The Care Quality Commission

Archived: Silverdale Residential Care Home

3 Nottingham Road, Hucknall, Nottinghamshire, NG15 7QN (0115) 964 0400

Provided and run by:
Rodenvine Limited

Important: The provider of this service changed. See new profile
Important: We are carrying out a review of quality at Silverdale Residential Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

All Inspections

22 May 2013

During an inspection looking at part of the service

Although further development was still required we found there had been an improvement in respect of the care planning and care delivery, medicine management and the quality auditing systems.

We found that minor improvements were also required in respect of some Do Not Attempt Cardiac Pulmonary Resuscitate forms that were in place.

We spoke with two people using the service and they both told us they were happy with the care they were receiving. One person said, 'They care for you well, I can't fault it here.'

We observed positive interactions between staff and people using the service. There was a relaxed atmosphere and we saw that people using the service were comfortable talking to staff. Staff told us they enjoyed working with the people living in the home and our observations supported this. We saw staff were kind and patient with people during our visit.

One relative told us that there were enough staff available to meet people's needs.

We spoke with two people using the service and they told us they felt there were enough staff to care for them properly. One person said, 'You don't have to wait long, if you ask for something they (staff) get it for you.

6 December 2012 and 7, 9 January 2013

During an inspection looking at part of the service

We inspected Silverdale residential Home over the course of three days to see if there had been any improvements since our last visit in November 2012.

We found there had been a number of improvements, however further improvement and development was required in all the outcome areas inspected.

People using the service however told us they were happy and settled living at the home.

Two relatives also said they were happy with the standards of care their relative received.

We had some concerns in respect of the support and assistance some people received during meal times and staff's understanding about making sure people got enough to eat.

Two people told us the staff were kind and caring and their needs were met. One person told they felt safer in the home than they had the last time we visited. We spoke with their visitor and they told us they felt their relative was safe in the home. They told us the new manager had made some improvements and that she was approachable and took the time to listen.

Systems to make sure people's views and opinions were listened to and taken into account still needed to be developed. However two people and one relative told us they felt that communication had improved and they felt listened to.

26 January 2013

During a routine inspection

We visited the service on 26 January 2013 at 4.55am in response to information of concern we received. The information of concern was in relation to people receiving assistance from staff to change incontinence aids during the night.

We visited all ten of the people in the home and we did not find any evidence to verify the information we had received. However we did find other concerns in relation to people's care.

We found that some people's plans of care were not reflective of their current needs. There also was no senior member of staff on duty to ensure people received the right amount of support should they need this in an emergency.

As there was no senior member of staff on duty we also had concerns in relation to the administration of medicines. Some people may have required medicines through the night and there was no one on duty who had been trained to administer medicines should they be needed.

We also had continuing concerns in relation to the amount of staff available to support people.

When we arrived at the home at 4.55 am and when we left we saw that several windows to bedrooms, including some on the ground floor had been left open. This does not provide adequate security to keep people safe.

6, 7, 12, 19 November 2012

During an inspection looking at part of the service

We visited the location four times during this inspection due to concerns that had been raised in respect of the standards of care people were receiving. The views of people and their relatives differed. Some were happy and content living at Silverdale, whilst others expressed concern in relation to the care and support they received.

One person told us there were not always enough staff to care for them in a way they would like. They told us sometimes staff were very rushed when they were supporting them. This led to them not having personal care tasks completed as they would prefer. They told us that when they rang their emergency bell for assistance to use the toilet staff were not always available to help them for up to 10 minutes.

Whereas another person who was very independent told us they were happy in the home and they enjoyed the food, “Staff don’t really need to do anything for me but I am sure they would if I asked. The staff are very good and generally around if I ask for something.”

We saw some staff supported people as needed and they were kind and caring. However we did have concerns in respect of other staff practices which we raised with the provider. We also raised a number of safeguarding referrals to the Local Authority Safeguarding Vulnerable Adults team following our visit due to concerns we had in respect of the care and support some people were receiving.

30 May 2012

During a routine inspection

We visited the location to carry out a planned review. We had also received some concerning information in respect of the quality of care delivered to people using the service.

Due to the complex needs of some people living at Silverdale Residential Home they were unable to talk with us. We therefore used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We carried out this observation for a period of one hour.

We also spoke with three external professionals, three members of staff, six relatives and five people using the service.

One person who had recently started to use the service told us staff had asked them how they would like their care to be delivered. They told us staff had asked them about their likes and dislikes, particularly in relation to food.

All people we spoke with told us that staff spoke to them with courtesy and respect one person told us: 'The staff speak nicely to me.'

We spoke with three external professionals all reported that staff treated people with dignity and respect and they talked to people in a very sensitive and friendly manner. They felt that improvements were taking place and they believed people were protected from harm in the service.

During our observations we found the environment was calm, homely and welcoming. Staff were attentive to people's individual needs whilst at the same time aware of the comfort and safety of other people. We observed that staff spoke with people in a dignified and respectful manner. People were assisted as needed by staff and staff engaged people in the activity they were doing at the time which promoted their independence.

One person told us: 'I am happy here, they look after us and watch us.' Another person said: 'The staff look after me well they are very accommodating, they always answer my call bell very quickly.'

All of the people we spoke with told us they were safe and staff protected them. One person said: 'I am happy and safe here.' Another person told us 'I feel safe here.'

We spoke with one relative who said their relative was safe. However they told us that they had not been provided with any information about how to raise a safeguarding referral should they need to.

One person told us: 'I am happy with how clean my room is, the staff clean it regularly.' Relatives told us they were satisfied with the standard of cleanliness in the home.

A relative told us they were concerned a few months ago because there was less staff and this was impacting upon the standards of care. They reported that things 'seem to be coming back to normal now.' Another relative told us: 'Staff seem skilled and trained to do their job.'

We were informed that two people had recently fallen out of their bed by an external professional and they were concerned that there was insufficient night staff to care for all the people. The external professional also told us that on occasions when they had visited the home they found it difficult to find staff and on some occasions the lounge area had been left unattended.

A relative told us there was a relatives meeting a few weeks ago which was good and the manager listened and appeared keen to have these. They also said that a newsletter had been introduced which was good.