Background to this inspection
Updated
23 May 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a comprehensive inspection. The inspection took place on 22 March 2018 and was unannounced. There was one adult social care inspector.
We gathered and reviewed information before the inspection such as the provider information return (PIR), notifications about the service and liaison with other agencies, such as the local authority and safeguarding team.
We spoke with all six people who used the service, one member of care staff, the registered provider and one visiting professional. We looked at the premises and some people’s rooms with their permission. We looked at two care plans, two staff files, training and supervision records and documentation to show how the service was run, such as maintenance records, policies, procedures and audits. Following the inspection we spoke with two people’s relatives over the telephone.
Updated
23 May 2018
Springfields is a small care home providing personal care for up to six people with mental health needs. There were six people living in the home at the time of the inspection. At our last inspection in December 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
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At this inspection we found the service remained Good.
Systems and processes supported people’s safety and risks were appropriately assessed.People were safely supported with their medicines and staff understood safe practice around this. Medicines were securely stored, although one person's controlled drugs were not stored separately and the registered provider agreed to review this. Staff understood how to safeguard people from harm, and there was a system for recording accidents and incidents. Premises and equipment were regularly checked for safety.
Staff completed regular training and engaged in supervision meetings with the provider.People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice People were supported to lead healthy lives and there were effective links with other professionals. People enjoyed the meals and took an active part in preparing these.
Staff were respectful of people’s privacy and dignity and there were good opportunities for people to be independent. There was a very friendly, homely atmosphere and people said they felt well cared for.
Care was person centred and people’s individual needs were promoted and respected. Care records showed individual preferences and we saw how people chose to follow their own preferred lifestyle.
The provider was very involved in people’s care and support and they knew each person well. There was open communication in the home and evidence of effective leadership and teamwork. Audits were in place and regular feedback was sought from people about the quality of the service. Documentation was securely filed, although at times we noted some outdated information, which the provider agreed to review.
Further information is in the detailed findings below