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Sylvan House Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 19 July 2019

About the service

Sylvan Residential Home is a residential care home providing personal and nursing care. The home accommodates up to 20 people in adapted premises. It does not provide nursing care.

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

Feedback from people living in the home and visitors was all positive. People had developed positive and friendly relationships with the staff and staff could tell us about people’s likes, dislikes, interests and the support they needed.

Improvements had been made to the environment since the last inspection and additional improvements were planned.

Care plans and risk assessments were person centred and they detailed how people wished and needed to be cared for. However, we found that one care file was audited per month. We discussed that this was not sufficient as risk changes and the current process meant that it would take 20 months to check all files. This was actioned immediately.

People were recruited safely, however documentation did not always reflect the processes taken.

Staff received regular training, received supervisions, attended staff meetings and had regular practice checks.

Medication needs were assessed and medication was only given by staff who were trained to do so. Accidents, incidents, safeguarding and complaints were managed appropriately and monitored by the management.

There was a programme of meaningful activities available for people living in the home and we received positive feedback from people and their relatives regarding this. People and their relatives gave consistent, positive feedback about the service. This included the approach of staff, the food, the events that took place in the home and the accommodation.

The registered manager and provider made effective use of internal and external audits and other sources of information to review and improve practice. People were able to give their opinions on their care service and a range of communication methods were in place to ensure people continued to have this opportunity.

Policies and procedures were in place and updated, such as safeguarding, complaints, medication and other health and safety topics. infection control standards were monitored and managed appropriately. There was an infection control policy in place to minimise the spread of infection, all staff were provided with appropriate personal protective equipment such as gloves and aprons. There was also a series of health and safety checks in place to ensure the building was safe.

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.

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

Rating at last inspection and update: The last rating for this service was Requires Improvement (published 05 June 2018) and there was a breach of the Care Quality Commission (Registration) Regulations 2009: Regulations 16 and 18 because the provider had failed to notify CQC of deaths and other occurrences at the home. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sylvan Residential Home on our website at www.cqc.org.uk.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 19 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 July 2019

The service was well-led.

Details are in our well-Led findings below.