Silverwood (Rotherham)

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People’s needs and preferences were assessed and care and support was delivered in line with current standards. The provider made sure staff had the skills, knowledge and experience to deliver effective care. People were supported to understand their right to consent, and were involved in planning how their care was provided. Staff knew the importance of making sure people understood what they were consenting to, and of gaining people’s consent before they delivered care. The service worked effectively within and across organisations to deliver effective care and support. People were supported to lead a healthy life and to maintain a balanced diet. People’s needs were met by the adaption, design and decoration of the home.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us told us they were involved in the creation and review of their assessment and care plan. Relatives told us told us they were asked to provide information to support their loved one’s assessment and care plan. One person said, “Yes, I’ve got a plan. I talk to [relative] about it.”

Staff and managers were aware of the processes to follow when supporting people to make decisions. They told us they completed training about the law, and good practice in relation to mental capacity and this area was regularly discussed during staff meetings.

People’s care and social needs were assessed in a person-centred way to make sure staff were able to support each person appropriately. Assessments included information around people’s healthcare needs, preferred communication methods and how to best support people. People’s care records and staff meetings records showed care was delivered in line with national guidance and legislation.

People and relatives told us staff were aware of people’s need and what was important to them. One relative told us about their loved one’s specific concerns and preferences. They said, “All the staff know and it is written into her notes, they definitely listened to her and it is a weight off our minds.”

Managers and staff told us people’s views and preferences were clear in their care plans. Staff were aware of the importance of involving people in the assessment, planning and delivery of their care so their views and preferences were included in care plans. They were able to tell us about people’s individual and specific needs.

Effective processes were in place to make sure people’s views and preferences were sought and acknowledged in relation to their care. People’s needs, views and preferences were clearly reflected in their care plans.

People and relative spoke positively about the staff. One relative said, “Any problems I can find staff about and they always give me answers and, the staff seem well trained.” People and relatives told us they were provided with information and advice about their health, care and support, including when they used healthcare services.

Staff told us they had access to the information they needed to assess, plan and deliver people’s care, treatment and support. One staff member said, “We’ve got good systems and good training.” Members of the management team said Information was shared between teams and services to ensure continuity of care for people when they used and moved between services.

Other professionals told us the registered manager and staff were open and honest, shared information appropriately and worked well with them. One told us, “Practice has improved at the home and residents do appear well cared for. We work closely together to discuss any concerns with residents’ families. When new practices and improvements are implemented to shared ways of working, we discuss this prior to starting and this is usually embraced.”

Staff received induction training and ongoing training tailored to the needs of the people who used the service. For example, staff received specific training on providing care and support for people living with dementia. People’s care plans included the support they needed to meet their needs. Plans included the support people needed to sustain and promote their independence, such equipment they used. For example, aids and equipment to support with eating and drinking and with moving around the home.

People told us they were supported to remain active and healthy. Relatives confirmed people were supported to access to the support they needed, and this achieved positive outcomes. One relative said, “[My family member] dopes keep fit every Friday morning.” People also confirmed they were supported to access healthcare services and professionals when needed. One relative said, “Doctor, district nurses, chiropodist, optician go in regularly.”

Records we saw showed staff supported people to manage their health conditions whilst respecting people’s choices and rights. They worked in partnership with other professionals to support people, such as the district nurses. They described changes in people’s well being that they would seek support from the appropriate healthcare professionals. Staff told us people were supported with food and drink regularly throughout the day. Staff told us there was good teamwork with the hospitality staff, who would highlight anyone who may not be drinking as well as usual. This helped to make sure all staff were aware of people’s needs and able to offer timely support.

Staff worked closely with local community health services and were able to access advice and guidance promptly. They had weekly reviews with their GP surgery, which enabled them to get support from a range of healthcare professionals who would visit the home. For example, physiotherapists, occupational therapists and specialist nurses. The provider’s systems and processes helped staff to identify and respond to changes in people’s health and well being in a timely way.

Staff worked with people to monitor and improve their health and well-being. One person’s relative told us of marked improvement in their loved one’s health since moving to the home. Another relative said, “[My family member] is looked after well by all the staff, they are lovely with her.”

Staff told us of a range of areas they monitored to ensure people’s health and wellbeing. This was based on people’s individual needs and included areas such as risks in people’s nutrition and hydration, and skin integrity. Staff and managers also explained there were positive relationships between the home and staff at the GP surgery, who they worked with to monitor and improve people’s health outcomes.

There were processes in place to monitor people’s wellbeing and the care people received. This included discussion with people and those close to them and reviews of people’s care records.

People told us they were involved in decisions around their care. We saw staff ask people for their permission before carrying out tasks to support them and people were comfortable and relaxed with the staff attending them.

Staff received training in the area of mental capacity and demonstrated a good understanding of supporting people to make informed decisions. They understood that people may need time to consider their decisions, and were entitled to change their mind. We saw that where people did not have capacity to make a particular decision, this had been recorded and decisions had been made in their best interests.

Records showed people provided consent in relation to their care and treatment where they had the capacity to do so. Where people living at the service were unable to make their own decisions, records of best interest meetings and specific decisions were in place. People were enabled to access support from independent advocates.