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CQC report explained · a residential care home

What the CQC found at Springwood

Goodpublished 11 December 2021, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that people were protected from abuse, risks were well managed, staffing was sufficient and recruitment checks were completed. Medicines and infection control were also managed safely.
Effective?
Good
People's needs and choices were assessed before they moved in. Staff were trained and supported, and people received help with food, drink, healthcare and decisions about their care.
Caring?
Good
Staff treated people with kindness, warmth, dignity and respect. People were involved in their care and encouraged to make choices and develop independence.
Responsive?
Good
Care plans were detailed and personalised. Staff understood how people communicated and supported their interests, relationships, goals and access to the local community.
Well-led?
Good
Inspectors found an open, positive and calm culture. The manager used audits, meetings and feedback to monitor and improve the service.
The latest report, explained

What inspectors found, December 2021

Springwood rated Good; inspectors found safe, kind and personalised care with strong support for choice and independence.

Inspectors visited on 11 October 2021. They spoke with people living in the home, staff, a relative and a health professional. They observed care and checked care records, medicines records, staff recruitment and training records, and the home's quality checks.

The five people living in the home were described as happy and content. Inspectors found that staff knew people well, treated them with dignity and supported their communication, health, activities and relationships. Risks, medicines, staffing and infection control were managed safely.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The previous inspection was also rated Good, published on 30 August 2019.

What inspectors praised
  • Person-centred support

    Care was built around each person's needs, choices and goals. Inspectors found that people were at the centre of the support they received.

    “They received person-centred care where they were at the heart and focus of the support provided to achieve positive outcomes.” from the report
  • Kind and respectful staff

    People said they were happy in the home. Staff knew people well and supported them with kindness, dignity and warmth.

    “People were very happy and content living in the home and described staff as "wonderful" and "perfect.” from the report
  • Communication and choice

    Communication needs were recorded and understood by staff. People were involved in decisions and information was available in accessible formats.

    “Information was available for people in accessible formats. For example, easy read documents and pictures had been produced for people who could not understand written words.” from the report
  • Community and independence

    People were supported to pursue hobbies, maintain relationships and build daily living skills. One person was preparing to move to a more independent setting.

    “People were in control of their lives and what they did on a day to day basis.” from the report
  • Safe systems

    The home had systems for managing risks, medicines, staffing, accidents and infection control. Inspectors found that lessons from incidents were recorded and shared.

    “Incidents, accidents and safeguarding concerns were recorded and analysed.” 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. 01How will you assess whether the home can meet my relative's needs before they move in?
  2. 02How will you support my relative's communication and make sure they are involved in decisions about their care?
  3. 03What daily living skills, activities and community opportunities would my relative be supported to develop?
  4. 04How do you manage medicines and check staff are competent to administer them?
  5. 05How would you support my relative if their health needs changed or they needed end of life care?

This inspection assessed all five CQC key questions and looked at both the premises and the care provided; it was also carried out as part of a random check of services previously rated Good or Outstanding. This explanation was written from the published report of 11 December 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, August 2019

Rated Good; inspectors found safe, caring and personalised support, with some records and staff training still needing improvement.

This was a planned inspection after the previous Requires Improvement rating. One inspector visited on 7 and 14 August 2019, spoke with people, a relative, staff and a professional, and checked care, staff and management records.

The home supported six adults with a learning disability and/or autism. Inspectors found people were safe, medicines were generally managed safely, staffing levels met people's needs, and incidents were reviewed so lessons could be learned.

People were treated with kindness and respect. They were involved in their care, meals and activities, and staff supported choice, independence, communication and contact with relatives.

All five areas were rated Good. The home had improved from Requires Improvement at the previous inspection and was no longer in breach of the two regulations previously identified.

What inspectors praised
  • Personalised support

    Care records reflected people's choices and wishes. Staff knew people well and adapted routines to support their quality of life.

    “Staff have adapted [person's] routine to meet their needs and have continually strived to improve [person's] quality of life.” from the report
  • Kind relationships

    Inspectors saw staff treating people with kindness and respect. People appeared happy and were involved in decisions about their care.

    “Positive relationships were observed between people and staff. Staff showed concern for people.” from the report
  • Choice and independence

    People were supported to make choices, develop skills and be as independent as possible. They had access to activities and opportunities in the community.

    “People were supported to be as independent as they could be.” from the report
  • Improvement since last inspection

    The home improved from Requires Improvement to Good overall. The previous breaches relating to medicines, infection control and governance were no longer in place at this inspection.

    “At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Medicines were given when needed, but some medicine records were not yet fully improved. The report says action had started during the inspection.

    “Some medicine records needed further improvement. This had started to be addressed during inspection.” from the report
  • Staff training

    minor

    New staff still needed to complete the care certificate. Staff also needed training in end of life care, and the manager had begun addressing this.

    “New staff needed to undertake the care certificate (standards for working in social care) and the provider was taking action to address this.” from the report
  • Heavy furniture

    needs fixing

    Large heavy furniture was not secured to walls when inspectors checked. The manager took immediate action to address this.

    “Large heavy furniture was not secured to walls. The registered manager took immediate action to address this.” from the report
Questions to ask them, based on this report
  1. 01How are medicine records checked now, and what action was taken after the inspection?
  2. 02Have all new staff completed the care certificate?
  3. 03Have staff completed end of life care training?
  4. 04How do you check that heavy furniture and other environmental risks remain safe?
  5. 05What has changed at the home since the August 2019 inspection?

This was a planned inspection based on the previous rating and covered all five CQC questions, with each area rated Good. This explanation was written from the published report of 30 August 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.

The story over the years

Every inspection of Springwood

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

  1. December 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Springwood →

  2. August 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Springwood →

  3. July 2018Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2017

    Registered with the Care Quality Commission on 17 March 2017.

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.

Next steps

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Care at home

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Most charge £980 to £1,190 a week. 40 can care for a couple. 10 years' experience on average.

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