Silverpoint Court Residential Care Home

Updated 5 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by three inspectors.

Service and service type

Silverpoint Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Silverpoint Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with two people who used the service and four relatives about their experience of the care provided. We spoke with nine members of staff including the operations manager, registered manager, deputy manager, care staff and kitchen staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the provider to validate evidence found on inspection and reviewed quality assurance documentation.

Updated 5 May 2022

About the service

Silverpoint Court is a residential care home providing personal care to up to 36 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 28 people using the service.

People’s experience of using this service and what we found

People were not protected from the risk of harm. People’s care plans and risk assessments were not accurate and daily care records did not evidence people received appropriate support with their healthcare needs.

People’s medicines were not always safely managed, and guidance was not always in place to ensure staff knew how to support people with their medicines. The provider’s fire safety documentation was not up to date and did not provide staff with clear guidance about how to support people safely.

The provider did not have robust processes in place to ensure accidents and incidents were documented appropriately and safeguarding notifications had not always been raised when necessary. Incidents had not been analysed to ensure lessons were learnt and improvements made.

The provider had not ensured staffing levels, or the deployment of staff across the service, adequately met people’s needs. We observed people waiting for prolonged periods for staff to support them.

The provider did not have oversight of the service and the systems in place to monitor the safety and quality of the care provided were not effective. Staff did not always feel listened to and people’s relatives did not always feel involved in the service or kept up to date about people’s care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 02 May 2019).

Why we inspected

We received information of concern in relation to the management of risks to people’s health and safety and the provider’s processes for reporting safeguarding concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from Good to Requires Improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Silverpoint Court residential care home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to people’s safety, staffing and the oversight of the service at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.