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We are carrying out a review of quality at Sycamore Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 16 March 2021

About the service

Sycamore Lodge provides personal and nursing care for up to 78 people, including people living with dementia. The home has three floors. The ground floor has offices and a separate unit and then there are two floors both having 30 beds each. At the time of the inspection there were 47 people living at the service.

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

At the time of the inspection, we were not assured the service was following current guidelines in relation to visits undertaken within the care home. Although arrangements were in place for testing visitors and providing them with personal protective equipment, social distancing was not being followed and there were no screens being used. The manager also confirmed people were receiving physical touch such as a hug. No individual risk assessment had been undertaken in relation to the risks this exposed people too and this was not in line with government guidance. We raised this with the manager and the nominated individual following our inspection. They confirmed actions taken to address this shortfall.

The providers visiting policy contained out of date information. Following the inspection, they provided us with a current up to date visiting policy that was in line with government guidelines.

Staff had access to personal protective equipment (PPE) and staff had received training in relation to infection control and procedures for donning and doffing their PPE. The manager undertook a daily walk around ensuring PPE was being used correctly.

There was a regular cleaning regime in place and increased cleaning to touch points within the service. The home was clean and odour free.

Staff were being supported with their well-being during the pandemic. The manager communicated regularly with family of people living in the home.

The home was open for admissions. When people were admitted they had to have a negative polymerase chain reaction (PCR) result and after admission to the home they had to isolate in their room for a 14-day period. There was a weekly testing programme for staff. Each week staff had a PCR test and two lateral flow tests. People living in Sycamore Lodge were tested monthly or sooner if they showed any COVID-19 symptoms. The majority of people and staff had received their first does of the vaccine.

Rating at last inspection; The last full comprehensive inspection rated the service as Good (published October 2018).

Why we inspected

We carried out an announced targeted Infection prevention control infection of this service on the 9 December 2020. A breach of legal requirements was found. The provider completed an action plan to show what they would do and by when to improve infection control procedures within the home.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the previous breach relating to infection prevention control.

Follow up

Following our inspection, we requested the provider send us an urgent action plan on how they will improve the standards of visits being undertaken in the home. We will continue to monitor this action plan and work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 16 March 2021

Inspected not rated.

Effective

Good

Updated 16 March 2021

Caring

Good

Updated 16 March 2021

Responsive

Good

Updated 16 March 2021

Well-led

Good

Updated 16 March 2021