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Springwater Lodge Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Springwater Lodge Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 September 2019

About the service

Springwater Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It provides accommodation for older people including people living with dementia. The home can accommodate up to 50 people. At the time of our inspection there were 37 people living in the home. Accommodation is provided in three separate units, including a specialist unit for people living with dementia.

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

Arrangements were in place to monitor and manage medicines. However, medicine records were completed inconsistently.

There was not access to a range of activities and leisure pursuits. Due to staffing issues.

We observed occasions when people’s dignity was not respected. We saw evidence of caring relationships in place. Staff were aware of people's life history and preferences and they used this information to develop relationships. People felt well cared for by staff.

Care records were personalised and had been regularly reviewed however they had not been consistently updated to reflect people’s changing needs. People were supported to make choices.

There was not enough staff to support people. Appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people. People, their relatives and staff expressed concerns about staffing. We observed occasions when there were insufficient staff available to meet people’s needs and wishes.

There was a process in place to carry out quality checks. These were carried out on a regular basis however they had failed to address the issues found at inspection.

The home was not consistently clean. Staff understood how to prevent and manage infections.

People said they felt safe. People enjoyed the meals and their dietary needs had been catered for. This information was detailed in people’s care plans. Staff followed guidance provided to manage people's nutrition and pressure care.

People were supported by staff who had received training to ensure their needs could be met. Staff had begun to receive regular supervision to support their role.

People had good health care support from professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. The provider and staff worked in partnership with health and social care professionals.

The environment was adapted to support people living with dementia.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the systems in the service did not support this practice. Best interests decisions were not always in place.

The provider had displayed the latest rating at the home and on the website. When required notifications had been completed to inform us of events and incidents.

More information is in the detailed findings below.

Rating at last inspection

The last rating for this service was good (6 March 2017).

At this inspection the rating was requires improvement.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvement. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well led sections of this full report.

Enforcement

You can see what action we have asked the provider to take at the end of this full report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to impro

Inspection areas

Safe

Requires improvement

Updated 10 September 2019

The service was not consistently safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 10 September 2019

The service was not consistently effective

Details are in our effective findings below.

Caring

Requires improvement

Updated 10 September 2019

The service was not consistently caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 10 September 2019

The service was not consistently responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 September 2019

The service was not consistently well led.

Details are in our well-Led findings below.