CQC report explained · a nursing home
What the CQC found at Springbank Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention measures, including cleaning, protective equipment, visiting and safe admissions. They were only somewhat assured about testing because there was no system to oversee the testing schedule.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2022
Inspected but not rated; inspectors found good infection control arrangements, but testing records needed better oversight.
This was an announced, targeted inspection on 20 January 2022. It looked at infection prevention and control during the COVID-19 pandemic, visitor arrangements and staffing pressures.
Inspectors found cleaning schedules, safe visiting arrangements, effective use of protective equipment and safe admissions. People were supported with socially distanced activities.
The home was somewhat assured about testing for people and staff. The manager knew the government testing guidance, but there was no system to check that testing was being completed. The provider said it was putting one in place.
The service was inspected but not rated. This means the visit did not give an overall quality rating or new ratings for all five areas.
Cleaning
The home had cleaning schedules for high-touch areas such as door handles and light switches.
“Cleaning schedules were in place to ensure high touch point areas, such as door handles and light switches were cleaned regularly.” from the report
Safe visiting
Visitors were supported to enter safely in line with government guidance.
“Protocols were in place so visitors to the service entered safely in line with government guidance.” from the report
Safe admissions
People were admitted in line with the COVID-19 guidance in place at the time.
“People were admitted safely to the service in line with government guidance.” from the report
Activities
Staff supported people to take part in activities while maintaining social distancing.
“Staff supported people to engage in socially distanced activities.” from the report
Testing oversight
needs fixingThe manager knew the testing schedule, but there was no system to oversee testing for people and staff. The provider said it was putting a system in place.
“there was not a system in place to oversee this.” from the report
- 01What system is now in place to oversee COVID-19 testing for people living here and staff?
- 02How do you check that the required testing schedule is being followed?
- 03How are visits currently managed, and what happens if there is an infection outbreak?
- 04How do you make sure protective equipment is used safely and effectively?
- 05How do you manage staffing pressures when staff are absent because of COVID-19?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other four quality questions were not assessed. This explanation was written from the published report of 29 January 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2019
Springbank Nursing Home was rated Good in every area; inspectors found safe, kind and personalised care with effective management.
This was an unannounced inspection on 05 November 2019. Inspectors spoke with eight people living in the home, five relatives and nine staff. They reviewed care records, medicines records, recruitment information and management records.
The inspectors found people were safe. Risks were assessed, medicines were stored and given safely, and staff understood infection control. Staff were trained and supported people with food, drink, healthcare and decisions about their care.
People were treated with kindness, dignity and respect. The home involved people and relatives in care planning, offered a varied activities programme, supported communication needs and responded to complaints. Inspectors also found effective checks on quality and an approachable management team.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. The previous inspection, published on 10 May 2017, also rated the service Good.
Safe care
Inspectors found effective systems for protecting people from abuse and avoidable harm. Staff understood risks and acted on safeguarding concerns.
“Effective systems were in place to keep people safe and staff understood how to keep people safe.” from the report
Kind and respectful staff
People were treated with empathy, compassion, privacy and dignity. Staff also encouraged people to remain as independent as possible.
“People were supported by kind and caring staff who respected them.” from the report
Personalised support
Care planning included people's preferences, life histories, communication needs and choices. Staff were observed adapting activities and communication to individuals.
“People were supported by staff who knew them well and who provided personalised care to meet their specific needs.” from the report
Activities and social life
The home offered a wide range of activities and encouraged people to join in or receive activities in their rooms.
“There was a strong emphasis on promoting people's social wellbeing.” from the report
Quality oversight
Management audits identified gaps and risks, and action was taken. Accidents and incidents were reviewed for patterns and lessons.
“Effective audit systems were in place to check the quality of the service and action was taken where needed to address any issues identified by audits.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's individual risks, particularly falls or other risks linked to their health?
- 02How would you meet my relative's communication, dementia, dietary and oral health needs?
- 03What activities would be suitable for my relative, including if they prefer to stay in their room?
- 04How would you involve our family in care planning and decisions about end of life care?
- 05How can we raise a concern or complaint, and how would you tell us what action had been taken?
This was an unannounced planned inspection covering all five CQC questions, and the report says the previous Good ratings remained the same. This explanation was written from the published report of 22 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Springbank Nursing Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- November 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 23 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Staffordshire
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Most charge £980 to £1,250 a week. 85 can care for a couple. 10 years' experience on average.
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