CQC report explained · a residential care home
What the CQC found at Springview
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found clear risk assessments, systems to review falls, safe medicines procedures, enough staff and effective infection control. The inspection was prompted partly by concerns about falls, but inspectors found no evidence of harm from these concerns.
- Effective?
- Good
- People's needs were assessed and care was planned around their choices. Staff were trained and supported, people received suitable food and healthcare, and staff followed the principles of the Mental Capacity Act.
- Caring?
- Good
- This key question was not inspected during this visit. The report says ratings for key questions not inspected were carried over from the last inspection.
- Responsive?
- Good
- This key question was not inspected during this visit. The report says ratings for key questions not inspected were carried over from the last inspection.
- Well-led?
- Good
- Inspectors found an open and inclusive culture, regular audits, staff and residents' meetings, and management that listened and acted on concerns. The home also worked with healthcare and local authority services.
What inspectors found, January 2023
Springview was rated Good; inspectors found safe, kind and well-managed care, with no evidence of harm from the falls concerns that prompted the inspection.
The inspection was unannounced and took place on 6 September and 8 December 2022. Inspectors spoke with people living in the home, relatives and staff. They also reviewed care plans, risk assessments, medicines records, staff files and management records.
The inspection was prompted partly by concerns about falls. Inspectors found that falls were monitored and reviewed, risks were assessed, and people were referred to specialist services when needed. They found no evidence that these concerns had put people at risk of harm.
People and relatives described staff as kind, caring and professional. Inspectors found that medicines were given safely, the home was clean, staff were trained, people were supported with food and healthcare, and people were involved in decisions about their care.
The home was rated Good overall. Safe, Effective and Well-led were rated Good. Caring and Responsive were not inspected during this visit, so their previous ratings were used in the overall rating.
Falls management
The home assessed falls risks, looked for patterns, used equipment where needed and referred people to specialist services. Inspectors found no evidence that the concerns prompting the inspection had caused harm.
“There were systems in place to analyses trends and patterns of falls.” from the report
Safe medicines
Inspectors found that medicines were given safely and on time. Records, storage, ordering and staff competency checks were in place.
“People received their medicines safely and on time.” from the report
Kind and respectful care
People and relatives spoke positively about staff. People were involved in choices and were asked for consent before care was provided.
“People and relatives were positive about their experience of care at Springview.” from the report
Staff training
Staff had an induction, regular training, supervision and appraisals. Inspectors found that staff understood people's needs and how to support them.
“Staff were suitably trained and supported to carry out their roles, and effectively work with the people they cared for.” from the report
Open management
Inspectors found clear management arrangements, regular audits and opportunities for people, relatives and staff to give feedback.
“There was a positive and open culture at the service which promoted good outcomes for people.” from the report
Inspectors raised no specific concerns in this report.
- 01How are falls currently monitored, and what changes have been made in response to any recent patterns?
- 02How will you make sure my relative receives their medicines safely and on time?
- 03How will you involve me and my relative in care planning and reviews?
- 04What activities and choices are available, and how do you respond if a person's interests or needs change?
- 05How should I raise a concern or complaint, and how will the home keep me informed?
This was an unannounced focused inspection that examined Safe, Effective and Well-led; Caring and Responsive were not inspected and their previous ratings were carried over. This explanation was written from the published report of 14 January 2023 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
Rated Good; inspectors found safe, kind and personalised care, with more dementia-friendly features still to consider.
This was an unannounced planned inspection on 19 September 2019. Inspectors spoke with people living in the home, relatives, staff and visiting healthcare professionals. They also reviewed care records, medicine records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, regular risk checks and clean surroundings. People were supported by trained staff who respected their privacy, choices and personal preferences.
Care plans were personalised and people were supported with healthcare, food, activities and relationships. The home had systems to check quality and act on issues. Inspectors said the home should consider further changes to help people living with dementia find their way around and feel more settled.
Safe medicines
Medicines were given by trained and assessed staff. Records were complete and up to date, and medicines needing extra checks were managed according to the law.
“People's medicines records were clear, complete and up to date.” from the report
Kind and respectful staff
Inspectors saw staff treating people with kindness, compassion and respect. Staff supported people's privacy, dignity, independence and personal choices.
“We saw staff providing kind and compassionate support to people throughout the day, and independence was promoted as far as possible.” from the report
Personalised support
Care plans included people's needs and preferences. Staff knew people well and provided extra support when it was needed.
“Care plans we saw were personalised and contained information about people's care needs and preferences.” from the report
Quality checks
The home had regular audits covering areas such as medicines, care plans, recruitment and care delivery. Inspectors said issues found through audits were followed up.
“Effective quality assurance checks were carried out by key staff members, the registered manager as well as the provider.” from the report
More dementia-friendly features needed
minorInspectors said the home should consider improving signs, colours, photographs, music and personal items to help people living with dementia orientate themselves around the building.
“The provider needs to further consider additional enhancements to assist people living with dementia.” from the report
- 01What changes have you made, or do you plan to make, to signage, colours, photographs, music and personal items for people living with dementia?
- 02How will you make sure my relative's risk assessments and care plans are updated when their needs change?
- 03How do you check that medicines are given correctly, especially medicines needing extra checks?
- 04How will you support my relative's preferred activities, communication needs and relationships with family and friends?
- 05How do you involve relatives in best-interest decisions and in reviewing care?
This was an unannounced planned inspection covering all five CQC questions, including the premises and the care provided; all five ratings were assessed during this visit. This explanation was written from the published report of 5 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 Springview
7 rated inspections over 8 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Goodstayed GoodSafe: Requires improvement
- August 2016Goodstayed GoodSafe: Good
- March 2016Goodstayed GoodSafe: Requires improvement
- May 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 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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At least 100 live-in carers within about an hour of Enfield
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