Background to this inspection
Updated
10 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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors and Expert by Experience. 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 Grange 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.
The service did not have a registered manager. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the deputy manager, director, safeguarding lead, healthcare assistant, registered nurse and chef.
We reviewed a range of records. This included four people's care records.
After the inspection
We continued to review evidence and additional information relating to the inspection provided by the provider.
Updated
10 June 2022
About the service
Springfield Grange is a nursing home providing personal and nursing care to 47 people aged 65 and over at the time of inspection. The service can support up to 94 people.
Springfield Grange is a purpose-built home, split over four floors and comprising of five individual units. At the time of the inspection only three of the units were operational. One of the units provides care and support to people living with dementia.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible and in their best interests; the policies and systems in the service support this practice.
People’s care records showed that people had a plan in place. An account of the person, their personality and life experience, their religious and spiritual beliefs had been recorded in their records. The level of detail varied between people’s plans.
Improvements have been made to the premises.
Staff interaction with people was sometimes minimal and the opportunity to engage with people was missed. Some staff supported people well and people were supported to maintain their dignity.
Support was provided in a way that protected people from abuse and improper treatment. People were supported by staff equipped with skills for the role. People’s nutritional needs were met, and healthcare sought were required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was Inadequate (published 16 July 2021).
At this inspection we found improvements had been made and the provider was no longer in breach of regulations for meeting people’s nutritional and hydration needs, the premises and equipment, safeguarding people from abuse and improper treatment, person-centred care and consent.
This service has been in Special Measures since February 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective, Caring and Responsive which contain those requirements.
The ratings from the previous focused inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Springfield Grange on our website at www.cqc.org.uk.
Follow up
We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.