CQC report explained · a nursing home
What the CQC found at Silloth Nursing and Residential Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. This included PPE, testing, admissions, hygiene, social distancing and outbreak management.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection, although inspectors noted support for people's social and emotional wellbeing.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection, although inspectors noted that the provider had quality systems to check safe care.
What inspectors found, March 2021
Inspected but not rated; inspectors found strong infection prevention and control arrangements during the pandemic inspection.
Inspectors visited the home on 2 March 2021. The visit was announced and targeted infection prevention and control during the coronavirus pandemic.
They found that staff and essential visitors used personal protective equipment correctly. The home had enough PPE, safe areas for putting it on and removing it, and recorded deep cleaning.
Inspectors were assured about visitor safety, social distancing, admissions, testing, hygiene, outbreak arrangements and the infection control policy. The home supported people's social and emotional wellbeing and offered support to staff.
This inspection was not given an overall rating. It did not assess all areas of care, so it should not be read as a full current rating of the home.
PPE and infection control
Staff and essential visitors used PPE correctly. Supplies were available and stored hygienically, with separate areas for putting on and removing PPE.
“All staff and essential visitors used appropriate personal protective equipment (PPE).” from the report
Cleaning and hygiene
Deep cleaning was completed and recorded. Staff across the home had training in infection prevention and control.
“Deep cleaning of all areas of the home was completed and recorded.” from the report
Emotional support
The home supported people's social and emotional wellbeing and referred people for extra help when needed.
“Staff supported people's social and emotional wellbeing. Where people required additional support, they were referred to appropriate services.” from the report
Support for staff
The provider offered staff mental health support and practical help if they were unwell.
“The provider supported the well-being of their workforce.” from the report
Inspectors raised no specific concerns in this report.
- 01How have the infection prevention and control arrangements described in the report been maintained since the inspection?
- 02How do you currently manage testing, admissions and visitors to reduce the risk of infection?
- 03How do you make sure PPE supplies, training and safe changing areas remain available?
- 04How do you support residents' social and emotional wellbeing, particularly when they need extra help?
- 05Can you provide your current ratings or information about areas not covered by this focused inspection?
This was an announced targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 19 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2019
Rated Outstanding; inspectors found exceptional caring and leadership, with Good ratings for safety, effectiveness and responsiveness.
This was an unannounced inspection on 13 August 2019. Inspectors spoke with people living in the home, relatives, staff and visiting professionals. They observed care and checked care plans, medicines records, staff files and management records.
The home was rated Outstanding overall. Caring and well-led were rated Outstanding. Safe, effective and responsive were rated Good. Inspectors found people were safe, treated with kindness and dignity, and supported by staff who knew their needs and preferences well.
Inspectors particularly praised the home's end-of-life care, staff training, personalised records, activities and links with health professionals and the local community. They found strong leadership, regular checks on quality and a clear focus on learning and improvement.
The overall rating was unchanged from the previous inspection, published on 17 February 2017. The detailed report describes effective care as exceptional, although the rating table gives the effective key question a rating of Good.
Kind and personal care
Staff knew people as individuals and supported them in a compassionate, respectful way. People were encouraged to make choices and do as much as they could for themselves.
“We saw staff supported people in an exceptionally caring manner, they knew the people they were supporting well” from the report
End-of-life care
The home had a long-established focus on end-of-life care. Inspectors found that care was planned with people and families and aimed to provide comfort, dignity and freedom from pain.
“The home worked closely with other healthcare professionals to ensure that people were provided with the best end-of-life care possible” from the report
Skilled and supported staff
Staff received mandatory and specialist training, supervision and appraisals. The home also supported career development and promoted staff into more senior roles.
“The registered manager had an exceptional approach to training and development.” from the report
Activities and community links
People could take part in outings, hobbies and social events, while being respected if they did not want to join in. The home had strong links with local groups and organisations.
“There was a varied programme of events and activities to provide entertainment and to occupy people.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently check that there are enough staff, including at night?
- 02How are new residents and their relatives involved in advance care planning and end-of-life decisions?
- 03What specialist training do staff currently receive for dementia, end-of-life care and changes in people's health?
- 04How are people currently involved in choosing meals, activities and outings?
- 05How can residents and relatives raise concerns, and how are complaints and feedback used to make improvements?
This was an unannounced inspection covering all five key questions, including both the premises and the care provided. This explanation was written from the published report of 10 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Silloth Nursing and Residential Care Home
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Silloth Nursing and Residential Care Home →
- October 2019Outstandingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
Read what inspectors found at Silloth Nursing and Residential Care Home →
- February 2017Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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9 live-in carers within about an hour of Cumberland
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8 can care for a couple. 9 years' experience on average.
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