Archived: Silver Threads Care Home

Updated 7 September 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Prior to the inspection we reviewed a range of information to ensure we were addressing potential areas of concern and to identify good practice. This included notifications sent to us by the service and other information received from other sources, such as health or social care professionals. A notification is information about important events which the service is required to tell us by law. This information helped us to plan our inspection.

The inspection took place on 13 and 23 July 2015 and was unannounced. The inspection was completed by one inspector who was accompanied on the first visit by an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service.

During our visits, there were 13 people living at the service. Time was spent seeing how people spent their day, as well as the care and support provided by the staff team. We spoke with people, relatives and staff. This included 13 people, eight relatives, six staff, the deputy manager and the registered manager. The registered manager was also the registered provider of the service.

We looked at the care records of three people who lived at the home. These records included initial assessments, care plans, risk assessments, health records and daily care records. We looked at policies and procedures associated with the running of the service and other records including maintenance reports, fire logs, quality assurance and auditing records. We looked at three staff files and training records.

We observed the midday medicines round and checked the recording and storage of medicines administered in the home.

Updated 7 September 2015

The inspection took place on 13 and 23 July 2015 and was unannounced.

At our last inspection on 4 November 2013 we found the service was meeting all the legal requirements and regulations associated with the Health and Social Care Act 2008.

Silver Threads provides care and accommodation for up to 14 older people who require personal care. The home does not provide nursing care. On our visits there were 13 people living in the home.

The service had a registered manager who was also the registered provider. A registered manager is a person who is registered with the Care Quality Commission (CQC) 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 and associated regulations about how the service is run. The registered manager was supported by a deputy manager.

People living at the home felt very safe, well cared for and comfortable. They described the service as having a warm, friendly and homely atmosphere. They were complimentary of the staff group.

Risks to people were assessed and reviewed. Medicines were managed safely. People were treated with dignity and respect; staff were caring and compassionate towards them. People were treated as individuals and care was planned and delivered in a person centred way. Staff knew people very well, their preferred routines and how they liked to be cared for. Relatives were welcomed and felt part of their family member’s care; open and caring relationships had developed with the management and staff.

People made choices about their daily lives and their care and were supported by sufficient numbers of staff to remain independent. They undertook hobbies or interests if they wished.

The service was well led and promoted an open and inclusive culture. Staff felt valued, supported and part of a team. People, relatives and staff had confidence in the management team. The home had a range of quality monitoring systems in place which helped drive improvement at the service.

People’s views were sought and improvements made in response to any concerns or issues raised.