CQC report explained · a residential care home
What the CQC found at Wyvern Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Inspectors found safer water temperatures, improved infection control, safe medicines systems, appropriate risk assessments and enough staff.
- Effective?
- Good
- This question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- The home had improved its audits, notifications and management systems. Inspectors found a positive culture, clear responsibilities and good teamwork.
What inspectors found, July 2022
Rated Good; inspectors found major improvements in safety and management since the previous inspection.
The inspection took place on 23 June 2022 and was announced. One inspector spoke with the manager, a team leader, two staff members and three people living at the home. They also observed staff and checked care, safety and management records.
The home was rated Good overall, with Safe and Well-led both rated Good. Inspectors found safer water temperatures, better infection control, safe medicines systems, enough staff and improved reporting of serious events.
The home had previously been rated Requires Improvement because of scalding risks, infection control concerns and missed notifications. This focused inspection found that improvements had been made and legal requirements were now met.
Safer water systems
Thermostatic mixing valves had been fitted and water temperatures were checked regularly. This addressed the previous risk of scalding.
“Thermostatic mixing valves had been fitted to taps to safely regulate water temperatures.” from the report
Clean environment
Inspectors found the home clean and tidy, with improved infection control and no mould identified.
“The home was clean and tidy throughout with no shortfalls identified.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines were administered by trained staff and checked through regular audits.
“There were enough staff to meet people's needs and keep them safe.” from the report
Improved management
The home had improved its quality checks and was sending required notifications to the CQC in a timely way.
“Improvements had been made to the governance systems that the home had in place.” from the report
Positive relationships
People spoke positively about their support. Staff were described as approachable, relaxed and committed to helping people make progress.
“People spoke very positively about the support they received and said they achieved their desired outcomes.” from the report
Utility cupboards needed replacement
minorThe laminate on the utility cupboards was peeling. Plans were in place to replace them within two weeks of the inspection.
“Plans were in place for the utility cupboards to be replaced within the next two weeks of the inspection.” from the report
- 01Have the utility cupboards now been replaced, and what checks were made afterwards?
- 02How often are water temperatures checked, and what happens if a reading is outside the recommended range?
- 03How does the home keep infection control standards consistent after the recent COVID-19 outbreak?
- 04How does the home make sure there are enough staff when someone is absent or when recruitment is ongoing?
- 05How will my relative and our family be involved in care plan updates and weekly house meetings?
This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous inspection when calculating the overall rating. This explanation was written from the published report of 5 July 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, March 2020
Rated Requires Improvement; inspectors found kind, personalised care but safety and management checks were not reliable.
The inspection took place on 3 and 4 December 2019. One inspector spoke with people, relatives, staff and healthcare professionals. They also checked care plans, medicines, staff records and management records.
The main concerns were safety and cleanliness. Hot water reached 52 degrees in one communal bath, above the home's safe range. Some areas were visibly dirty and difficult to clean because they needed maintenance. Checks had not always found these problems.
Inspectors found enough staff, safe recruitment, safe medicines management and protection from abuse. People described staff as kind and respectful. Care was personalised, and people were supported with activities, education, work, healthcare and greater independence.
The overall rating was Requires Improvement. Safe and Well-led were rated Requires Improvement, while Effective, Caring and Responsive were rated Good. This was a fall from the previous overall rating of Good, published in June 2017. The provider breached two regulations and was asked to send CQC an improvement plan.
Kind and respectful care
People and relatives spoke positively about staff. Inspectors found that staff respected privacy and dignity and involved people in decisions about their care.
“People told us they were supported by kind and caring staff, our observations confirmed this.” from the report
Personalised support
Care plans reflected people's goals, preferences and ways of managing anxiety. People were supported to build independence and make plans for their future.
“People received personalised care that was designed to ensure they had maximum choice and control of their lives.” from the report
Activities and achievement
People were supported with education, qualifications, paid and voluntary work, gardening and other meaningful activities. Inspectors saw that people felt proud of what they had achieved.
“The provider supported people to access relevant and meaningful activities, including opportunities for education, paid and voluntary work.” from the report
Staffing and medicines
There were enough staff to meet people's needs, recruitment checks were completed and medicines were managed safely.
“Staff were recruited safely and there were sufficient numbers of staff to meet the needs of people.” from the report
Unsafe hot water
seriousHot water in communal areas was above the home's safe range. One outlet reached 52 degrees, creating a risk of scalding.
“We found no evidence people had been harmed, however people were at risk from scalding because water temperatures exceeded safe ranges.” from the report
Cleanliness and maintenance
seriousSome areas were visibly dirty, including communal washing, shower and kitchen areas. Peeling surfaces and worn flooring made some areas harder to clean.
“Areas in the home were visibly dirty and could not always be cleaned effectively because they had not been adequately maintained.” from the report
Weak quality checks
needs fixingThe home's checks did not identify that water checks were missed, water was too hot, areas were not clean and some incidents had not been reported to CQC.
“Governance systems had not always been used effectively to identify shortfalls, errors and omissions we identified during our inspection.” from the report
Missed statutory notifications
seriousSome incidents involving safeguarding concerns and police attendance were not reported to CQC as required.
“We found statutory notifications that had not been submitted when concerns had been shared with the local safeguarding team and the Police had been called to the service.” from the report
- 01What has been done to make sure hot water stays within the safe range, and how often are all bath and shower outlets now checked?
- 02What cleaning and maintenance work has been completed since the inspection, including the communal laundry, shower room, kitchen and worn flooring?
- 03How do you now check that quality audits identify safety, cleanliness and maintenance problems?
- 04How do you make sure all safeguarding and police-related incidents are notified to CQC when required?
- 05What support is available for oral healthcare, and are all people's dental assessments now completed in line with current guidance?
This was a planned inspection covering all five CQC questions; Safe and Well-led deteriorated from Good, while the other three ratings remained Good. This explanation was written from the published report of 4 March 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 Wyvern Lodge
4 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2020Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 11 November 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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23 live-in carers within about an hour of North Somerset
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 £1,050 to £1,320 a week. 19 can care for a couple. 12 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.