Archived: Siloamlodge - Dagenham

Updated 24 January 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 8 December 2016. We gave the service short notice which meant the provider and staff did not know we were coming until shortly before we visited the service. This was because this service is a small care home and we needed to make sure someone would be in. One inspector carried out this inspection.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the evidence we already held about the service. This included the last inspection report and notifications the provider had sent us. We also spoke to the quality assurance team from the local authority.

During the inspection, we spoke to three staff which included the registered manager and two care staff. We observed care and support in communal areas and talked with each person who used the service. We looked at care plans and risk assessments for each person using the service and three staff files and records relating to the management of the service including menus, staff training, complaints and policies.

Updated 24 January 2017

Siloamlodge - Dagenham is a care home that provides accommodation and personal care to a maximum of two people with mental health needs. At the last inspection, on 15 July 2013, the service was found to be meeting the legal requirements we looked at.

At the time of our inspection the provider was also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found staff knew how to report concerns or abuse. There were enough staff to meet people’s needs who were employed through safe recruitment processes. Risk assessments were carried out and management plans put in place to enable people to receive safe care. There were effective and up to date systems to check and maintain the safety of the premises. Medicines were managed safely and the provider had a system to audit medicines administration.

Staff received support through supervisions, appraisals and training opportunities. The registered manager was knowledgeable about when it was appropriate to apply for Deprivation of Liberty Safeguards for a person. Staff knew when they needed to obtain people’s consent. People were offered a varied and nutritious food menu and had access to healthcare professionals as required to meet their day-to-day health needs.

Staff knew how to build positive relationships with the people who used the service. People’s privacy and dignity was respected and their level of independence was maintained.

Care records were personalised and staff knew the people they were supporting including their preferences. A variety of activities were offered which included trips outside the home. The service dealt with complaints in accordance with their policy and procedures.

Staff were positive about the support they received from the registered manager. The provider held regular meetings for staff and for people who used the service. People who used the service were given the opportunity to complete feedback surveys. The provider had a system in place to check the quality of the service provided. The provider used the findings from the feedback surveys and the quality check to identify areas for improvement and to take appropriate action.