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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 1 July 2021

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 13 people living at the service.

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

People who were able to share their views with us told us they were happy living at Silvermead. We found the service was not operating in accordance with the regulations and best practice guidance. The providers oversight and governance of the service was ineffective in identifying the serious failings in relation to the safety, quality and standard of the service as detailed in the safe and effective sections of this report.

Given the level of concerns identified at this inspection. We requested an urgent action plan from the provider to tell us what immediate action they have taken or proposed to take to address the concerns identified at this inspection to ensure people received safe, effective, high quality care and support. We have also shared the information with Plymouth City Council.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. This meant we could not be assured that people who used the service were able to live as full a life as possible and achieve the best possible outcomes.

People were not always protected from the risk of avoidable harm. We found where some risks had been identified, sufficient action had not always been taken to mitigate those risks and keep people safe. Key pieces of information relating to people's care and support were not always being recorded, followed up or accessible.

Medicines were not being managed safely.

There were insufficient numbers of suitable qualified, competent, skilled or experienced staff on duty to meet people’s needs safely.

People were not always protected from the risk and spread of infection. We were not assured that Infection Prevention and Control (IPC) practice was safe and the service was compliant with IPC measures.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 22 September 2020). In February 2021 the provider wrote to the Care Quality Commission to request an inspection. They were confident that all the concerns identified by the inspection undertaken in 2019 had been fully addressed and were concerned about the impact this rating was having on their business. An inspection was carried out in March 2021, the draft report has been issued to the provider as per our process and will be published shortly.

Why we inspected

The inspection was prompted by concerns we received about risks associated with nutrition and hydration, staff recruitment, induction, training and staffing levels. A decision was made for us to undertake a targeted inspection to examine those risks.

CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home insp

Inspection areas

Safe

Inadequate

Updated 1 July 2021

At our last inspection we rated this key question inadequate. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.

Effective

Requires improvement

Updated 1 July 2021

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Caring

Requires improvement

Updated 1 July 2021

Responsive

Requires improvement

Updated 1 July 2021

Well-led

Inadequate

Updated 1 July 2021

At our last inspection we rated this key question inadequate. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.