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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.

Inspection Summary


Overall summary & rating

Outstanding

Updated 3 January 2019

Springfield Court is located in the village of Aughton, Ormskirk. Accommodation is provided on one level for up to 60 adults requiring support with personal or nursing care needs. Single occupancy and shared rooms are available with ensuite facilities. Pleasant lounges and dining areas are provided. A variety of amenities are close by including pubs, a restaurant, shops, a post office and churches. There is a car park to the front of the premises. There were 51 people living at the service when we visited.

Springfield Court 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.

At the last inspection in May 2016 the service was rated overall good. At this inspection we found that the service had improved to outstanding.

Why the service was rated outstanding.

The registered manager had been in place for 15 years and was supported by a clinical lead who had also been in place for 12 years. The management team shared a thorough understanding of people in their care and the combination of business and clinical management contributed to the exceptional service delivery. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had built on its sustained good rating and demonstrated outstanding qualities across two domains: responsive and well-led. Springfield Court had an inclusive ethos throughout service delivery and this created exceptional positive outcomes for people that lived at the service, people's relatives and staff.

We saw examples of outstanding person-centred care which enabled people who lived at the service to maintain their identity and independence. The team at Springfield Court were confident in positive risk taking and showed how they helped people who lived at the service to achieve their goals and aspirations.

The providers and registered manager worked in a united way to continually review the quality of care and support provided. Staff told us that they thoroughly enjoyed their work and felt included and valued. The providers invested in staff wellbeing and an inclusive family approach was embedded throughout.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. We saw good examples of people being assessed in line with the Mental Capacity Act and when a person lacked capacity staff fully considered their best interests in a person-centred way.

Springfield Court is a passionate provider of social care and this was led from the senior management team. The providers live on site and have owned the service for 30 years. They know the needs of all service users and consider them to be family.

In 2010 the providers built an extension to the service initially with the intent to increase the number of bedrooms available. However, the providers decided to turn the extra space into a ‘Theatre of Dreams’. The theatre of dreams is a large communal area for people to access social activities and enjoy time with visitors. Six to eight times each year, the theatre was turn into an extravagant venue and the providers organised West End acts to perform. The elegant dinner evenings were enjoyed by people who lived at the service, their relatives, staff and the wider community. In excess to this the providers told us that they did not want people who were unable to leave their bedroom to miss out and therefore used innovative technology to live stream each event to people’s bedroom televisions. This

Inspection areas

Safe

Good

Updated 3 January 2019

The service remains good.

Effective

Good

Updated 3 January 2019

The service remains good.

Caring

Good

Updated 3 January 2019

The service remains good.

Responsive

Outstanding

Updated 3 January 2019

The service has improved to outstanding.

There was an extremely responsive approach.

Care plans gave clear indication of people's needs and preferences.

People and relatives told us that Springfield Court was an extremely responsive service.

The workforce was highly devoted, experienced and skilled at providing an empathic approach to people�s end of life care.

We found the registered manager and staff went the extra mile in the provision of activities and social inclusion. People�s lives were enriched by person-centred, innovative and meaningful recreational activity programmes.

Well-led

Outstanding

Updated 3 January 2019

The service has improved to outstanding.

The service was exceptionally well-led.

We found the registered manager excelled at creating an inclusive environment to strongly encourage staff, people and visitors� involvement in Springfield Court's development.

The management team had extremely effective procedures to assess the quality of the service, people�s welfare and everyone�s safety.

Staff were highly valued by Springfield Court's management team, which the provider reinforced with strong recognition of and respect for their expertise. This promoted a high staff satisfaction and retention.