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Springfields Nursing Home Good

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Inspection report

Date of Inspection: 2 September 2014
Date of Publication: 11 October 2014
Inspection Report published 11 October 2014 PDF


Inspection carried out on 2 September 2014

During a routine inspection

Our inspection team was made up of one inspector who answered our five questions. There were 30 people using the service at the time of the inspection.

Below is a summary of what we found. The summary is based on our conversations with the manager, three staff, three people who used the service, three relatives, the maintenance person, a visiting specialist nurse and from looking at records. Where it was not possible to communicate with people who used the service we used our observations to gather information.

Is the service safe?

People were cared for in an environment that was safe, clean and well maintained. A visiting specialist nurse told us, "The home is very good, staff follow instructions and advice we give to them relating to people�s health care needs, I would be happy to place my mother here.�

Care and treatment records contained detailed assessments of people's needs that had been regularly reviewed and updated to ensure that they received safe and appropriate care and treatment. People were involved in developing and reviewing their care and treatment plans.

Where people did not have the mental capacity to provide consent the provider complied with the requirements of the Mental Capacity Act 2005. Staff had received training in this area. The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. Whilst no applications had needed to be submitted, proper policies and procedures were in place. Relevant staff had been trained to understand when an application should be made, and how to submit one. This ensured that the staff had the relevant skills and knowledge required to meet the individual's identified needs.

The provider had clear policies and procedures regarding medication, we saw that medication was stored, administered and disposed of in line with their policies and procedures. Staff received annual refresher training in administering medication. The provider carried out regular audits of medication.

Systems were in place to make sure that managers and staff learnt from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve. One person said, "I am happy here."

Is the service effective?

It was clear from what we saw, and from speaking with staff, that they understood people's care and support needs and that they knew the people well. A person who used the service told us, "The staff are polite, caring and they treat me with respect."

People's health and care needs were assessed with them, and they were involved in writing their plans of care. Where people were unable to be involved staff had spoken to their relatives or friends to gain their views. Specialist dietary needs had been identified in care plans where required.

Is the service caring?

People were supported by kind and attentive staff. We saw that staff showed patience and gave encouragement when supporting people. People's preferences, interests, religious and faith needs had been recorded and care and support had been provided in accordance with people's wishes.

Is the service responsive?

Where people's health and care needs had changed appropriate referrals to the doctor, district nurse, end of life team, falls team and dentist had been made and any recommendations had been acted on. The manager had regular contact with the relatives of people who used the service and health care professionals.

Is the service well led?

The service worked well with other agencies and services to make sure people received their care in a joined up way. One health care professional we spoke with told us �The referrals we receive from the manager are appropriate and the staff follows our advice and guidance very well.�

People who used the service and their relatives that we spoke with had commented positively about the quality of the care provided to the people who lived in the home. The service had a quality assurance system in place. Records seen by us showed that identified shortfalls were addressed promptly. As a result the quality of the service was continuously improving.

The three staff we spoke with told us they were clear about their roles and responsibilities and they received very good training, support and supervision from the manager. They told us that this enabled them to provide excellent care and support to people who used the service. We saw that staff had a good understanding of the aims of the service. This helped to ensure that people received a good quality service at all times. Staff had received regular supervision and refresher training.