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Inspection Summary


Overall summary & rating

Good

Updated 29 June 2018

This inspection took place on 5 and 6 June 2018 and was unannounced.

We carried out an unannounced, comprehensive inspection of Springfield House Care Home in March 2017. We identified a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider had not ensured there were robust procedures in place for the administration of medicines. During this inspection we found action had been taken and there was no longer a breach of the regulation.

Springfield House Care 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.

Springfield House Care Home offers accommodation and care for up to 23 people who may be living with dementia. At the time of the inspection there were 18 people living at the home. The service is a detached house with two floors. There is a passenger lift providing access to the upper floor. The communal area is on the ground floor and is divided into a sitting and dining area.

There was a registered manager at the service. 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.

People were supported to take their medicines as prescribed, by staff who were trained and assessed as being competent. The home was clean and benefitted from some new flooring. The provider had policies and procedures in place designed to protect people from abuse and staff had completed training in safeguarding people.

Risk assessments identified when people were at risk from every day activities, such as moving around the home or using equipment. Arrangements were in place to ensure people’s safety in the building. People’s needs were met by suitable numbers of staff and appropriate recruitment procedures were in place. The registered manager ensured that lessons were learnt and improvements made when necessary.

People were offered a choice of meals, drinks and snacks. People had access to healthcare services when necessary. People were able to walk around the building independently and sit in the garden if they wished.

People were supported by sufficient staff who had received relevant training to enable them to support people effectively. New staff completed a formal certificate of induction.

Staff developed caring relationships with people using the service. People were supported to express their views and be involved in making daily decisions about their care and support. Staff described how they supported people with personal care whilst being mindful of their dignity.

People received care and support which met their needs and was responsive to changes. There were detailed care plans were in place. The registered manager and staff organised and provided a range of different activities. People were supported to stay at Springfield House Care Home at the end of their lives if this was their wish and staff could meet their needs.

The provider had a complaints procedure in place which was displayed where people and visitors could see it. The registered manager promoted a positive culture that was open and inclusive. The registered manager had developed a system of seeking the views of people about the quality of the care provided. The service worked with other agencies to improve people’s health and wellbeing.

Inspection areas

Safe

Good

Updated 29 June 2018

The service was safe.

The provider had policies and procedures in place designed to protect people from abuse.

People’s needs were met by suitable numbers of staff.

People were supported to take their medicines as prescribed.

Effective

Good

Updated 29 June 2018

The service was effective.

People were supported to eat and drink and were given choices and people had access to healthcare services.

The registered manager followed legislation designed to protect people's rights.

People were supported by staff who were trained and knowledgeable about people living at the service.

Caring

Good

Updated 29 June 2018

The service was caring.

Staff developed caring relationships with people and respected their privacy and dignity.

People were supported to express their views and be involved in making daily decisions about their care and support.

Responsive

Good

Updated 29 June 2018

The service was responsive.

People received personalised care that was responsive to their needs and they enjoyed a range of activities.

People and their relatives had access to the complaints procedure.

End of life care was provided in ways people preferred.

Well-led

Good

Updated 29 June 2018

The service was well-led.

The registered manager had effective systems in place to monitor the quality of the service provided.

There were clear management systems in place and management were approachable.

The service worked with other agencies to improve people’s health and wellbeing.