Background to this inspection
Updated
30 August 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was undertaken by one inspector and a specialist advisor in governance.
Service and service type
Spring Gardens is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed all the information we held about the service. We contacted relevant agencies such as the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with seven people who used the service and three relatives. We also spoke with four staff, a senior support worker, the deputy manager and the registered managers.
We reviewed four people's care records, policies and procedures, records relating to the management of the service, including training records and quality audits.
After the inspection
We received feedback from health care professionals who regularly visit the service.
Updated
30 August 2019
About the service
Spring Gardens is a care home. It provides personal care and support for up to 30 older people. The home is situated in the Otley area of Leeds. There are two floors with lift access and there are several communal lounge areas. There is car parking to the front of the home and an enclosed garden area to the rear. At the time of the inspection there were 28 people using the service.
People’s experience of using this service and what we found
Overall, medicines were managed safely. Action was taken at the time of the inspection to improve medicines records and storage. Staff kept the home clean and tidy. Risks were managed well, and people had plans for staff to follow to reduce risk and keep people safe. The provider had systems to protect people from the risk of abuse and improper treatment.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were cared for by staff who were well supported and had the right skills and knowledge to meet their needs effectively. Staff followed good practice guidance. Staff supported people with their healthcare needs and worked well with external healthcare professionals. People's nutritional needs were met. People said they enjoyed the meals and there was enough choice.
People were treated well, with kindness and compassion by staff who respected their privacy and dignity and promoted equality and diversity. People were supported to be as independent as possible. We received very positive feedback about the caring approach of staff and the management team.
There was a programme of activities that were tailored to people's individual preferences. People told us they enjoyed these. People were asked for their views and their suggestions were used to continuously improve the service. People knew how to raise concerns should they have any.
The service was led by registered managers and a management team who everyone described as approachable, well organised and caring. The culture at the service was open and inclusive. A range of systems were used to monitor the quality of the service. Where areas of improvement were identified these were acted upon.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (report published 8 February 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.