Springfield House Residential Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

Care plans and risk assessments were not always updated when changes had occurred. For example, we reviewed the care plan for one person. The care plan stated the person required a walking aid to mobilise around the home. However, due to the person’s recent health deterioration, they were “unsteady” and staff were supporting the person by using a wheelchair.

People were involved in the care planning process. One person told us they were able to discuss their needs with the manager and staff.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care plans contained information about people’s dietary needs and how people should be supported. Staff were knowledgeable about people’s dietary needs. Information was held in the kitchen to direct staff on the type of cup people needed or preferred and what their dietary requirements were.

Staff made appropriate referrals to health professionals such as the speech and language therapists (SALT).

Staff worked with visiting professionals such as GP’s and specialist nurses to manage people’s health needs. One visiting professional told us how people’s skin integrity had greatly improved over the past few months. Staff acted on advice given by a specialist nurse.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The staff told us they worked closely with the GP surgery to support people with their care and treatment. We found examples of this in people’s care records where community teams were involved in people’s care and provided home visits. We saw people were supported to access care and treatment from specialist nurses, attend outpatient appointments at hospital and were receiving vaccinations.

Staff told us if there had been a problem “we come together and come up with a solution. Possibly the best team I’ve worked with”.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Throughout the assessment we heard staff requesting support from healthcare professionals such as community psychiatric teams, GP’s and specialist nurses. Staff gave clear information on new health concerns and arranged for people to be seen quickly. This reduced the need for any hospital admissions while ensuring people’s health was monitored closely.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People felt that, because staff knew them well, they were able to intervene and support them effectively when they became aware of an issue or deterioration in their health. One person said, “If you are ill here the action is so prompt it’s amazing.”

Relatives told us they were kept well informed of any changes their family member experienced. One relative explained that, due to a fall, the manager had arranged for a member of staff to escort the person to hospital. They told us they “can’t fault” the staff.

The provider informed people about their rights around consent and respected these when delivering person‑centred care. We observed staff promoting choice and respecting people’s daily decisions such as where and how they chose to spend their day.