Working at Spring House
Spring House, Exeter, EX2 4PD
Operated by Elysium Healthcare No. 4 Limited
6 bedsNursing homes
Workplace Score
5.8/10
AI analysis of latest data
Our AI workplace review
PlainSight AI Review
Last updated: 9 February 2026
Score: 5.8/10
Key Finding
"Stable staffing and effective training support safe care, but weak governance and incomplete risk assessments create safety shortfalls."
Safety & Risk
4/10
!
Risks were not always fully identified and assessed to ensure people were safe. This was a breach of Regulation 12 (Safe care and treatment)
Staff Culture
6/10
✓
A staff member told us, 'I think it's an amazing place, it's run really well, and it is amazing what the [registered manager] has done with the place, [they are] available. [They are] so open and honest, [they] create such a friendly welcoming atmosphere, you're excited to come to work,' and 'we all support each other when need to'
Staffing Levels
7/10
✓
There were enough staff to provide safe care and support. People were supported in a timely way. There was a calm atmosphere and people were not rushed. There was a stable staff team who knew people well with minimal agency staff used
Training & Dev
7/10
✓
Staff received the relevant training when they joined the service, they received ongoing training, had their competencies assessed and received supervision
Management
4/10
!
The governance systems were not robust enough to identify and address shortfalls we found during this inspection. This was a breach of Regulation 17 (Good Governance)
Programmes
6/10
✓
People wrote their own weekly timetables with support from the activities co-ordinator. There were also group activities such as games, or movie nights depending on what people wanted to do
Points to consider
Risk assessments miss some hazards like laundry chemicals and clinic room access, putting safety at risk
Risks had not been properly assessed in relation to the laundry room. Liquid and capsules for washing clothes were in an unlocked cupboard... one staff member told us sometimes the clinic room door was left open
Medicine management lacks proper audits and oversight, so errors might not get caught
The registered manager was not able to produce a medicines audit... Quality assurance processes of medicine management were not always completed. Staff and management were unclear about who took responsibility for auditing medicines
Manager's oversight is weak and didn't spot issues like mental capacity assessment gaps or staff mask wearing
Mental capacity assessments weren't always carried out robustly... There was a lack of management oversight of the MCA decisions... Staff were not always following national guidance in relation to wearing personal protective equipment (PPE) effectively
AI Generated
CQC Inspection Overview
CQC Inspection
Last inspected: November 2022
Requires improvement
Safe
!
Requires improvement
Effective
!
Requires improvement
Caring
✓
Good
Responsive
✓
Good
Management Quality
Well-led: Requires improvement
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- Care Quality Commission (CQC) Inspection Data
- PlainSight staff reviews