CQC report explained · a residential care home
What the CQC found at Wren House Residence for the Retired & Elderly - Warminster
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staffing, safeguarding, risk assessments, fire safety and infection control arrangements were found to be suitable, although one medicine's timing was not clearly recorded.
- Effective?
- Good
- This area was not assessed during the focused inspection.
- Caring?
- Good
- This area was not assessed during the focused inspection, although people and relatives gave positive feedback about the support.
- Responsive?
- Good
- This area was not assessed during the focused inspection.
- Well-led?
- Good
- Inspectors found clear management systems, regular training and checks on quality. Families said they could raise concerns and felt listened to.
What inspectors found, November 2022
Wren House Residence for the Retired & Elderly - Warminster is rated Good; inspectors found people were safe, supported and able to make choices, with one medicines timing issue to review.
This was an unannounced focused inspection. Inspectors visited on 12 October 2022 and reviewed Safe and Well-led, including records, medicines, staffing, infection control and quality checks. They spoke with people, relatives, staff, managers and a visiting doctor.
People said they felt safe. Relatives described kind support and said people could make choices and maintain their independence. The home was clean and well maintained, and staff used protective equipment properly.
Inspectors found suitable staffing, safe recruitment, safeguarding systems, risk assessments and fire safety arrangements. Medicines were generally managed well, but it was not clear that one person's time-specific medicine was always given at the correct time.
The overall rating was Good. Safe and Well-led were both rated Good, unchanged from the previous inspection in 2017. The other three areas were not assessed during this focused inspection.
People felt safe
People and relatives said they felt safe and confident in the support provided. Staff understood safeguarding and how to report concerns.
“People told us that they felt safe at Wren House.” from the report
Clean and prepared
The home was clean and maintained well. Inspectors were assured that infection risks were being managed and that staff used protective equipment safely.
“The home was very clean and well maintained and staff were seen to be wearing personal protective equipment (PPE).” from the report
Open management
Families and staff felt able to approach the management team. Inspectors found systems for complaints, learning from incidents and checking quality.
“The manager had a clear understanding about their responsibilities under the duty of candour and knew how to act if things go wrong.” from the report
Timing of one medicine
needs fixingFor one person, inspectors could not confirm from the records that a time-specific medicine was always given at the correct time. The manager said this would be reviewed.
“One person's medication was time specific, but it wasn't clear that they were being taken at the correct times.” from the report
- 01What action has been taken to make sure the time-specific medicine identified in the report is given at the correct time?
- 02How do you check that medicines are administered correctly and that records are complete?
- 03How many staff are normally on duty for the number of people living here, and how is this adjusted when needs change?
- 04How will you assess and support my relative's choices and independence?
- 05How can my family raise a concern or complaint, and how will we be kept informed of the response?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed. This explanation was written from the published report of 19 November 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, February 2022
Wren House Residence for the Retired & Elderly - Warminster had a targeted inspection and was not rated; inspectors found strong infection control and safe visiting arrangements.
Inspectors visited on 27 January 2022. The visit was announced and focused on infection prevention, visiting arrangements and staffing pressures linked to COVID-19.
They found the home was clean. Staff used protective equipment safely, visitors were screened, and people and staff were tested regularly. The home also checked temperatures and oxygen levels daily.
Visitors were supported to see people safely because visiting was seen as important for wellbeing. The provider had updated its infection control policy and checked vaccination status for staff and professional visitors.
This was a targeted inspection, so the service was inspected but not rated. It does not provide a new overall quality rating or ratings for all five areas of care.
Clean surroundings
The home had introduced extra cleaning. Records showed this had been completed, and staff cleaned equipment after use.
“All areas of the home were clean, and records demonstrated the additional cleaning that had been completed.” from the report
Safe visiting
The home recognised the importance of visits and arranged them in line with guidance. Room patio doors helped reduce visitors moving through the home.
“Visiting was deemed integral to a person's wellbeing.” from the report
Staff PPE training
Staff received regular training on infection control and protective equipment. Senior staff checked that safe practices were being followed.
“Staff had received training on infection prevention and control measures and how to use PPE safely.” from the report
Regular testing
People living at the home and staff were tested regularly. Daily temperature and oxygen checks were also used to identify possible early signs of infection.
“Regular testing for COVID-19 was being carried out for people using the service and staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures managed now, and have they affected people's care?
- 02How often are communal areas, bedrooms and equipment cleaned, and how is this checked?
- 03How are visits arranged now, and what protective measures are expected from visitors?
- 04How is staff and professional visitor vaccination status checked?
- 05How are infection control policies and staff training kept up to date?
This was an announced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 15 February 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.
Every inspection of Wren House Residence for the Retired & Elderly - Warminster
3 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wren House Residence for the Retired & Elderly - Warminster →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Wren House Residence for the Retired & Elderly - Warminster →
- November 2017Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
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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