Background to this inspection
Updated
26 October 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.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience made telephone calls to people and their relatives to collect their views. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 this inspection there was a registered manager in place and a service manager who was also preparing to register with us.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. 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 spent time at the office to review records and spoke with the service registered manager and operations director who was the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. These included five people’s care records, and a variety of records relating to the management of the service, including audits and procedures.
After the inspection
We carried out telephone interviews with 4 people who use the service, 6 relatives and 4 members of support staff while continuing to seek clarification from the provider to corroborate evidence found. We looked at audits, care plans, reports and policies.
Updated
26 October 2022
About the service
Springfield Healthcare is a care at home service providing personal care to 119people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People received person-centred support and staff knew people well. People and their relatives told us they were happy with the care they received. Peoples care plans covered all aspects of people’s lives and their preferences to ensure a personalised experience. People’s health and well-being needs were supported from the staff team who encouraged people to develop. New systems were in place to monitor the service people were receiving.
People were able to take risks safely in everyday life and had risk assessments in place to support this. Staff were trained to identify and report any safeguarding concerns to protect people from any potential harm. Monitoring checks were in place to ensure the service people received was safe.
Medicines were safely administered and recorded accurately. Robust recruitment and selection procedures ensured suitable staff were employed. Staff were recruited safely and were trained to support people’s individual needs while ensuring their safety. People were supported by staff who encouraged people’s independence and were trained in dignity and respect.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 21 July 2021) The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced focussed inspection of this service on 26 May 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and staffing.
We undertook this focused inspection to check they 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 safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. 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 Healthcare North Yorkshire and York on our website at www.cqc.org.uk.