Archived: Silverdale Residential Home

Updated 27 November 2018

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

This unannounced comprehensive inspection took place on 5 November 2018 and was undertaken by one inspector and a dental inspector.

This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.

We reviewed information sent to us from other stakeholders for example the local authority and members of the public.

We spoke with five people who was used the service. We also observed the interaction between staff and people. We spoke with the manager and three members of care staff, one of these was also one of the service’s owners.

We looked at records in relation to four people’s care. We looked at records relating to the management of the service, two new staff recruitment records and staff training.

Updated 27 November 2018

Silverdale Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. Silverdale Residential Home provides care for up to eight adults with a learning disability and/or mental health conditions and/or dementia.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

On the day of our comprehensive unannounced inspection visit on 23 October 2018, there were seven people using the service.

At our previous inspection of 11 October 2017, this service was rated requires improvement overall, and in each of the key questions. There were breaches of four Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were Regulation 12: Safe care and treatment, Regulation 17: Good governance, Regulation 11: Need for consent and Regulation 18: Staffing. Improvements were needed in how the service assessed and monitored the service provided, maintaining people’s care records, policies and procedures were out of date, and staff training. At this inspection of 5 November 2018, we found improvements had been made and the service was no longer in breach of Regulation.

There was a registered manager in place. 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. Recent events require registration changes, this is being addressed by the service.

People received a safe service. There were systems in place designed to reduce the risks of abuse and avoidable harm. Where incidents happened, the service learned from these to drive improvement. Risks to people were identified and guidance for staff in place to mitigate these. People were supported with their medicines in a safe way. Staff were available to support people and the systems to recruit staff safely were robust. Infection control systems were in place.

People received an effective service. People were supported by staff who were trained and supported to meet their needs. People had access to health professionals when needed. Staff worked with other professionals involved in people’s care. People’s nutritional needs were assessed and met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The environment was well maintained and suitable for the people using the service.

People received a caring service. People shared positive relationships with staff. People’s privacy, independence and dignity was respected. People were listened to in relation to their choices, and they and their relatives, where appropriate, were involved in their care planning.

People received a responsive service. There were systems in place to assess, plan and meet people’s individual needs and preferences. People’s had access to social activities to reduce the risks of isolation and boredom. There was a complaints procedure in place.

People received a service which was well-led. The service provided was assessed and monitored to provide people with a good quality service. Where shortfalls were identified actions were taken to improve. People's views about the service and these were valued and listened to. As a result, the service continued to improve.