Springfield Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Date of inspection: 09 October to 03 November 2025. Springfield Care Home provides accommodation with personal care for up to 65 people. Accommodation is arranged in 2 houses, each over 2 floors with stair and lift access. At the time of this inspection there were 47 people using the service. Our inspection was prompted by concerns received about the safety of care being delivered. We reviewed all the quality statements. At the last inspection the service was rated good. At this inspection the service is now rated requires improvement. At this inspection we found the provider was in breach of 2 of the legal regulations for safe care and treatment and governance. Although quality assurance processes were in place to monitor all aspects of the service; systems and processes were ineffective and had not identified the shortfalls we found at this inspection. This included shortfalls in relation to risk management of skin integrity, incident management, safe environments, and medicines. Although leaders were responsive to our feedback, systems and processes in place had failed to identify and drive improvements across the service delivery.

We were not assured the provider had effective governance systems in place.

Not all incidents and accidents had been reported or investigated. Lessons learned had not been formally shared with staff, although staff did tell us they were verbally informed. We found some shortfalls in medicines management processes and oversight which included inconsistencies around the safety of medicines storage and record keeping.

Safety checks had been carried out for the premises and for any equipment being used. However, records in place were inconsistent, and the checks had not identified the shortfalls we found. Fire risks to people were assessed. Risk assessments had been completed but not always regularly reviewed, and care plans did not always inform staff how to keep people safe from harm and had not always been updated to reflect changes in people’s needs.

Overall, the service was clean, and we observed staff following infection prevention and control guidelines. People had enough to eat and drink to stay healthy. Staff were working with all agencies involved in people’s care. However, we received mixed feedback on how effective this was. Following the inspection, we were told there was now closer working relationships between agencies and the service to improve outcomes for people. Staff told us there was an open culture and they felt valued and respected by the management team. They spoke positively about the changes being implemented by the new manager and told us they felt valued and listened to.

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.

We have asked the provider for an action plan in response to the concerns found at this assessment.

People's experience of this service

We received overwhelmingly positive feedback from people and their relatives. All spoke positively about the quality of care they received. Relatives told us they felt confident their family members were safe. They told us the workforce was consistent which they said promoted continuity of care. People said the atmosphere at the service was welcoming and friendly and referred to staff as “lovely, really helpful” and “I call them all my guardian angels.” People’s relatives told us staff knew their family members by name and provided the care and support needed. For example, one relative said, “The staff all know [person] very well.”

People were treated with kindness and compassion. Staff understood how to protect people’s privacy and dignity. People had choice in their care and were encouraged to maintain relationships with family and friends. A relative said, “Whenever I visit, it has a nice caring atmosphere. It’s friendly and warm.”

Relatives told us they were involved in care planning, and some told us they had been involved in care plan reviews. Relatives told us they felt confident the staff were trained to carry out their roles and spoke highly of them. Comments included, “The staff here are marvellous; they have literally turned my [person] around” and “They have said to me that I can become [person’s] daughter again now, and it’s absolutely true.”

Overall, relatives told us they knew who the management team were and felt confident to raise any concerns.