Background to this inspection
Updated
12 August 2023
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
This inspection was carried out by an inspector, a specialist advisor (whose specialism was nursing) and an 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
Springwater Lodge 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. Springwater Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
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
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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 7 people who were living at the home and 3 visiting relatives. We observed interactions between staff and people. We sought feedback and spoke with 6 members of staff including care staff and the deputy manager. We reviewed 8 care plans and looked at associated medicine records. We looked at documentation in relation to the running of the home, such as audits, policies and information relating to staff recruitment and training.
Updated
12 August 2023
About the service
Springwater Lodge Care Home is a nursing home providing personal and nursing care to up to 50 people. The service provides support to people living with dementia as well as people with physical health needs, both over and under 65 years of age. At the time of our inspection there were 31 people using the service living across 3 units.
People’s experience of using this service and what we found
People were kept safe from the risk of abuse by the processes in place. Risks were managed well, both environmental and those associated with people’s health and wellbeing. People were supported with their medicines safely. There had been some concerns over the number of staff available to support people, however this had been recognised by the provider and they had increased the number of staff on each shift.
People’s needs were regularly assessed to ensure they continued to be met effectively. Staff were supported with training to ensure they had the skills to meet people’s needs. People’s nutritional and hydration needs were met. Staff supported people to access appropriate healthcare in a timely way. People were able to decorate and personalise their rooms how they wished. People had access to outdoor space and were encouraged to utilise this.
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.
There were systems and processes in place to monitor the running of the home and ensure safe quality care was delivered.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 16 June 2022).
Why we inspected
We received concerns in relation to staffing and access to information. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section 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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Springwater Lodge Care Home 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.