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Inspection Summary


Overall summary & rating

Good

Updated 27 January 2018

Silver Birch is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Silver Birch accommodates seven people in one adapted building.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service was inspected in October 2015 and the service was rated Good. The service was further inspected in February 2017. That was an inspection that focussed on how safe the service was. We rated the service as Requires Improvement for Safe.

At this inspection we found the service remained Good overall and that the Safe rating had improved to Good.

People looked comfortable and at ease around care staff. Relatives we spoke with told us they felt assured their family member was being cared for in a safe way by care staff who understood how to keep them safe. People were supported by staff that understood people’s health needs and the risks to people’s health that people lived with. Staff had access to information on how best to support people and understood the risks to their health that they lived with. People received help to take their medicines and people medicines were safely administered and stored. The registered manager made regular checks to ensure people received the correct support.

People were supported by staff that had access to regular supervision and training. People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to maintain a healthy lifestyle and could access additional medical support when they needed it.

People and their relatives told us, staff were kind and compassionate. Staff worked as a team to ensure people were supported with respect and their dignity maintained. People benefitted from the staff using different approaches and communication equipment to support them to make choices and be involved in their care decisions as much as possible.

People said their needs were met by staff, that were knowledgeable about their rights and preferences. People were supported to raise concerns and where this was done, people’s concerns were investigated and action taken.

People liked and knew the registered manager and staff reported they enjoyed working at the home and felt part of a team. Staff felt empowered to share their ideas to help improve people’s care and worked with other stakeholders to improve people’s experience of care.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 27 January 2018

The service remains Good

Effective

Good

Updated 27 January 2018

The service remains Good

Caring

Good

Updated 27 January 2018

The service remains Good

Responsive

Good

Updated 27 January 2018

The service remains Good

Well-led

Good

Updated 27 January 2018

The service remains Good.