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Silvermead Residential Home Inadequate

The provider of this service changed - see old profile

We are carrying out a review of quality at Silvermead Residential Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 25 June 2020

About the service:

Silvermead Residential Home, hereafter referred to as Silvermead, is a residential care home that provides personal care and support for up to 13 people with a learning disability, autism or who have complex needs associated with their mental health. At the time of the inspection there were 12 people living at the service.

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

People told us they liked living at Silvermead. We found the service was not operating in accordance with the regulation and best practice guidance. This meant people were at risk of not receiving the care and support that promoted their wellbeing and protected them from harm. Although the provider demonstrated a strong commitment to people living at the service. They did not have sufficient oversight of the service to ensure people received the care and support they needed that promoted their wellbeing and protected them from harm.

The service did not consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

Systems and processes to monitor the service were not effective and did not drive improvement. These included concerns with records, risk management, medicines, a lack of person-centred care, and the environment.

People were not always protected from the risk of avoidable harm. We found where some risks had been identified, it was unclear what action had been taken to mitigate those risks and keep people safe.

Other risks were well managed, for example, risks had been identified in relation to people’s health care needs and records demonstrated that action had been taken to minimise these.

Whilst we did not find people were being disadvantaged, people were not supported to have maximum choice and control of their lives and staff were not supporting people in the least restrictive way possible.

The service did not have good systems or processes in place to help ensure people received the care and support they needed in accordance with their wishes.

Whilst it was clear that staff care deeply for people, their right to privacy was not always understood or respected.

Staff told us they felt supported and appreciated by the provider and manager. We found the service did not have an effective system in place for recording what training staff had received. This meant that neither the provider or manager could be assured that staff had the necessary skills to carry out their roles.

People were not protected by safe recruitment procedures. We looked at the recruitment files for four staff members. Whilst some recruitment checks had been carried out, others had not.

People were encouraged to share their views through regular reviews and relatives felt comfortable raising complaints and were confident these would be acted on.

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

Rating at last inspection

The last rating for this service was requires improvement (published on 7 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in regulation in relation to safe care and treatment, safeguarding people from abuse, the need for consent, dignity and respect, person-centred care, training, recruitment, notifications, and governance.

Please see the action we have told the provider to take at the end of this report. Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. This means we will keep the service under review and, if we do not propose to ca

Inspection areas

Safe

Inadequate

Updated 25 June 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 25 June 2020

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 25 June 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 25 June 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 25 June 2020

The service was not well-led.

Details are in our well-Led findings below.