Silverbirch Home

The care service has been developed and designed 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." Registering the Right Support CQC policy

There was a registered manager in post when we inspected the home. 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 were comfortable and as ease around care staff that understood how to keep people safe. Staff had received updated training and understood people's individual circumstances. Staff understood who to report concerns to as well as the risks to people's health. Staff understood people's health conditions and how they required supervision and support. The risks to people's health were reviewed regularly and updated based on the known risk to people's health. Staff working at the home undertook background checks. Staffing needed to support people safely was reviewed and updated based on people's changing needs. People's access to medicines was reviewed and checked to ensure people received their medicines in line with guidance for that person.

Staff were supported through access to training and supervision and received feedback on their performance. Staff supporting people understood the importance of obtaining their consent. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff supported people to maintain a healthy diet. People were also supported to attend appointments with healthcare professionals in order to aid their health and wellbeing.

People knew and liked the staff supporting them. Staff understood people's individual care needs and preferences. Staff involved people in their care by explaining choices and supporting people to make decisions about their care. People were supported by staff who demonstrated an understanding of supporting people with dignity and respect.

People were supported to pursue hobbies and interests that were important to them. Staff understood how to support people. People's care was reviewed and updated in response to their changing care needs. People understood they could speak with staff and the registered manager if they were unhappy about their care. Complaints were recorded and responded to inline with the registered provider's policy.

People knew and liked the registered manager. Staff spoke positively about working at the home and understood their role within the team. Staff felt able to seek help and guidance as well as contribute ideas to care planning. Regular reviews of people's care ensured people's care planning was timely and up to date. The registered manager reviewed and updated people's care regularly and sought advice and guidance to improve the care people received.

The five questions we ask about services and what we found