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Inspection Summary


Overall summary & rating

Good

Updated 6 March 2018

Silverbirch provides accommodation for a maximum of nine people requiring nursing or personal care. There were nine people living at the home when we visited.

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.” Registering the Right Support CQC policy

There was a registered manager in post when we inspected the home. 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 were comfortable and as ease around care staff that understood how to keep people safe. Staff had received updated training and understood people’s individual circumstances. Staff understood who to report concerns to as well as the risks to people’s health. Staff understood people’s health conditions and how they required supervision and support. The risks to people’s health were reviewed regularly and updated based on the known risk to people’s health. Staff working at the home undertook background checks. Staffing needed to support people safely was reviewed and updated based on people’s changing needs. People’s access to medicines was reviewed and checked to ensure people received their medicines in line with guidance for that person.

Staff were supported through access to training and supervision and received feedback on their performance. Staff supporting people understood the importance of obtaining their consent. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff supported people to maintain a healthy diet. People were also supported to attend appointments with healthcare professionals in order to aid their health and wellbeing.

People knew and liked the staff supporting them. Staff understood people’s individual care needs and preferences. Staff involved people in their care by explaining choices and supporting people to make decisions about their care. People were supported by staff who demonstrated an understanding of supporting people with dignity and respect.

People were supported to pursue hobbies and interests that were important to them. Staff understood how to support people. People’s care was reviewed and updated in response to their changing care needs. People understood they could speak with staff and the registered manager if they were unhappy about their care. Complaints were recorded and responded to inline with the registered provider’s policy.

People knew and liked the registered manager. Staff spoke positively about working at the home and understood their role within the team. Staff felt able to seek help and guidance as well as contribute ideas to care planning. Regular reviews of people’s care ensured people’s care planning was timely and up to date. The registered manager reviewed and updated people’s care regularly and sought advice and guidance to improve the care people received.

Inspection areas

Safe

Good

Updated 6 March 2018

The service was safe.

People felt safe and at ease around care staff that understood how to protect people from harm. Staff understood people’s health conditions and ensured they received support with their medicines. Background checks were undertaken before staff were appointed to the home. Staff understood how to prevent the spread of infection.

Effective

Good

Updated 6 March 2018

The service was effective

People were supported by staff that had received training and guidance in caring for people. People were supported to make choice to support a healthy lifestyle. People were supported to attend appointments with healthcare professionals and were staff understood the importance of consent and how to support people within the remit of the law.

Caring

Good

Updated 6 March 2018

The service was caring.

People liked the staff that cared for them and staff understood how to support people with respect for their human rights.

People were involved in their care planning and made day to day decisions. People were treated with dignity and respect.

Responsive

Good

Updated 6 March 2018

The service was responsive.

People were involved in planning their care and people’s care was reviewed and updated in response to changing needs.

A complaints process was in place to investigate and respond to complaints.

Well-led

Good

Updated 6 March 2018

The service was well led

People felt able to access the Registered Manager. Staff felt able to seek advice and guidance from the registered manager. The registered manager had a system in place for monitoring, reviewing and updating people’s care and worked with other stakeholders to develop people’s care.