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Inspection Summary


Overall summary & rating

Good

Updated 14 December 2018

Springfield Care Home 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 care home accommodates 40 people across two floors, some people who are living with dementia. At the time of the inspection 36 people were being supported in the home.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager in post. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

Risks to people and the environment were assessed and plans put in place to mitigate against them. Risk assessments were reviewed regularly.

Recruitment processes were in place with all necessary checks completed before staff commenced employment.

The provider used a dependency tool to ensure staffing levels were appropriate. The dependency tool was reviewed regularly.

The provider had a business continuity plan in place in case of an emergency. People had Personal Emergency Evacuation Plans (PEEPs) in place which were updated regularly.

Staff were aware of safeguarding processes and knew how to raise concerns. Where lessons could be learnt from safeguarding concerns these were used to improve the service. Accidents and incidents were recorded and monitored as part of the provider’s quality assurance system.

The provider ensured appropriate health and safety checks were completed. We found up to date certificates were in place which reflected fire inspections, gas safety checks and portable appliance tests (PAT) had taken place.

Staff completed an induction on commencement of employment. We found staff received regular supervision and an annual appraisal. Opportunities were available for staff to discuss performance and development. Staff training was up to date.

People’s nutritional needs were assessed. People were supported to maintain good health and had access to healthcare professionals when necessary and were supported with health and well-being appointments.

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

People and relatives felt the service was caring. Staff provided support in a respectful manner ensuring people’s privacy, dignity and independence was promoted.

Care plans were personalised to meet people’s needs.

People enjoyed a range of activities both inside and outside the home. The service had positive links with the community with people accessing the theatre, local centres and shops.

The provider had a complaints process in place which was accessible to people and relatives.

Staff were extremely positive about the registered manager. They confirmed they felt supported and could raise concerns.

We observed the registered manager was visible in the service and found people interacted with them in an open manner. People and relatives felt the management approach in the home was positive.

The provider worked closely with outside agencies and other stakeholders such as commissioners and social workers.

The premises were well suited to people’s needs, with ample dining and communal spaces. Dementia friendly areas were situated in several areas

Inspection areas

Safe

Good

Updated 14 December 2018

The service remains good.

Effective

Good

Updated 14 December 2018

The service remains good.

Caring

Good

Updated 14 December 2018

The service remains good.

Responsive

Good

Updated 14 December 2018

The service had improved to good.

Care plans were personalised and contained details about people's likes, dislikes and preferences.

The provider had a complaints procedure in place. People and relatives knew how to complain or raise concerns.

People were supported with a range of activities both in the home and in the community.

Well-led

Good

Updated 14 December 2018

The service remains good.