Archived: Siloamlodge - Dagenham

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.

People told us that they felt safe living at the home. We found that staff had undertaken training in safeguarding vulnerable adults and staff we spoke to had an understanding of their roles and responsibilities with regard to safeguarding. People told us that they liked the staff and one person said "it's the best place I've ever been to." We found that people were cared for by suitably qualified, skilled and experienced staff.