CQC report explained · a residential care home
What the CQC found at Springfield
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home used PPE safely, supported testing, followed social distancing and shielding rules, and had arrangements to prevent or manage infection outbreaks.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, April 2021
Springfield was inspected but not rated; inspectors found good infection prevention and control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 16 March 2021. It looked at how the home was preventing and controlling infection during the COVID-19 pandemic.
Inspectors found the home was clean, hygienic and well ventilated. Staff used personal protective equipment safely, and people and staff were tested regularly. Inspectors were assured about visitor safety, social distancing, admissions, testing and outbreak management.
Staff supported people to keep in touch with relatives by telephone and video calls. The home also made plans for internal visiting, including visitor screening, testing and dedicated visiting areas. The service was inspected but not rated, so this report does not give a full overall quality rating.
Clean and hygienic environment
The home was clean, hygienic and well ventilated. Cleaning schedules included regular cleaning of high-touch areas.
“The service was clean, hygienic and well ventilated.” from the report
Infection control measures
Inspectors were assured that staff used PPE safely and that people and staff were tested regularly.
“People and staff were tested regularly for COVID-19 and had been offered the vaccination.” from the report
Contact with relatives
Staff helped people stay in contact with family and friends by telephone and video calls. Relatives also received regular welfare calls.
“People were supported by staff to keep in touch with family and friends via video and telephone calls.” from the report
Creative support with fluids
During the pandemic, staff looked for creative ways to improve people's fluid intake, including offering drinks, ice creams and lollies.
“thinking of creative ways to increase people's fluid intake by offering mocktails, milk shakes, ice creams and lollies.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors screened and tested now, and what PPE is provided?
- 02How often are people and staff tested for infections, and what happens if there is an outbreak?
- 03How does the home support residents to keep in touch with relatives if they cannot have an indoor visit?
- 04How does the home help residents maintain their fluid intake?
- 05What parts of the service have been assessed since this targeted inspection?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the other quality questions were not assessed. This explanation was written from the published report of 8 April 2021 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, February 2019
Rated Good; inspectors found safe, kind and person-centred care, but some food, hydration and activity arrangements needed attention.
This was an unannounced comprehensive inspection over two days. Inspectors spoke with people living in the home, relatives, staff and health professionals. They reviewed care and medicines records, staff files, training records and quality checks. They also observed care, meals and the environment.
The overall rating was Good, with Good ratings in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives were very positive about the home. Inspectors found enough staff, safe medicines practices, detailed care plans, kind care and effective management.
There were some shortfalls. One person did not receive enough drinks on one day, and some food served in bedrooms was cold. Inspectors also saw missed opportunities for activities and found that some end of life plans contained only basic information. The manager said the immediate concerns would be dealt with.
Kind and respectful care
People and relatives consistently described staff as caring and respectful. Inspectors observed compassion, good humour and respect for privacy.
“There was a strongly embedded culture within the service of treating people with dignity and respect.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and keep the home clean. Medicines were administered safely, and a new electronic medicines system was working well.
“Medicines were stored, managed and administered safely. Since the last inspection an electronic system for managing medicines had been introduced” from the report
Skilled and supported staff
Staff training was up to date and staff received supervision and support. The home also provided extra training linked to people's needs.
“Training records confirmed staff were up to date with training and supported in their professional development.” from the report
Personalised care
Care plans included people's needs, preferences, life histories and communication requirements. Staff used this information to support individual choices and independence.
“People's care plans were person centred which helped to ensure care was delivered in a way that was responsive to people's needs.” from the report
Fluid intake
needs fixingOne person was not offered drinks often enough and received less fluid than the report says was recommended. The manager dealt with this during the inspection.
“On one day the person was only offered 600ml of fluid which is below the recommended daily amount.” from the report
Food temperature
needs fixingSome people eating in their rooms received cold food on the first inspection day. Staff reheated the food when inspectors raised this, and no temperature problem was found on the second day.
“People who ate in their rooms said the food was cold.” from the report
Meaningful activity
needs fixingActivities were available, but feedback was mixed. Inspectors saw one person left at a table for a long time and found that staff sometimes missed chances to engage people.
“However, we observed on occasions staff missed opportunities for engagement which resulted in people being unoccupied and not engaged for long periods of time.” from the report
End of life plans
minorSome end of life care plans contained only basic information. The manager had identified this as an area for further development.
“The level of detail in people's end of life care plans varied with some only containing basic details about what people wanted.” from the report
Record keeping
minorAfter two incidents involving one person's behaviour, the care plan did not explain how staff should respond and the daily notes did not record what happened. Inspectors said the care delivered was appropriate, but the manager agreed to address the records.
“This did not reflect the two incidents which were witnessed by inspectors and three members of staff.” from the report
- 01How do you now make sure people who stay in their rooms are offered enough drinks and receive their individual fluid target?
- 02How do you check that meals served in bedrooms are at a suitable temperature?
- 03What activities are available for people who do not join group activities, and how do staff prevent people being left unoccupied?
- 04How are end of life wishes recorded in detail and reviewed with the person and their family?
- 05How do staff record and update care plans after incidents involving behaviour that may upset or distress other people?
This was a comprehensive inspection covering all five areas of Safe, Effective, Caring, Responsive and Well-led, as well as the premises and care provided. This explanation was written from the published report of 22 February 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 Springfield
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 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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99 live-in carers within about an hour of Bradford
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Most charge £980 to £1,250 a week. 87 can care for a couple. 12 years' experience on average.
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