Silver Tree Lodge

Updated 22 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection prevention and control measures the provider has in place.

The inspection took place on 30th March 2021 and was announced.

Updated 22 April 2021

We undertook an unannounced inspection at Silver Tree Lodge on 12 July 2018. The last inspection of the service was carried out on 31 May and 1 June 2017. At that time, we identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These breaches concerned the assessment and planning of risks relating to people's safety in the premises, the safe management of medicines and the effectiveness of quality assurance systems to ensure areas for improvement were identified and acted upon.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions ‘safe’ and ‘well-led’ to at least good.

The provider sent us an action plan in June 2017. This described what they were planning to do to comply with the regulations and improve in specific areas. At this inspection, we found that necessary improvements had been made.

Silver Tree Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Silver Tree Lodge can accommodate eight people in one adapted and extended Victorian house. At the time of our inspection seven people were living there. Silver Tree Lodge consists of eight individual apartments. Each apartment is en-suite with a separate lounge and bedroom area. Two of the apartments have their own kitchen facilities. Communal living spaces include a living and dining room, kitchens and gardens.

The service works in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

A registered manager was in post at the time of our inspection. 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.

People told us that they felt safe at Silver Tree Lodge. We saw systems and processes which helped to keep people safe. These included risk assessments and individual safety measures, as well as equipment checks and the investigation of accidents and incidents.

People received their medicines when they needed them from staff who had been trained and were competent to do this task.

Safe recruitment and selection procedures were in place to ensure staff were suitable to work in the service. There were enough staff in post and they had enough time to spend with people to make sure they received safe and effective care.

Staff understood their roles in relation to the Mental Capacity Act 2005. This meant that people were supported to have choice and control in their lives. Their privacy and dignity was respected and people were encouraged to be as independent as possible; the policies and systems in the service supported this practice.

Staff had a good understanding of people's needs and preferences, and were compassionate, kind and caring. People were comfortable in the presence of staff and confident in their abilities.

When there were concerns about a person’s physical health or wellbeing staff liaised with healthcare professionals. Staff helped people to access appointments when necessary.

Systems were in place to monitor and review the quality of care provided. Checks were carried out regularly, and there were clear action plans to achieve improvement when this was needed.

People spoke positively about the service and the staff who supported them. Relatives found the staff team to be supportive, compassionate and caring.

Many of the staff had worked at Silver Tree Lodge for many years. They were motivated and enthusiastic, and staff told us that their colleagues and managers supported them well.

Further information is in the detailed findings below.