Silomarg Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment, the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People had individualised care plans which provided staff with information about how to support them safely and effectively. Staff demonstrated a good understanding of people's needs and could clearly explain how care was tailored to each individual.

Where people's needs changed, assessments were reviewed, and care arrangements were updated to ensure support remained appropriate. Staff told us they were involved with updates to care plans, as they knew people well from working with them. These were then checked with professionals, family and the registered manager. Care plans were also regularly audited by the registered manager to check they were up to date and accurate. This meant people received care which reflected their current needs and preferences.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff completed relevant training and demonstrated a good understanding of how to safely support people with a range of needs. Risk assessments, care plans and medicines processes provided guidance to support the delivery of safe and effective care. Staff were knowledgeable about people's conditions and support requirements and followed agreed plans of care. This meant people received care that was informed by best practice and tailored to their individual needs.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

The provider worked effectively with people, professionals and other services to deliver joined-up care and support. Staff worked proactively with a range of professionals, including GPs, community nurses, occupational therapists (OT's) and other health and social care services, to ensure people received timely support. For example, contacting doctors on people's behalf when they became unwell and contacting OT's where someone's care needs had changed to make sure they were best supported.

They also facilitated multidisciplinary discussions when required to ensure professionals had a shared understanding of people's needs and agreed actions to achieve positive outcomes. For example, for one person who had support from another company for activities, Silomarg Ltd worked with them to ensure seamless transitions and promote ongoing good care. One professional said, "I have found the provider to be reliable and professional in its communications. They are open and honest regarding their availability and capacity. Where they have been unable to meet a request, this has been communicated clearly and promptly, allowing alternative arrangements to be made without delay."

The provider showed a very strong commitment to supporting people during periods of transition and increased vulnerability. For example, when one person was admitted to hospital, staff ensured they were supported by people who knew them well. This helped reduce distress, supported effective communication with hospital staff and ensured care remained personalised. Professionals recognised the positive impact of this approach and provided positive feedback about the provider's partnership working and commitment to acting in people's best interests.

Staff also understood the importance of effective information sharing and advocacy to ensure people's needs, wishes and preferences were understood by other services. This meant people experienced exceptionally well-coordinated care and support, particularly during periods of illness, transition or crisis, resulting in positive outcomes and reduced distress.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to access healthcare, plan nutritious meals, and stay active where possible. Staff monitored people's wellbeing during care visits and reported any changes or concerns appropriately, including in handovers.

Records showed referrals were made to healthcare professionals when people required additional support or when changes in their needs were identified. Staff worked effectively alongside other professionals to help maintain positive outcomes for people.

Relatives told us staff knew people well and responded appropriately if concerns arose regarding their health. This meant people received support which promoted their health, wellbeing and ongoing safety.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The service monitored people’s progress and reviewed outcomes to ensure support was effective and delivering results. One staff member gave an example where a person had difficulty walking and used mobility aids and struggled with many tasks but with continued support, prompting and emphasis on independence, their mobility had improved.

Staff monitored people's wellbeing during care visits and reported changes appropriately. Referrals were made to healthcare professionals where additional intervention or support was required. For example, to occupational therapists and speech and language therapists.

Whilst feedback was positive, one relative described an occasion where a person returned to hospital for further assessment of bruising which had previously been reviewed. The provider had taken a cautious approach to ensure the person's wellbeing. This was an isolated concern and was not reflective of the wider feedback received about the service's responsiveness.

Quality assurance systems enabled the provider to identify areas for improvement and monitor the effectiveness of care delivery. This meant people received care that was responsive to their changing needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider supported people to make decisions about their care and treatment wherever possible. Staff understood the importance of gaining consent before providing support and demonstrated a good understanding of people's rights.

Relatives told us staff always sought consent before delivering care and respected people's wishes and decisions. Care records reflected people's preferences and choices about how support should be provided. This meant people's rights were respected and upheld, ensuring they received care and treatment in line with their individual needs, preferences, and legal protections.