27 April 2022
During an inspection looking at part of 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.