Silomarg Ltd

Silomarg Ltd is provides care for adults of all ages who may have dementia, mental health support needs, physical disability, sensory impairments, learning disability or autism. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities which most people take for granted.

This inspection was prompted as the service had not been inspected since 2019 and was rated requires improvement. The provider was also previously in breach of the legal regulations in relation to safe care and treatment, good governance, staffing, and fit and proper persons employed. Improvements were found at this assessment, and the provider was no longer in breach of these regulations. This assessment started remotely unannounced, we requested information from the provider within a specified timeframe and continued with on-site assessment activity at the provider's office on 4 August 2026.

Effective systems were in place to report and investigate incidents, accidents, safeguarding and complaints. Actions were taken and lessons learnt were shared with staff to help prevent further occurrences. Risks were appropriately assessed and managed in a way that promoted safety while maintaining independence. Staff had received relevant training and demonstrated a good understanding of people's needs. People’s prescribed medicines had been managed and administered safely as prescribed.

People had individual person-centred care plans and there was evidence of these being regularly reviewed. Referrals to health care professionals had been made when staff reported changes in people’s needs. Whilst care records generally contained appropriate information to support the delivery of care, we identified opportunities to further develop one person's Positive Behaviour Support (PBS) plan to provide more detailed and person-centred guidance for staff.

Staff supported people with kindness and dignity. Staff encouraged people to maintain their independence and engage in activities that interested them. People’s personal routines and preferences were respected. Staff we spoke with felt supported in their role and able to seek help and guidance when required.

We found systems and processes were in place to support the delivery of safe, person-centred care. People received care and support from a consistent team of staff who knew them well and provided personalised care. They valued and acted on feedback from people who use the service, staff, and other stakeholders. People were involved in decisions about their care.

Staff and the registered manager worked effectively with other health and social care professionals to support continuity of care. Governance arrangements, including audits and quality monitoring processes, provided effective oversight of the service and supported continuous improvement. The registered manager was knowledgeable about the service and demonstrated they had a good understanding of their legal requirements and needs of the people who were supported by the service.