Silverdale

Updated 20 June 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Silverdale is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Silverdale is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We met with 3 of the people living at Silverdale. We spoke with 4 members of staff, the registered manager and 2 operations managers. We reviewed 2 people’s care plans, 2 people’s medicine records, daily notes, incident reports, rotas, training records and other records relating to the management of the service. We spoke with two relatives and received feedback from one professional.

Updated 20 June 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Silverdale is a residential care home providing personal care to 4 people at the time of the inspection. The service can support up to 4 people.

People’s experience of using this service and what we found

Right Support:

People were supported to develop their interests and go out regularly. Staff supported people to go shopping and pursue their interests in the local area.

Accommodation was arranged so people had their own private spaces and could choose whether to spend time with others or on their own.

People were not consistently supported to set goals. When goals had been identified there were no clear pathways to help them achieve their aims.

Systems for supporting people with medicines ensured people had privacy. There were some shortfalls in the way in which the administration of creams was recorded.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care:

There were enough staff, who knew people well, to meet people’s needs and keep them safe.

Staff supported people consistently and understood their communication preferences.

Risk assessments were in place to guide staff on how to keep people safe while enabling them to do the things they wanted.

Care plans required reviewing and updating to ensure they reflected people’s needs and more clearly focused on people’s well-being.

Staff understood how to protect people from poor care and abuse.

Right Culture:

The provider and managers were working to improve the culture of the service.

Training was being provided in relation to best practice when working alongside people with a learning disability and autistic people.

Staff knew and understood people well. This included a knowledge of people’s preferred ways of communicating and interacting with others.

Representatives of the organisations Positive Behaviour Support (PBS) team were supporting the service to help ensure people received person-centred care that focused on their individual needs.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

In September 2022 the provider was asked by the Local Authority to take over the care and support at this location from another provider, the care transferred to the new provider in November 2022.

This service was registered with us on 21 November 2022 and this is the first inspection.

The last rating for the service under the previous provider was inadequate, published on 17 October 2022.

Why we inspected

This inspection was prompted by a review of the information we held about this service. We needed to check to see if the provider had made improvements since taking over the service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We have identified breaches in relation to the Mental Capacity Act and governance. We have made a recommendation about the oversight of topical medicines.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.