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CQC report explained · a residential care home

What the CQC found at Springfield Residential Home

Goodpublished 13 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection, including through protective equipment, testing, cleaning, handwashing and visitor controls.
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.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors found good infection prevention and control during a COVID-19-focused visit.

Inspectors visited the home without warning on 21 January 2021. There were 15 people living there. This was a targeted inspection about infection prevention and control during the coronavirus outbreak.

Inspectors were assured that visitors and staff had temperature checks, handwashing and suitable protective equipment. Staff changed into and out of work clothes at the home, and people and staff were regularly tested for COVID-19.

The home looked clean and uncluttered. Frequently touched surfaces were cleaned every few hours and this was checked by managers. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Visitor safety

    Visitors were limited to essential visits and had temperature checks, handwashing and protective equipment where needed.

    “Visitors were provided with personal protective equipment (PPE) where needed to keep everyone safe.” from the report
  • Staff infection control

    Staff used protective equipment, changed clothes at the home and followed arrangements for putting on and removing PPE.

    “Staff changed out of their uniforms before leaving to travel home.” from the report
  • Cleaning and testing

    The home was clean and uncluttered. High-touch areas were cleaned regularly, and people and staff were tested for COVID-19.

    “All high touch points were cleaned every few hours and this was regularly monitored by the management team.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now for visitors?
  2. 02How often are high-touch surfaces cleaned, and how is this checked?
  3. 03How are people and staff currently tested for COVID-19 or other infections?
  4. 04How do staff put on, change and remove protective equipment safely?

This was an unannounced targeted inspection of infection prevention and control during a coronavirus outbreak; it was not a full inspection and the service was not rated. This explanation was written from the published report of 12 February 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.

An earlier report, explained

What inspectors found, June 2018

Springfield Residential Home was rated Good, with safe and caring support, but some people wanted more activities and clearer signs.

This was an unannounced comprehensive inspection on 10 May 2018. One inspector and an expert by experience observed care, spoke with people, relatives and staff, and checked care, medicines and management records.

Inspectors found the home safe, effective, caring, responsive and well-led. People felt safe, staff understood safeguarding, medicines were managed safely, and there were enough staff. Care plans were personalised and people were involved in decisions about their care.

People described staff as kind, respectful and supportive. Food and drink were provided well, healthcare was arranged when needed, and complaints were dealt with under the provider's policy. There were mixed views about activities, and bathroom signs were not always clear.

The home was rated Good overall and Good in all five areas. This was an improvement from the previous comprehensive inspection in January 2017, when it was rated Requires Improvement.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff understood how to recognise and report abuse, and risks were reviewed.

    “A relative said, "[Family member] is very safe here. I don't have any concerns about the care they receive when I leave.” from the report
  • Safe medicines support

    Medicines were stored, administered and recorded safely. Inspectors found no gaps or errors in the administration records.

    “Administration records were all up to date with no gaps or errors found.” from the report
  • Kind and respectful care

    Staff were calm, caring and respectful. They protected people's privacy and encouraged independence.

    “The staff`s approach throughout the inspection was calm, caring and respectful of people's needs.” from the report
  • Personalised care planning

    Care plans recorded people's preferences and the support they needed. People and relatives were involved in developing them.

    “People's care plans provided staff with detailed information on how to respond to each person's individual needs and preferences.” from the report
  • Approachable management

    The manager was known to people, relatives and staff. Audits, meetings and newsletters helped monitor the service and share information.

    “There was a quality assurance system in place to ensure that where needed improvements were made.” from the report
What inspectors were concerned about
  • Bathroom signs

    minor

    Not all signs were clear because bathrooms were labelled as toilets. The home said it would consider buying clearer signs.

    “Not all signage was clear as bathrooms were described as toilets.” from the report
  • Limited social activities

    minor

    Activities were provided, but some people wanted more chances to chat and play games with others. Views about the activities were mixed.

    “There were mixed views from people and their relatives about the activities available at the service.” from the report
  • Mental capacity records

    needs fixing

    Mental capacity assessments and best-interest decisions were made, but care plans did not always show how the Mental Capacity Act affected each person.

    “Information in people's care plans had not always shown how the MCA impacted on them.” from the report
Questions to ask them, based on this report
  1. 01What has the home done since the inspection to provide more opportunities for people to chat, play games and join activities?
  2. 02How are mental capacity assessments and best-interest decisions reflected in my relative's current care plan?
  3. 03Have the bathroom signs been changed so that they are clear for people living at the home?
  4. 04How often are medicines records and care plans checked now, and what happens if an error or omission is found?
  5. 05How will you involve me and my relative in reviewing the care plan and raising concerns?

This was an unannounced comprehensive inspection covering the premises, care and all five rating areas. This explanation was written from the published report of 13 June 2018 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.

The story over the years

Every inspection of Springfield Residential Home

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Springfield Residential Home →

  2. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Springfield Residential Home →

  3. April 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. February 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2011

    Registered with the Care Quality Commission on 4 February 2011.

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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