Silverdene Residential Home

Based on our review of the safe, effective and well led key questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

The service was developed and designed prior to the introduction of Right support, right care, right culture and is larger than current best practice guidance. The size of the service having a negative impact on people's lives was mitigated by the home having four distinct areas, each with their own staff team and facilities.

People were able to make their own choices, with support where needed. People received person-centred support and staff clearly explained how they promoted people's dignity, privacy and independence.

Risks were assessed and guidelines were in place to manage these risks, including if people became agitated. Staff knew how to report any concerns and incidents. Staff had the training to carry out their roles and had been safely recruited. Staff said they felt well supported by their colleagues and the management team. Regular supervision and team meetings were held, and staff were able to raise any ideas or concerns they had.

Current government guidelines for infection control, the use of PPE, COVID-19 testing for staff and visitors and vaccination as a condition of employment were being followed.

People received their medicines as prescribed. Their nutritional and health needs were being met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The quality assurance system had been improved, with action plans in place for any issues identified through the regular audits. The providers senior management team and directors had greater oversight of the service.