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CQC ExplainedEvery inspection report, in plain English

CQC report explained · a residential care home, run by Springfield Rest Home

Springfield House

3-5 Ranelagh Road, Malvern, WR14 1BQ

Goodpublished 29 February 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. There were enough staff, risks were assessed, the home was clean and medicines were generally managed safely, although some medicine records needed improvement.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Well-led?
Good
The provider had improved its systems for checking quality and safety. Inspectors found clear leadership, good communication and involvement from people, relatives and staff, although some medicine checks needed time to become fully established.
The latest report, explained

What inspectors found, February 2024

Rated Good; inspectors found safe, kind care, but records for prescribed creams and some controlled medicines needed improvement.

This was an unannounced focused inspection on 16 January 2024. Two inspectors and an Expert by Experience spoke with people, relatives and staff. They observed care and reviewed care records, staff rotas and management checks.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, good safeguarding arrangements, improved risk assessments, safe infection control and medicines that were generally managed safely. However, records for prescribed creams and controlled medicines were not always clear.

The overall rating was Good. The previous rating was Requires Improvement in November 2022. The provider had made enough improvement to no longer be in breach of the regulations identified at that inspection.

What inspectors praised
  • Enough staff

    Inspectors found sufficient staff to meet people's needs and keep them safe. Relatives also said staffing levels appeared consistent, including at weekends.

    The provider ensured there were sufficient numbers of suitable staff.from the report
  • Personalised support

    Staff knew people well and supported them in an individual way. People were supported at their own pace and staff were described as kind and attentive.

    People told us, and we saw, staff treated them in a way which was individual to them.from the report
  • Improved safety

    Risk assessments, staff training and parts of the environment had improved since the previous inspection. The provider had acted on earlier safety concerns.

    Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 12.from the report
  • Clean environment

    The home appeared clean and staff followed safe infection control practices. Environmental changes, including new flooring and radiator covers, made cleaning easier.

    People were protected from the risk of infection as staff were following safe infection prevention and control practices.from the report
What inspectors were concerned about
  • Prescribed cream records

    needs fixing

    Inspectors found shortcomings in the storage and recording of prescribed creams. Storage was corrected immediately, and there was no evidence that anyone had been harmed.

    However, improvements were needed in the storage and record keeping of administration of prescribed creams.from the report
  • Controlled medicine records

    needs fixing

    Records for controlled medicines had improved but were not yet clear enough to identify possible errors quickly.

    Improvements had been made in the record keeping of controlled drugs, however, records needed to be clearer to ensure potential errors were identified promptly.from the report
  • Checks still being embedded

    needs fixing

    The home's quality systems had improved, but inspectors said more time was needed to establish checks for medicine storage and record keeping consistently.

    However, time was needed to embed the checks for medicine storage and record keeping.from the report
Questions to ask them, based on this report
  1. 01How do you now check that prescribed creams are stored safely and recorded every time they are given?
  2. 02How do you check controlled medicine records and identify possible errors promptly?
  3. 03What action will you take if a medicine storage or recording check finds a problem?
  4. 04How do you decide how many staff are needed on each shift, including weekends?
  5. 05How will you show that the improvements from the previous inspection have been maintained?

This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 29 February 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 Springfield House

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

  1. February 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Springfield House

  2. November 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

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

  3. December 2021Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2020Inspected but not rated
    Safe: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  5. February 2020Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. April 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. May 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  9. June 2015

    Registered with the Care Quality Commission on 2 June 2015.

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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