Silverdale Nursing Home

“People were not always kept safe because systems in place were not consistently effective. The provider had not made enough improvements since the last inspection, and there was limited evidence lessons had been learned when things went wrong. Safeguarding processes were not always followed properly, meaning incidents were not always reported or reviewed as they should have been, which put people at risk.”

“Environmental monitoring and medicine management needed improvement to ensure risks were identified and reduced. However, there were some areas of good practice. Infection control procedures were in place, and staff understood people’s health needs and escalated concerns when necessary.”

“People did not always receive effective care and treatment. While some aspects of care, such as support with health, consent and clinical needs, were managed well. People’s immediate needs were not always responded to safely, and care was not always provided in line with best practice or the principles of ‘Right support, Right care, Right culture’. Working with other professionals was also inconsistent, meaning opportunities to improve people’s outcomes were sometimes missed.”

“Systems to monitor quality and safety of the service were not effective. There was not a clear, shared culture or vision, especially in relation to supporting people with a learning disability. Risks were not always identified, and improvements were not always made. Although leaders had started to make some changes and responded to our feedback, these improvements were not yet fully in place or consistently maintained.”

“This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide”

“The provider was previously in breach of regulations relating to person-centred care, safe staffing and good governance. At this inspection, some improvements were found in safe staffing, and the provider was no longer in breach of this regulation. However, sufficient improvement was not found in person-centred care and good governance, and breaches of these regulations remained. In addition, a new breach was identified in relation to safeguarding.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward. In addition, we have asked the provider for an action plan in response to the concerns found at this inspection.”