Silver Mews Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated Requires Improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

Pre assessment checks were conducted prior to people coming to live at the home. However, relevant information was not always captured and included in care plans. Relatives were not always fully engaged or consulted to assess the best way to support people. For example, a person who had recently moved to the home had very limited information in their care plan around communication and personal care needs. Their relative told us they had not seen the care plan.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

People's nutrition and hydration needs were not always met to an appropriate standard. A staff member told us, “The quality and quantity of food provided is often poor.” People and their relatives gave mixed feedback and there had been a number of complaints from people and relatives about the quality of the food. Kitchen staff were being given additional support in an effort to improve this. One person told us, “I don’t like the food, that’s all I want to say about it.” We were told further work was planned to improve the mealtime experience and tailor menus around the likes and choices of people in the home.

Kitchen staff were aware of people’s special dietary requirements and food was usually prepared in line with this. However, a person who required food in modified texture due to swallowing difficulties was being given food that was not in line with guidance, and this was not appropriately risk assessed or documented.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

We spoke with external professionals who visited the home. The feedback we received was positive. One health professional told us, “No concerns about the care at Silver Mews. [Registered manager and deputy manager] are both very receptive, not really had any problems. Any instruction left for staff is followed.”

The provider did not always support people to manage their health and wellbeing to maximise their independence, choice and control. Staff did not always support people to live healthier lives and where possible, reduce their future needs for care and support.

People were seen by external health professionals such as nurses and chiropodists to maintain their overall health and wellbeing. However, records showed that people’s oral health was not being prioritised. Best practice guidance recommends daily routines for brushing teeth and cleaning dentures, but this was not always happening. We also found that personal care such as showering was not happening on a regular basis. Where people chose not to shower on a certain day there was no evidence that staff offered again for several days.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Due to the issues we found with medicines, nutrition and activities, we could not be assured that people were experiencing positive or consistent outcomes or that these were being effectively monitored.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff asked people’s permission before they assisted them with tasks. Staff understood the importance of gaining people’s consent. A member of staff told us they would ask people “using easy to understand/ appropriate language.”