Archived: Springfield Nursing Home

Updated 24 January 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by an inspector, a specialist adviser who was a registered nurse and an Expert by Experience. 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 Nursing 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The first day of this inspection was unannounced.

What we did before the inspection

We reviewed all the information we held about the service. We checked for feedback we received from members of the public, health care professionals and local authorities.

We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and five relatives. We completed checks of the premises and observed staff interacting with people in communal areas of the service. We spoke with a total of six members of staff. These were the registered manager, two nurses and three members of the care staff. We also spoke with the provider and one health care professional.

We reviewed a range of records relating to the way the service was run. These included five people's care and medicines records, four staff recruitment files, minutes from meetings, audits and checks completed in the service and a sample of policies and procedures.

Updated 24 January 2020

About the service

Springfield Nursing Home is a residential care home that at the time of inspection was providing accommodation, nursing and personal care to 35 people aged 65 and over. The service can support up to 40 people. Accommodation is provided in single bedrooms over two floors. Some of the rooms have en-suite facilities. The home is located in Coppull a suburban area near Chorley in Lancashire.

People’s experience of using this service and what we found

People told us they were well cared for and felt safe in the home. The also told us staff treated them with dignity and were respectful. Our observations supported these views and people said they felt listened to and seemed confident in raising any issues.

We found the service had not followed safe practices in recording checks made in the recruitment of a staff member. The issues were resolved during the inspection and no one was harmed as a result of this omission. We have made a recommendation about this in the 'safe' section of this report.

Staff were well trained and there were enough staff on duty to ensure people were appropriately supported. Staff told us they felt well supported and received regular supervision during which they were able to discuss their professional development.

People said they were encouraged to maintain their independence whilst being supported to take positive risks to live full and active lives. .

Staff had completed safeguarding training and knew the correct action to take to protect people from the risk of abuse. Staff told us there was a regime of openness and transparency in the home and had no concerns about raising any issues with the registered manager and senior staff including those issues relating to people's safety.

People received their medicines as prescribed and all aspects of medicines administration and storage were safe. People said they were happy they received their medicines as prescribed. The provider had a system to ensure staff documented any accidents or incidents which had taken place and there was learning from these incidents.

The provider had systems to assess and monitor people’s health and nutritional needs. A health care professional spoke highly of the home, the registered manager and staff and how they supported people.

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 interior of the home was clean and free from malodour. There was an outside area people could safely access and enjoy.

The home had not received any formal complaints in the past 12 months. Any minor issues were dealt with prior to becoming complaints. Everyone said they felt their views were respected and they could offer feedback on any aspect of the home which would be respected and acted upon.

The registered manager had systems to assess and monitor the quality of the service. The provider also completed checks which, we noted, had led to changes that improved the well-being of people.

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

Rating at last inspection

The last rating for this service was good (published 22 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.