Background to this inspection
Updated
30 June 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a comprehensive inspection that was completed by one inspector.
This inspection took place on 31 May and 1 June 2017 and was unannounced.
We reviewed information we held about the service. We looked at our own system to see if we had received any concerns or compliments about the provider. We analysed information on statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send us by law.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning.
We spoke with eight people receiving support, two relatives, five staff members, the deputy manager and head of operational services.
We looked at the care and support plans for two people including assessments of risk and guidance for the use of medicines. We looked at records of quality checks completed by the registered manager and the provider. In addition, we confirmed the recruitment details of two staff members.
Updated
30 June 2017
Silverdene provides accommodation and personal care to adults with learning disabilities. This is provided in four areas of the home identified as the house, the new build, bungalow and the annex. In addition to those living there, they also provided respite services. At this inspection, they were supporting 16 people.
A registered manager was in post but owing to pre-arranged annual leave was not available at this inspection. We were supported throughout by the deputy manager and head of operational services. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection the service was rated good. At this inspection we found the service remained good.
People continued to remain safe as staff knew how to recognise and respond to concerns of ill-treatment and abuse. There were enough staff to support people to meet their needs. The provider followed safe recruitment procedures when employing new staff members.
People continued to receive care that was effective and personalised to their individual needs and preferences. They were assisted by a staff team who were well supported and had the skills and training to effectively support people.
People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible. Staff were aware of current guidance which informed their practice and people’s rights were protected by the staff who supported them.
People received support that continued to be caring and respectful. People were supported by a staff team that was compassionate, thoughtful and respectful.
People’s privacy and dignity was respected by those providing assistance. People were supported at times of upset and distress.
People continued to be involved in developing their own care and support plans. When changes occurred in people’s personal and medical circumstances, these plans were reviewed to reflect these changes. People’s individual preferences were known by staff members who supported them as they wished. People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.
Silverdene continued to be well-led by a management team that people and staff found approachable and supportive. People were involved in decisions about their care and support and their suggestions were valued by the provider. Staff members believed their opinions and ideas were listened to by the provider and, if appropriate, implemented. The provider had systems in place to monitor the quality of service they provided and where necessary made changes to drive improvements.
Further information is in the detailed findings below