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Springfields Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 29 December 2018

This inspection took place over two days; 20 and 21 November 2018, the first day was unannounced.

Springfields Nursing 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.

The service accommodates up to 37 people, providing nursing, respite, dementia care, end of life palliative care, and supporting people with complex health conditions. Springfields Nursing Home normally supports older people. However, at the time of the inspection the service was providing nursing care for 24 people, one of whom was under 65 years, as their needs could be accommodated.

The purpose built, single storey accommodation, is set in 12 acres of gardens, and offers single, en-suite bedrooms. The provider also has a second registered service within the same grounds, which was providing residential care.

There was a registered manager in post. 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 told us they felt safe in the care of staff and were happy living in the service. There were systems in place to safeguard people from abuse and staff had been recruited using safe recruitment practices. Staff were aware of their responsibilities and knew how to report concerns.

Systems were in place to reduce or eliminate any risks. People received their medicines as prescribed and were supported to access healthcare professionals. Staff were prompt in referring people to health services when required.

People were being supported by staff who received training and supervision to enable them to provide effective support in meeting their needs.

Meal times were relaxed. People were given choice and supported to eat and drink enough as part of meeting their nutritional needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff understood their responsibilities in relation to the Mental Capacity Act (MCA) 2005 and people's consent was sought appropriately.

Staff were respectful and caring, supporting people to maintain their dignity and independence. The culture within the service had improved. Views of the people living in the service, their relatives, and staff were being sought, listened to and used to drive improvements. We saw improvements in the range of activities to support people’s emotional and social wellbeing.

People, and where applicable, their relatives were being involved in care planning to ensure it reflected their current needs. People were being consulted over their end of life care needs, which were documented and acted on by compassionate, caring staff.

People spoke about the approachability of the management, and told us the service was well run, and had good reputation locally. The managerial oversight in the service had improved. Audit and quality assurance systems were in place to ensure that the quality of care was consistently assessed, monitored and improved.

Inspection areas

Safe

Good

Updated 29 December 2018

The service has improved to Good.

People were protected from unsuitable staff through safe recruitment procedures. Staff received training, and knew what action to take if they had concerns about a person's safety and welfare.

Staffing levels were sufficient with an appropriate skill mix to meet people�s needs.

Risk assessments were in place and were reviewed regularly.

There were systems in place to manage medicines in a safe way.

Effective

Good

Updated 29 December 2018

The service has improved to Good.

Staff received the supervision, support and training that they needed to provide effective care and support to people.

The registered manager and staff understood the principles of the Mental Capacity Act 2005 and Deprivation of Liberty safeguards. People's consent was sought appropriately.

People were given choice, and supported to have sufficient food and drink to support their needs.

People were supported to maintain good health and had access to appropriate services which ensured people received ongoing healthcare support.

Caring

Good

Updated 29 December 2018

The service remains Good.

People and relatives gave positive feedback about the caring nature of the staff. There were positive interactions between people using the service and staff.

People's privacy and dignity were protected and promoted.

People were able to express their views and be actively involved in making decision about their care, treatment and support.

Responsive

Good

Updated 29 December 2018

The service has improved to Good.

Activities were available for people to stimulate and engage them. People were supported to integrate with the local community.

People�s end of life wishes had been discussed with them, and documented.

The provider had a complaints procedure to advise people how to make a complaint.

Well-led

Good

Updated 29 December 2018

The service has improved to Good.

People were complimentary about the running of the service and the approachability of the management team.

The management team and staff has continued to develop links with external professionals, to develop knowledge and keep updated with best practice. There was a culture of continuous improvement.

Managerial oversight had improved and the leadership was proactive. Audit monitoring systems were in place to ensure that the quality and safety of care was constantly assessed and monitored