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CQC report explained · a residential care home, run by Antoni & Rienzie

Springbank Rest Home

143 Rochdale Road East, Heywood, OL10 1QU

Requires improvementpublished 6 March 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Medicines were not always managed safely. Risk assessments were missing or out of date for some people, and inspectors found fire safety and environmental concerns, although there were enough staff and safeguarding systems were in place.
Effective?
Good
This question was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
Caring?
Good
This question was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This question was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
Well-led?
Requires improvement
The home did not have effective audits and quality checks. This meant concerns about medicines, risks, fire safety and the environment had not been identified by management.
The latest report, explained

What inspectors found, March 2024

Rated Requires Improvement; inspectors found caring support but unsafe medicines, poor risk checks and weak oversight.

This was an unannounced focused inspection. Inspectors visited on 25 January and 13 February 2024. They spoke with 13 people, 5 relatives and staff, observed care and a meal, checked the building and equipment, and reviewed care, medicines, recruitment and management records.

People and relatives were very positive about the care. Inspectors saw kind interactions, enough staff and a relaxed atmosphere. People were safeguarded from abuse, staff recruitment checks were completed, and the home was working within the Mental Capacity Act.

There were important safety problems. Medicines were not always managed safely, risks such as falls and choking were not always assessed or reviewed, and there were fire safety and building issues. The home also lacked effective audits and checks, so problems had not been found by its own management.

The overall rating is Requires Improvement. Safe and Well-led were both rated Requires Improvement. The inspection was focused on those two areas, while the other ratings were carried forward from the previous inspection. The previous overall rating was Good, published in April 2018.

What inspectors praised
  • Enough consistent staff

    There was a stable staff team, with enough staff on duty to support people. Staff knew people well.

    There was a stable staff team and there were enough staff on duty to respond to people's needs.from the report
  • Safeguarding systems

    The home had systems for reporting safeguarding concerns, accidents and complaints. Staff had safeguarding training and understood what to do if someone might be harmed.

    Systems were in place to ensure people were safeguarded from the risk of abuse.from the report
  • Positive atmosphere

    Inspectors saw a relaxed atmosphere and kind interactions. Staff described the manager as approachable and supportive.

    The atmosphere in the service was relaxed and we observed kind and caring interactions between staff and people, which was indicative of a positive culture.from the report
What inspectors were concerned about
  • Medicines were not always safe

    serious

    There was no system to check medicines brought in by new residents against their prescriptions. Guidance was missing in some areas, and creams were not stored correctly.

    The provider had failed to ensure safe systems for the management and administration of medicines.from the report
  • Risks were not fully assessed

    serious

    Some people lacked falls or choking assessments, and assessments were not always reviewed after incidents. Inspectors also found risks linked to fire exits, a heater and window restrictors.

    The provider had failed to effectively assess the risks to the health and safety of people receiving care and failed to do all that was reasonably practicable to mitigate those risks.from the report
  • Weak management checks

    serious

    Audits and regular checks were not being carried out effectively. As a result, management had not identified the problems found during the inspection.

    Systems and processes had not been established to effectively assess, monitor and improve the quality and safety of the service.from the report
  • Building needed repairs

    needs fixing

    Some toilets and bathrooms had exposed, cracked or rusty surfaces. Skirting boards and walls needed redecoration, and parts of the conservatory needed cleaning.

    There was an exposed porous surface, cracked tiles and rusty pipework in toilets/bathrooms.from the report
Questions to ask them, based on this report
  1. 01What has been changed so medicines brought in by new residents are checked against their prescriptions?
  2. 02How are staff now given guidance for creams, fluid thickeners and other medicines?
  3. 03Which residents now have falls and choking risk assessments, and how often are these reviewed after an incident?
  4. 04Have the fire exit, outdoor fire door route, bedroom heater and window restrictors been checked and made safe?
  5. 05What audits are now being completed, and how will you show that problems are being identified and fixed?

This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection published in 2018. This explanation was written from the published report of 6 March 2024 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 Springbank Rest Home

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. March 2024Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Springbank Rest Home

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. April 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 4 November 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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