Working at Springfield Care Home

Medication errors like wrong cream on wrong person and poor cleaning put everyone at risk.

We observed that a cream that was prescribed to one person was being applied to the skin of a different person. The cream was also out of date. Carpets were not clean and solid floors showed evidence of spills... communal toilets throughout the home had not been effectively cleaned.

Not enough staff on shifts, so mealtimes feel rushed across two floors.

The number of staff on duty was not always sufficient to meet people's needs... we observed difficulties with supporting all people appropriately during lunchtime as the available staff were deployed over two floors.

Weak management oversight misses problems like medication errors and unclean areas.

There was a lack of management oversight throughout the home within quality monitoring, medicines management, infection control and risk assessments.