Background to this inspection
Updated
29 February 2024
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.
Inspection team
The inspection team consisted of 2 inspectors and an Expert by Experience, who made telephone calls to relatives and friends off site. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Springfield House 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. Springfield House 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before the 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 2 people who used the service and 8 relatives on the telephone about their experience of the care and support provided. We spent time in communal areas to understand how people were supported. We spoke with 6 staff, which included the deputy manager, care staff, housekeeping staff, and kitchen staff. We reviewed aspects of 3 people's care records, staff rotas and documents in relation to the governance of the service. We spoke with the nominated individual via video call after the site visit. We spoke with the registered manager on the telephone after the site visit.
Updated
29 February 2024
About the service
Springfield House is a residential care home providing personal care and accommodation for up to 21 people aged 18 and over, some of whom live with dementia. At the time of our inspection visit, there were 19 people living at the home.
People’s experience of the service and what we found:
People felt safe and supported by the staff who worked at Springfield House. Staff recognised different types of abuse and how to report it. The registered manager understood their safeguarding responsibilities and how to protect people from abuse. People’s care had been planned and potential risks to people had been identified, with mitigation in place to protect people from potential harm. There were enough staff on duty to keep people safe and meet their needs. People's medicines were managed and stored in a safe way, however, improvements were required in the recording of prescribed creams. The home was clean and staff followed safe infection control practices.
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.
The provider had systems in place to monitor the quality of the service provision and drive improvement. People, relatives and staff were involved and engaged throughout. External professionals worked with staff to provide good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 29 November 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvement had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns received about staffing. A decision was made for us to inspect and examine those risks. This inspection was also undertaken to check whether they were now meeting the legal requirements, as the previous inspection found breaches of regulation.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘All inspection reports and timeline’ link for Springfield House on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.