• Care Home
  • Care home

Handsale Limited - Silver Trees Also known as Laurel Court

Overall: Requires improvement read more about inspection ratings

Brockway, Nailsea, Bristol, Avon, BS48 1BZ (01275) 859556

Provided and run by:
Handsale Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Our current view of the service

Requires improvement

Updated 5 July 2024

Date of assessment: site visit commenced on the 12 July 2024 and the off site assessment ended on the 22 July 2024. We assessed the quality statements in the safe, effective and well-led key questions. The scores for these areas have been reviewed and for safe and well-led are requires improvement and for effective is good. The service was managed by a registered manager and a management team. Quality assurance systems were not always identifying shortfalls found during our visit. Improvements were needed to the storage, administering and recording of medicines. For example, people’s thickener medicines were not always stored safely. Risk assessments for people who had vulnerable skin needed to be improved as well as care plans with repositioning information. Medicines administration charts, fluid charts and repositioning charts were not always accurate and up to date. Mental Capacity Assessment and best interest assessments were needed where people had acoustic monitoring in place. People’s personal evacuation plans did not contain important information such as the person’s mobility and equipment needs. During our assessment the registered manager took action to address most of these shortfalls although the provider’s auditing system had not identified these. People were encouraged by staff to maintain their independence and choice. Staff received training, although not all staff were able to demonstrate they had a good understanding of training undertaken. The registered manager held open sessions so staff, people and relatives could raise any concerns with them. Staff meetings were an opportunity to discuss any learning and to share important updates. The registered manager made safeguarding referrals when required and any learning was shared with staff as needed. Staff received whistle-blowing training and updates if required. The service worked in partnership with health and social care professionals so good outcomes for people were achieved.

People's experience of the service

Updated 5 July 2024

People spoke highly of the home and all felt safe and happy to raise any concerns with the registered manager or deputy. Comments included, “It’s really good” and “The carers are exemplary”. Various compliments had been provided to the service and these were displayed on the notice board in the main reception area of the home. Compliments included, “Thank-you to you all. It is good to know he was safe and that we did not need to worry” and “Thank-you for all the love, care and support you gave, you always treated them with kindness and dignity”. People were visited by friends and families and were supported to access health and social care services. Some people said they would enjoy more fruit in the morning and for staff to offer more hot drinks throughout the day. We shared this with the registered manager. Some people did share with us they had some concerns about the support from staff and having their medicines left for them. We raised this with the registered manager who undertook an investigation and confirmed the actions they had taken following this. People had mixed views about the meals as some people told us the meals were nice and some felt they could be better. We observed people being offered different choices and the registered manager confirmed the chef sought feedback from people so menus could be changed as needed and people could be offered alternatives. The registered manager also confirmed menus were going to be reviewed to ensure they were as nutritionally good as they could be.