Silverdale

Updated 25 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was undertaken by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Silverdale is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Silverdale is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post, but they were not on-site and we were supported during the inspection by the deputy manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included any information of concern and notifications the service is required to submit regarding any significant events happening at the service. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan the inspection.

During the inspection

We reviewed staffing levels and walked around the building to ensure it was clean and a safe place for people to live. We observed how staff supported people and provided care.

We spoke with 10 people who use the service, 3 relatives and 9 members of staff, including the deputy manager, care workers and auxiliary staff.

We reviewed a range of records including full care plans for 5 people and additional care records in relation to the management of other specific needs. We looked at 4 staff files in relation to recruitment, training and support. A variety of records relating to the management of the service, including policies and procedures were examined.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 25 January 2024

About the service

Silverdale is a residential care home providing personal care to up to 47 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 46 people using the service.

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

There were systems and checks in place. However. these did not demonstrate that issues, such as those identified during inspection were being identified and therefore were not always as robustly completed as possible. People and relatives spoke positively about the management team and felt the service was well run and people were well cared for. Staff felt well supported and that as a team they all worked well together. There were various systems to obtain feedback and people, relatives and staff felt involved in service development.

There was not always enough staff to meet people’s needs in a timely way and we have made a recommendation about this. The service was clean and tidy, people’s needs and risks were assessed, and people received their medicines as they needed. People felt safe at the service, and staff were suitably recruited.

We found people’s capacity assessments were not always completed in line with the Mental Capacity Act and we have made a recommendation about this. There were suitable polices in place and staff supported people to make choices and decision.

People’s needs and choices were assessed, and care plans implemented. People were supported to access health care services as needed and helped to eat and drink well. Staff received a variety of training and felt well supported in their roles. The service had been adapted to meet the needs of people living with Silverdale including those living with dementia.

People’s care needs were being met in a personalised way and different approaches to communication were in place where this was needed. A range of activities and initiatives were in place for people to access. People felt able to raise concerns and make complaints and there were suitable policies and procedures in place.

Staff were kind and caring and knew the people they supported well. People’s privacy and dignity was respected, and decision making and independence encouraged.

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 good (published 18 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made a recommendation that the provider review staffing allocation and the systems of oversight in relation to the assessment of capacity under the Mental Capacity Act.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.