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Springfield Court Nursing Home Outstanding

We have edited an inspection report for Springfield Court Nursing Home in order to remove some text which should not have been included in this report. This has not affected the rating given to this service.
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Inspection report

Date of Inspection: 16 September 2014
Date of Publication: 11 October 2014
Inspection Report published 11 October 2014 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 16 September 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People who lived at Springfield Court benefited from a well managed home, with systems in place to monitor the quality of service provided.

Reasons for our judgement

Surveys for residents, their relatives and also staff were conducted annually. This allowed people the opportunity to give feedback about the service provided. Systems were in place, so that action plans could be developed from any areas identified as in need of improvement. However, the responses we saw were all positive. The company had been accredited with an external award, showing that the home was audited on a regular basis by an external professional body.

We were told the provider was on site most days and this was evident by their presence on the day of our inspection. People we spoke with were fully aware of the lines of accountability within the home. This helped to ensure any areas of concern were escalated appropriately. One person said, “I saw the owners only the other day and I think they are here today too. They will always listen to what we have to say.”

All staff we spoke with said they felt well supported and were very happy working at Springfield Court. One commented, "It’s lovely working here. The manager is so approachable and helpful. The owners are very friendly too.” Those who lived at the home and relatives we spoke with were complimentary about the management of Springfield Court. One person commented, “The manager is lovely. She will bend over backwards to get things right for the residents. Nothing is too much trouble for her. You wouldn’t get a better manager anywhere. She is very thoughtful and deals with everything in a professional way.”

A contingency policy and business plan had been implemented, which incorporated action to be taken in the event of a disaster or critical situation, such as gas leak, power failure, flood or fire. A range of audits and risk assessments had been conducted, which were sufficiently detailed, showing that systems had been put in place in order to reduce the possibility of injury to people living at the home. Evidence was available to show monthly reports had been generated following internal audits by the provider.

The nurse call system was monitored, so the manager could identify the length of time it was tasking staff to answer call bells. The target response was under five minutes. However, the provider may wish to note that the last printout showed some of the response times were in excess of the target time. Therefore, the manager had increased the staffing levels during the day, in order to reduce the length of time staff were responding to calls for assistance. During our visit we observed staff attending to people in a timely fashion. One person we spoke with was sitting in the lounge. He showed us his nurse call system, which was on the arm of the chair in which he was sitting. He said, “They (the staff) come when I press it.” He was asked how quickly staff responded. He replied, “Well it just depends what they are doing and where they are, but I never have to wait too long. They come pretty sharpish.”

A variety of recently updated policies and procedures were in place, which outlined the importance of a wide range of health and safety areas, such as infection control, fire awareness and moving and handling. This helped to ensure the staff team were provided with current guidelines and up to date information about any changes in legislation. The duties for a lounge carer stated, ‘Lounge carer to remain in the lounge at all times to assist with any resident’s needs.’ During our visit to this location we spent some time in the lounges and found several staff members were always present in the communal areas of the home, which helped to ensure people’s safety and wellbeing was promoted. A recent food hygiene inspection by the Environmental Health Department resulted in an overall rating of 5, which is 'very good', the highest level achievable.

The manager told us some meetings were held for those who lived at the home and their relatives, but no record of these were maintained. The provider may find it useful if minutes were kept, so that a record o