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Springfield Nursing and Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 May 2019

About the service: Springfield Nursing and Residential Home is a 'care home'. The home accommodates up to 65 older people living with dementia or nursing needs across two adapted buildings. At the time of the inspection there were 48 people living in the home.

What life is like for people using this service:

•The provider lacked effective governance systems to identify concerns in the service and drive improvements. At times there was a lack of clear and accurate records regarding people’s medicines, mental capacity, support needs and any potential risks to them. The provider had not always notified CQC about incidents they are required to by law which meant these could not be monitored.

•People told us they were treated with dignity and respect, however we identified that improvements were required to ensure that there was a positive and person-centred approach to the language being used when staff were referring to people. We have made a recommendation about this.

•People were happy living at Springfield Nursing and Residential Home and people told us they felt safe. People were supported by staff who were kind, caring and who mostly understood their likes, dislikes and preferences. Where they needed external health input they were supported to receive this.

•People and their relatives knew the registered manager and felt able to speak to them if they had any concerns. Most staff told us they were well supported by the registered manager. Staff received training and people thought the staff were skilled and knowledgeable. The registered manager demonstrated a willingness to make improvements and during the inspection began reviewing their systems and process to ensure the service consistently provided good, safe, quality care and support.

Rating at last inspection:

Requires Improvement (Report published 5 January 2018)

Why we inspected: This was a planned inspection based on our last rating. At the last inspection the provider was rated as Requires Improvement.

Follow up: The overall rating of the service remains Requires Improvement. At the last inspection, the provider was found to be in breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014 and Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. At this inspection, we found that these breaches remained. An additional breach of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) 2014 was also identified at this inspection. This is the second consecutive time the service has been rated as Requires Improvement and we will request a clear action plan from the registered person on how they intend to achieve good by our next inspection. We may decide to meet with the provider following receipt of this plan. We will continue to monitor all information received about the service to understand any risks that may arise and to ensure the next inspection is scheduled accordingly.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection report


Inspection areas

Safe

Requires improvement

Updated 25 May 2019

The service was not always safe

Details are in our findings below.

Inspection report


Effective

Requires improvement

Updated 25 May 2019

The service was not always effective

Details are in our findings below.

Inspection report


Caring

Good

Updated 25 May 2019

The service was caring

Details are in our findings below.

Inspection report


Responsive

Good

Updated 25 May 2019

The service was responsive

Details are in our findings below.

Inspection report


Well-led

Requires improvement

Updated 25 May 2019

The service was not always well-led

Details are in our findings below.

Inspection report