CQC report explained · a nursing home
What the CQC found at Silverways Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, November 2023
Silverways Nursing Home is rated Good; inspectors found safe, caring and well-managed support, with some staff still needing up-to-date fire drill practice.
Inspectors visited without notice on 19 October 2023. They spoke with people living in the home, relatives, staff and a visiting health professional. They also checked care and medicines records, recruitment files and management records.
The home was rated Good for Safe and Well-led. Inspectors found that people felt safe, risks were reviewed, medicines were managed safely and there were enough suitably skilled staff. Infection prevention was also handled well.
The home was described as open, friendly and caring. Managers were visible, staff felt supported, and people and families were included in decisions. Not all staff were up to date with fire drill practice, although a drill was scheduled during the inspection.
This was not a full review of all five CQC questions. The Effective, Caring and Responsive ratings were carried forward from the previous inspection, published on 11 July 2018. The overall rating remained Good.
People felt safe
People and relatives said they felt safe. Risks such as falls, skin damage and choking were assessed and reviewed.
“People and their families told us they felt safe.” from the report
Enough skilled staff
Inspectors found enough staff with the right skills and experience. Recruitment checks included references, employment history and criminal record checks.
“People were supported by enough staff with the right level of skills and experience to meet their care needs safely.” from the report
Safe medicines and infection control
Medicines were given by trained staff whose competence was checked. The home was clean and had suitable infection control supplies.
“People had their medicines managed safely.” from the report
Open management
People, families and staff described the culture as open and friendly. Managers were visible and worked alongside staff.
“The culture of the home was open, caring, and friendly.” from the report
Quality monitoring
The home used audits and reviews to check areas such as medicines, infection control and health and safety. Incident learning was used to update care plans and training.
“Quality assurance systems and processes were in place that included regular audits of key areas such as medicines, infection control and health and safety.” from the report
Fire drill practice
minorNot all staff were up to date with fire drill practice. A fire drill was scheduled during the inspection.
“Not all staff were up to date with fire drill practice.” from the report
- 01Has every staff member now completed up-to-date fire drill practice?
- 02How often are fire drills carried out, and how are staff who miss one followed up?
- 03How will my relative and our family be involved in care decisions and service meetings?
- 04How are medicines audits used to check that my relative's medicines are given safely?
- 05What changes have been made to create safer walkways and store equipment?
This was a focused inspection of Safe and Well-led; the Effective, Caring and Responsive ratings were carried forward from the inspection published on 11 July 2018. This explanation was written from the published report of 4 November 2023 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, March 2021
Inspected but not rated; inspectors found infection control practices were in line with guidance.
This was an announced, targeted inspection on 17 February 2021. It checked infection prevention and control because of the coronavirus outbreak. The home was not given an overall quality rating.
Inspectors found policies and staff practices followed the latest government guidance. They were assured that the home managed visitors, admissions, shielding, social distancing, protective equipment, testing and outbreaks safely.
The home had regular infection control audits. Inspectors also found clean premises, suitable cleaning products, staff training and checks on the use of protective equipment. Visiting was limited during the national lockdown, with extra checks for exceptional visits.
Infection control audits
The home carried out regular audits and completed identified actions promptly.
“Regular IPC audits were completed, ensuring standards were met, and when actions were identified they were completed in a timely way.” from the report
Visitor safety
Exceptional visits were risk assessed and arranged through a separate entrance. Visitors had temperature checks and rapid coronavirus tests.
“Visitor checks included a temperature check and rapid Covid-19 test, which indicated a positive or negative test result within 30 minutes.” from the report
Staff training
Staff had current infection control training, including how to use protective equipment and self-testing kits. Their skills were checked regularly.
“Staff were up to date with infection, prevention and control training which had included safely putting on and taking off personal protective equipment (PPE) and the correct use of self-testing kits.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how do they compare with those inspected in February 2021?
- 02How are visits managed now, including visits when someone is seriously ill or nearing the end of life?
- 03How often are infection control audits carried out, and can you explain any actions that are currently outstanding?
- 04What testing and vaccination arrangements are currently offered to people living in the home and to staff?
- 05What are the home’s current ratings for caring, effective, responsive and well-led care?
This was an announced targeted inspection of infection prevention and control only; the home was inspected but not rated overall. This explanation was written from the published report of 13 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.
Every inspection of Silverways Nursing Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- July 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 24 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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