• Care Home
  • Care home

Springfield

Overall: Requires improvement read more about inspection ratings

1 Lowther Avenue, Garforth, Leeds, West Yorkshire, LS25 1EP (0113) 286 3415

Provided and run by:
Springfield Care Services Limited

Latest inspection summary

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Background to this inspection

Updated 16 June 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by three inspectors and an Expert by Experience who made calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Springfield is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Springfield is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we reviewed the information, we had received about the service since the last inspection. This included CQC notifications. Notifications describe events that happen in the service that the provider is legally required to tell us about. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people about their experience of the care provided. We spoke with fifteen care staff including the registered manager, area manager, clinical governance manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We received feedback from three visiting professionals and we spoke to seven relatives. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed a range of records. This included seven people’s care records, seven medication records and a variety of records relating to the management of the service.

Overall inspection

Requires improvement

Updated 16 June 2022

About the service

Springfield is a care home providing personal care to up to a maximum of 69 people. At the time of the inspection there were 58 people using the service.

People’s experience of using this service and what we found

People had benefitted from a new management team and investment in new technology. We received positive feedback about the new management in the service. Relatives and staff told us things had improved. There was a new registered manager in place and improvements had been made to the provider’s governance systems. Improvements were ongoing and we have made a recommendation about the provider’s governance systems.

People received their medicines as prescribed. However, records were not always robust. We have made recommendations about the management of some medicines. Staff had received training in safeguarding and knew how to identify and report concerns. Accidents and incidents had been documented and lessons were learned where required. Infection control was managed effectively.

It was not always clear if people had received enough to eat and drink and we have made a recommendation about nutrition and hydration. Staff received the training they needed to carry out their roles and they gave good feedback about the supervision and support they received. The service was dementia friendly and this included the mealtime experience which was person centred.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 March 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to falls and general care including fluids and hydration. As a result, we undertook a focused inspection to review the key questions of safe, effective and well led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence during this inspection that people were at risk of harm from this concern. We have found evidence that the provider needs to make improvements. Please see the safe, effective and well led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Springfield on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.