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Inspection Summary

Overall summary & rating


Updated 16 August 2018

We undertook an unannounced inspection at Silver Tree Lodge on 12 July 2018. The last inspection of the service was carried out on 31 May and 1 June 2017. At that time, we identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These breaches concerned the assessment and planning of risks relating to people's safety in the premises, the safe management of medicines and the effectiveness of quality assurance systems to ensure areas for improvement were identified and acted upon.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions ‘safe’ and ‘well-led’ to at least good.

The provider sent us an action plan in June 2017. This described what they were planning to do to comply with the regulations and improve in specific areas. At this inspection, we found that necessary improvements had been made.

Silver Tree Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Silver Tree Lodge can accommodate eight people in one adapted and extended Victorian house. At the time of our inspection seven people were living there. Silver Tree Lodge consists of eight individual apartments. Each apartment is en-suite with a separate lounge and bedroom area. Two of the apartments have their own kitchen facilities. Communal living spaces include a living and dining room, kitchens and gardens.

The service works 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.

A registered manager was in post at the time of our inspection. 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.

People told us that they felt safe at Silver Tree Lodge. We saw systems and processes which helped to keep people safe. These included risk assessments and individual safety measures, as well as equipment checks and the investigation of accidents and incidents.

People received their medicines when they needed them from staff who had been trained and were competent to do this task.

Safe recruitment and selection procedures were in place to ensure staff were suitable to work in the service. There were enough staff in post and they had enough time to spend with people to make sure they received safe and effective care.

Staff understood their roles in relation to the Mental Capacity Act 2005. This meant that people were supported to have choice and control in their lives. Their privacy and dignity was respected and people were encouraged to be as independent as possible; the policies and systems in the service supported this practice.

Staff had a good understanding of people's needs and preferences, and were compassionate, kind and caring. People were comfortable in the presence of staff and confident in their abilities.

When there were concerns about a person’s physical health or wellbeing staff liaised with healthcare professionals. Staff helped people to access appointments when necessary.

Systems were in place to monitor and review the quality of care provided. Checks were carried out regularly, and there were clear action plans to achieve improvement when this was needed.

People spoke positively about the service and the staff who supported them. Relatives found the staff team to be supportive, compassionate and car

Inspection areas



Updated 16 August 2018

The service was safe.

Medicines were managed safely. This had been improved since the last inspection.

Risks to people were assessed and monitored to ensure that people remained safe. This had been improved since the last inspection.

People felt safe living at the service.

Processes were in place and were followed by staff to protect people from harm or poor care.

There were enough staff to meet people�s needs and respond flexibly.



Updated 16 August 2018

The service was effective.

Staff had a good understanding of mental capacity, consent and best interests decisions.

Staff received training and support to ensure they were knowledgeable and skilled in their roles.

People were supported to stay healthy and well. The service made referrals to other relevant health professionals when required.



Updated 16 August 2018

The service was caring.

People were relaxed in the company of staff.

Staff respected people's privacy and dignity.

Staff had a good understanding of people�s needs and preferences, and were compassionate and patient.

People and their relatives were complimentary about the service.



Updated 16 August 2018

The service was responsive.

People received personalised care from staff who knew them well.

People were supported to make choices about their care where possible.

People and their relatives told us they felt able to make a complaint, and were confident that any concerns would be fully investigated.



Updated 16 August 2018

The service was well led.

Quality assurance and monitoring systems were comprehensive and effective. This had been improved since the last inspection.

The service promoted a culture that was person centred, open and inclusive

Staff and people spoke positively about the manager and they felt respected and supported.