This comprehensive inspection took place on 10 and 14 August 2017. The inspection was unannounced.
Silk Court is a care home providing accommodation for up to 51 older people, some of whom were living with dementia. The home is located in Bethnal Green close to shops and local amenities. The purpose built building has three units namely, Velvet (ground floor), Satin (first floor) and Cotton (second floor). The bedrooms were single occupancy with en-suite facilities. The building and units were accessible by wheelchair and had a passenger lift. At the time of our inspection, 49 people were living at the service.
At the last inspection of 4 and 5 August 2014, the service met the regulations inspected and was rated Good overall and Outstanding in Caring.
The service had a 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 and associated Regulations about how the service is run.
People living at the service and their relatives were extremely happy with the high standards of care they received. People using the service, their relatives and health and care professionals commended staff for their compassionate and caring manner. They were consistent in describing the positive impact of the care provided at Silk Court Care Home on people’s well-being.
The registered manager and provider actively promoted a person centred culture at the service. People knew the registered manager very well, said she was visible at the service, and spent time with them. The registered manager and provider demonstrated excellent leadership.
The registered manager and provider exceeded expectations in the provision of social activities and engagement for people using the service. People immensely enjoyed taking part in a variety of activities provided at the service and in the community. The registered manager engaged people and health and social professionals to design creative activities in ways which enriched each person’s life. Staff supported people to live an active, independent and full life as possible
People experienced exceptional high standards of care because the registered manager had developed solid relationships with external organisations, health and social care professionals and the local community. People living with dementia received specialist support which significantly improved the quality of their lives. Staff had a sound understanding of dementia care and used their specialist knowledge to provide care in line with best practice and to communicate effectively with people.
People using the service and staff were highly complimentary of the registered manager, her leadership and the running of the home. People felt very valued, listened to and were able to talk to the registered manager about any concerns about their welfare. The service was proactive and welcomed people using the service, their relatives, and health and social care professionals and staff to voice ideas about how to develop the service. The registered manager audited the quality of care and made changes when needed.
Staff delivered people’s care and support with respect for their dignity and privacy. People received all-inclusive care that enhanced their quality of life. Staff had developed positive relationships with people using the service and their relatives. People consistently praised staff for meeting their individual needs and preferences and going over and above to make them comfortable and happy.
The registered manager assessed each person’s needs and found creative ways of reviewing and anticipating changes in people’s health and well-being. Health and social care professionals were very pleased with the responsiveness of staff to people’s conditions and their application of guidance given.
Staff managed risks to people’s health and well-being in accordance with the identified strategies and support plans in place. Staff followed the safeguarding policies and procedures in place to keep people safe from avoidable harm and abuse. The registered manager deployed a sufficient number of staff to meet people’s needs. New staff underwent appropriate recruitment and selection checks to ensure their fitness and suitability to provide care at the service.
People received care from a motivated and competent staff team who took pride in their roles. Staff attended regular training and received supervisions, an appraisal and feedback about their performance.
Staff championed people’s rights to freedom and choice in their day-to-day service provision. People received care and support in line with the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
People benefitted from timely access to healthcare services. Medicines were managed, administered and stored safely. People received food that met their nutritional and hydration needs. People spoke positively about the quality of meals and the choices available to them.