Wyvern Lodge

Updated 5 July 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 Care Act 2014.

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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Wyvern Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced.

What we did before the inspection

Before the inspection we reviewed the information, we had received about the home since the last inspection. We reviewed CQC notifications. Notifications describe events that happen in the service that the provider is legally required to tell us about.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, team leader, two staff and three people who lived at the home We observed how staff interacted with people. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home, quality assurance and health and safety checks.

Updated 5 July 2022

Wyvern Lodge is a care home providing accommodation and personal care for up to eight people. At the time of the inspection, eight people were living at the home.

People's experience of using this service and what we found

There had been significant improvements following the inspection of 3 and 4 December 2019. Positive changes had been made to safely manage the water temperatures within the home. Thermostatic mixing valves had been fitted to taps to safely regulate water temperatures. Temperatures were tested of each tap regularly. The upstairs bathroom had been replaced since the last inspection, which was clean. Changes had been made to infection control procedures at the home. The home was clean and tidy throughout with no shortfalls identified. Statutory notifications were appropriately submitted to the CQC where concerns had been shared with the local safeguarding team and when the police had been called to the service.

People were supported to remain safe. Staff were trained in safeguarding and understood their responsibility to protect people from avoidable harm and abuse. Safe recruitment and selection processes were followed. Risks to people's health and safety were assessed with guidance for staff to follow. Medicines were administered safely to people. Accidents and incidents were reported and recorded with audits in place to help identify any trends or patterns.

Staff were enthusiastic and happy in their work. They felt supported within their roles. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential. The home was well-led by a registered manager who was committed to improving people's quality of life. The home had a clear management and staffing structure in place and staff worked well as a team. The registered manager was aware of their duty of candour. Effective quality assurance systems were in place to monitor the quality and safety of care. Audits had improved which helped to identify any shortfalls.

Rating at last inspection

The last rating for this service was Requires Improvement (published 4 March 2020). At our last inspection we found people were at risk from scalding because water temperatures exceeded safe ranges. Areas in the home also posed a risk of infection. Statutory notifications had not always been sent in line with requirements. At this inspection we found improvements had been made.

Why we inspected

We carried out an inspection of this service on 3 and 4 December 2019. We rated the service requires improvement in Safe and Well Led due to the shortfalls, which we identified. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wyvern Lodge on our website at www.cqc.org.uk.