Updated 28 October 2020
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Service and service type:
•Care Wyvern is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults.
•The service had two managers 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.
•Inspection site visit activity started on 25 February and ended on 26 February 2019.
Inspection team:
•Day one of this inspection was completed by an inspector and an specialist nurse advisor. A single inspector completed the inspection on day two We also had two experts by experience who made telephone calls to people. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Notice of inspection:
•This inspection was unannounced
What we did:
•We reviewed the information we held about the service. This included the previous inspection report, notifications since the last inspection and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about.
•We used information the provider sent us in their Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
•We spoke with both directors who owned the service, the operational manager, two registered managers and the business development manager. We also spoke with four care staff and one apprentice. We spoke with 16 people who received personal care and eight familiy members who were closely involved in peoples care and support. We also visited two people in their own homes. After the inspection, we contacted five health and social care professionals to seek their views on the service. Two responded.
•We looked at records relevant to the management of the service. These included eight care plans. We reviewed risk management plans, health and safety records, complaint and incident reports, six staff recruitment files, staff training records, medicine management records, and performance monitoring reports.