Springfield Care Home

“Not all incidents and accidents had been reported or investigated. Lessons learned had not been formally shared with staff, although staff did tell us they were verbally informed. We found some shortfalls in medicines management processes and oversight which included inconsistencies around the safety of medicines storage and record keeping.”

“Safety checks had been carried out for the premises and for any equipment being used. However, records in place were inconsistent, and the checks had not identified the shortfalls we found. Fire risks to people were assessed. Risk assessments had been completed but not always regularly reviewed, and care plans did not always inform staff how to keep people safe from harm and had not always been updated to reflect changes in people’s needs.”

“Overall, the service was clean, and we observed staff following infection prevention and control guidelines. People had enough to eat and drink to stay healthy. Staff were working with all agencies involved in people’s care. However, we received mixed feedback on how effective this was. Following the inspection, we were told there was now closer working relationships between agencies and the service to improve outcomes for people. Staff told us there was an open culture and they felt valued and respected by the management team. They spoke positively about the changes being implemented by the new manager and told us they felt valued and listened to.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”