Background to this inspection
Updated
8 January 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.
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
The inspection was completed by two inspectors on site and one Expert by Experience, who made phone calls to relatives. 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 Manor Gardens 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 had a manager registered with the Care Quality Commission. 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.
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 and professionals who work with the service. We used all of this information to plan our inspection.
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 walked round the building and looked at some bedrooms, communal areas, the kitchen and the laundry and staff room. We reviewed a range of records. This included the risk management plans for five people, Medicine records for twenty six people and a range of safety and auditing documents. We spoke with the registered manager, two directors, the deputy manager, care co-ordinator and six other members of care staff. We spoke with six people living in the home. We spoke with the relatives of 12 people.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
8 January 2022
About the service
Springfield Manor Gardens is a care home providing nursing and personal care for up to 58 people at the time of the inspection there were 55 people living in the home. The home is divided into three units, which includes a nursing and residential units, on each of the three floors. There are a variety of spacious communal areas and external grounds.
People’s experience of using this service and what we found
People were supported to stay safe and manage the risks in their lives. Some environmental risks had been identified during the inspection and had been addressed promptly by the provider.
People living in the home had mixed views about their experiences. Some people found it difficult to communicate with staff due to language difficulties.
People were supported by enough trained staff. Staff felt they had received enough training and had enough information about people's needs to support them effectively.
Staff were seen to be polite, respectful and kind to people.
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.
The service was well-led. Staff had mixed experiences about the management of the home. This was in the process of being addressed.
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 22 May 2021).
Why we inspected
We received concerns in relation to; the management of medicines, staffing and the management of people’s nursing care needs. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end 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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.