Silverdale

Inspectors saw staff treating people with kindness and respecting their privacy, dignity and independence.

“Staff were kind and caring and knew the people they supported well.” from the report

The home was clean and tidy. Laundry arrangements and staff use of protective equipment helped reduce infection risks.

“The service was clean and tidy, and any malodours were quickly addressed by a team of domestic cleaning staff who were busy throughout the day.” from the report

People could join group activities, individual sessions, trips out and community events. Relatives' meetings were also used to gather ideas.

“People enjoyed the activities and commented, "I love the trips out.” from the report

People were helped to eat and drink, and specialist advice was sought when needed. Staff supported people to access healthcare services.

“People were supported to access health care services as needed.” from the report

There were times when staff were difficult to find and people in communal areas might not have had prompt support. Inspectors recommended a review of staffing levels and the building layout.

“There were times when it was difficult to find staff, and groups of people were left in communal areas with no staff near to provide support, should it be required quickly.” from the report

Records did not always show that assessments of people's ability to make specific decisions followed the required process. Inspectors recommended stronger oversight and staff support in this area.

“However, records did not demonstrate the capacity assessments were completed in line with the requirements of MCA and were decision specific.” from the report

Audits and reviews were in place but did not always identify weaknesses found during the inspection. This included care records, staffing and capacity assessments.

“However, it was not clear that these were suitably robust to ensure any shortfalls, such as those identified at this inspection in relation to staffing, mental capacity assessment and recording keeping, were suitably robust.” from the report

Some care plans did not contain enough personal detail about routines, involvement in reviews or end-of-life wishes. Inspectors also said aspects of oral care needed improvement.

“The quality of different parts of people's care plan did vary with some containing a lot of personalised detail and some lacking detail” from the report