plan their daily care?
- 02What activities and opportunities for independence would be available for my relative?
- 03How would you support my relative's specific communication, dietary, nursing or dementia needs?
- 04How are relatives involved in care planning and in decisions about end of life wishes?
- 05Has the staffing team or management changed since the November 2019 inspection?
This was an unannounced comprehensive inspection covering the premises, care and all five CQC questions. This explanation was written from the published report of 17 January 2020 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 Wren Hall Nursing Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- April 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Outstandingstayed OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- May 2017OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
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