Archived: Silverlea Care Home Limited

Updated 7 August 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector on 11 June 2019 and 13 June 2019.

Service and service type:

Silverlea is a ‘care home providing accommodation for up to 35 people. People in care homes receive accommodation and personal care as a single package under one contractual arrangement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced on both days.

What we did:

We reviewed information we had received about the service since the last inspection.

We asked the service to complete a Provider Information Return. This is information we require providers to send us at least annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed this prior to our visit.

We asked for feedback from the local authority and commissioning teams in Bradford.

We spoke with the registered manager and deputy manager.

We spoke with five care staff and the cook.

We spoke with five service users and two relatives.

We spoke with a visiting health care professional.

We reviewed three people’s care records and other records and audits relating to the management of the service.

Updated 7 August 2019

About the service: Silverlea Care Home is a residential home situated in Bradford. The home provides accommodation and personal care for older people and people living with dementia. At the time of this inspection there were 10 people living at the home.

People’s experience of using this service:

Systems to monitor and check the service were in place but some of these needed to be more thorough to ensure the service consistently met the required standards.

People’s care needs were assessed, and they received good quality person centred care from staff who knew them well. The registered manager was in the process of updating care plans. However, we found some care plans required more detail to ensure they reflected people's needs and involvement. We found there were limited opportunities for meaningful individualised activities. We have made a recommendation about improving the range of opportunities available to people.

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 supported this practise. Improvements were needed to documentation to fully evidence compliance with the Mental Capacity Act (MCA). We have made a recommendation about updating documentation to reflect people’s involvement.

People and their relatives praised the standard of the care at home. People said they felt safe and they were supported by a consistent and experienced team. People said staff were kind and caring. One person said, “It’s the best place you can stay. I’ll tell anyone. The ladies are all lovely here.”

Staff were knowledgeable and received training, supervision and support to carry out their roles effectively. Staff were committed to providing person centred care and promoting people’s independence.

Medicines were safely managed. There were very close links with health professionals and other agencies to ensure people’s health needs were met and changes responded to promptly.

The registered manager provided people with leadership and promoted an open and inclusive team culture. There was a warm and welcoming atmosphere throughout the home.

More information is in the full report.

Rating at last inspection and update:

The last rating for this service was requires improvement (published 19 June 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations. Please see the effective and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Why we inspected:

This was a planned inspection based on the previous rating.

Enforcement:

We have identified breaches in relation to safe governance and audit processes.

Follow up:

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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