CQC report explained · a residential care home
What the CQC found at Silver Oaks Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2018
Silver Oaks Residential Care Home was rated Good; inspectors found kind, safe care, with some medicine records and premises checks needing attention.
The inspection was unannounced and took place on 24 April 2018. Inspectors spoke with people living in the home, visitors, staff and managers. They observed care and a lunchtime meal, and checked care plans, medicine records, staff records and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, personalised care, good support with food and health, and kind and respectful interactions.
The home had improved its medicine arrangements since the November 2015 inspection, when Safe was Requires Improvement. Inspectors still identified some issues, including missing guidance for two people's hidden medicines, gaps in temperature records and a small area of uneven flooring.
Kind and respectful staff
People described staff as kind and gentle. Inspectors saw staff communicate patiently, protect privacy and support people at their own pace.
“The staff are all lovely here, not a bad one amongst them. They are kind and gentle.” from the report
Personalised care
Care plans included people's life histories, interests and communication preferences. Staff used these details to provide individual support.
“Care plans were written in a very person-centred style.” from the report
Enough familiar staff
People did not have to wait long for help. Staffing levels were described as usual, and staff were familiar with people's needs.
“Staff responded to cover planned and un-planned absence which meant people received care from a consistent group of staff who were familiar with their needs.” from the report
Good food and health support
People were offered food based on their choices and received support with eating and drinking when needed. The home worked with health professionals to meet changing health needs.
“This resulted in a positive dining experience for people.” from the report
Open management
Managers were visible and involved in daily care. The home collected views through meetings, surveys and a comments book, and used them to make changes.
“The provider had systems in place to monitor, assess and improve the service.” from the report
Guidance for hidden medicines
seriousTwo people received medicines hidden in food or drink. Although approvals were in place, the instructions did not say which foods or drinks could safely be used.
“Although authorisations from an appropriate health professional were in place, these did not provide staff with the guidance they needed to administer the medicines safely.” from the report
Medicine temperature records
needs fixingMedicine storage temperatures were within recommended limits, but staff had not recorded checks every day.
“there were gaps in recordings which meant temperatures were not checked daily.” from the report
Uneven flooring
needs fixingInspectors recommended checking a small uneven area on the first-floor landing and near the staircase to make sure it was safe.
“We recommended the provider review a small area of uneven flooring on the first floor landing and access to the staircase from the first floor to ensure these areas were safe for people using the service.” from the report
Safeguarding contact details
minorThe safeguarding policy was available, but it did not give contact details for relevant local agencies outside the home.
“However, it did not include contact details of relevant local agencies to support people to raise concerns outside the service.” from the report
- 01What action have you taken to add safe instructions for the two people whose medicines are hidden in food or drink?
- 02Can you show us the current daily records for medicine-storage temperatures?
- 03What was done about the uneven flooring on the first-floor landing and near the staircase?
- 04How can residents and families contact local safeguarding agencies outside the home?
- 05How do you make sure care plans are updated when a person's health or preferences change?
This was an unannounced inspection of the whole service, covering Safe, Effective, Caring, Responsive and Well-led; the report says the previous overall rating from November 2015 remained Good. This explanation was written from the published report of 22 June 2018 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 Silver Oaks Residential Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- June 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Silver Oaks Residential Care Home →
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 17 January 2012.
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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