Silver Street

Updated 3 August 2021

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 Care Act 2014.

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

The inspection was carried out by one inspector

Service and service type

Silver Street respite service is a 'care home.' People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection we spoke with two people who were using the service. As these discussions were limited, we also used our observations and discussions with relatives and staff to help form our judgement. We also spoke with four relatives and three members of staff including the registered manager.

We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 3 August 2021

About the service

Silver Street provides respite for adults with a learning disability and/or physical disability, in the South Yorkshire area. The service can support up to six people. At the time of this inspection two people were using the service.

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

The provider had systems in place to safeguard people from the risk of abuse. Staff were knowledgeable about recognising and responding to abuse. Risks associated with people's care had been identified and plans were in place to ensure risks were minimised. Accidents and incidents were analysed to ensure trends and patterns were identified to reduce future incidents.

Medicines were managed in a safe way and people received their medicines as prescribed. The premises were maintained, and routine maintenance checks were carried out, equipment had been serviced and was safe to use. There were sufficient staff available to meet the needs of people who used the service.

We observed staff interacting with people in a caring and sensitive way. Staff were friendly and knew people well.

People's needs were assessed, and care was provided in line with their preferences. Staff were skilled at communicating with people and identifying any changes in mood. People had access to a healthy and balanced diet and dietary needs were met. Staff were trained and supported to carry out their role effectively. People had access to regular day services and activities while staying at the service. The service had a minibus to facilitate outings to various places of interest.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were effective quality assurance processes in place to monitor care and safety and to plan ongoing improvements. The provider had a complaints procedure to receive and act on complaints. This was also available in an easy to read format.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• There was a positive culture throughout the service which focused on providing care that was personalised.

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights.

Right culture:

• The ethos, values, attitudes of the registered manager and the care staff ensured people using the service had choice, dignity and independence.

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

Rating at last inspection

This service was registered with CQC on 11/07/2019 and this is the first inspection.

Why we inspected

This was a planned inspection of a newly registered service.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Silver Street on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.