Archived: Silverdene Residential Home

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

Staff were observed to be friendly, relaxed and focused on the needs of people living there. We saw the appropriate use of shared humour and people were supported to participate in activities both inside and outside Silverdene. The accommodation was homely and it was evident that a variety of activities were available.

The registered manager told us that they aimed to provide a happy, warm atmosphere and actively promoted these qualities in the staff group, and this was evident during our inspection. The training facilitator showed us a comprehensive training plan for staff which we were told included face-to-face training and development which was aimed at promoting quality.

We looked at the notes of two people and found that the support plans did not accurately reflect the advice of professionals. This meant that the care being provided may have been unsafe or inappropriate because the records were not accurate.

People said that the staff were; "Wonderful". Another said; "There are a lot of staff here that I get on awfully, awfully well with". Relatives told us; "(The staff) do an amazing job" and; "They are a nice little community." and; "I find things fairly perfect.". Someone told us that the staff were absolutely wonderful and nothing was too much trouble.