Silverjen Limited

Updated 23 July 2025

Date of assessment: 5 August – 27 September 2025

Silverjen Limited is a homecare agency registered to provide personal care to people in their homes. The service is registered to support people living with dementia, eating disorders, mental health conditions, physical disabilities, sensory impairments, substance misuse problems and people with a learning disability and/or autistic people. CQC only inspects where people receive personal care. This helps with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the assessment, 91 people were receiving personal care. As part of this assessment, we spoke with 10 people who used the service and 8 relatives.

As the service is registered to provide care to people with a learning disability and/or autistic people, we assessed the service against ‘Right support, right care, right culture’ (RSRCRC) guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. During this latest assessment, we found the service was able to demonstrate how it was meeting the underpinning principles of RSRCRC in the areas we reviewed.

We conducted this assessment to follow up on the breaches identified during the last inspection and to address information received from the local authority. The last inspection of the service identified breaches in relation to good governance, fit and proper persons employed, and the need for consent (report published 30 September 2022). At this assessment, we found that the provider was no longer in breach of regulations; however, there were still areas for improvement. We have reported on these in the safe and well-led sections of this focused assessment.

Staff were recruited safely and received training relevant to their roles, including in relation to supporting people with a learning disability and/or autistic people. However, there were areas of improvement in relation to staff supervision.

The governance system generally identified shortfalls; however, further improvement was needed to ensure it consistently picked up missing information in care records. While most of the care plans we reviewed were detailed, person-centred and provided clear guidance for staff, we found that 3 people’s care records were not always accurate. The provider acknowledged this and took immediate action, sending us updated records. However, there were missed opportunities to identify and address these issues sooner, as the governance systems had been slow to respond. The impact on people was minimal because managers and staff knew individuals well and took the time to understand their needs.

Updated 23 July 2025

People and their relatives told us they felt safe when staff supported them and that staff worked well with external partners to ensure a safe transition between services. Staff had completed safeguarding training and knew how to recognise concerns and report these appropriately.

People and their relatives were involved in assessing risks. However, 3 people’s risk assessments contained information which was not always reflective of the current situation. This was an area that needed to improve. However, feedback from people, staff, relatives and healthcare professionals, confirmed that the impact was minimal, as staff knew the individuals well.

People told us staff maintained a safe environment and used appropriate personal protective equipment. However, in 1 person’s care records did not always highlight whether the person understood the risks of potential fires in their home. We saw the provider had worked with the local fire service but had not always recorded additional information such as the person’s understanding of the risk.

People’s medicines were managed safely; however, improvements were needed to ensure all PRN (‘when required’) medicine protocols included the necessary information to help staff recognise the specific symptoms each person may display.

Staff worked with external healthcare professionals and other partners to ensure people received evidence-based care and treatment. People told us staff helped them monitor their health and wellbeing, and worked well with others to achieve positive outcomes. People told us that staff sought consent appropriately before supporting them.

People told us they felt able to approach staff and managers, and that concerns they raised would be addressed. However, improvements were needed to ensure a coherent shared vision across the service, and to make certain that sufficient staff were in place before accepting a new service user so that staff could consistently arrive on time.