We carried out a review of the data available to us about Field House Residential Home Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Field House Residential Home Limited, you can give feedback on this service.
We found the following examples of good practice.
¿ People who were unable to self-isolate were cohorted together and cared for by specific staff members. This helped to manage the spread of infection whilst recognising people’s individual needs.
¿ The registered manager had staggered shifts to support staff to socially distance whilst preparing to start work. Two rooms had been allocated for staff to change into their uniforms.
¿ A new document was used by staff to record people’s temperature, food and fluid intake and any COVID-19 symptoms. This supported staff to monitor people for any decline in their health and to ensure people’s needs were met.
¿ The registered manager had demonstrated the use of Personal Protective Equipment (PPE) during a resident meeting. This meant that people were familiar with the use of equipment such as masks.
¿ The home had a colour coded cleaning system for different floors. This meant that equipment such as mop buckets were only used in one area. This helped to prevent the spread of infection.
¿ The registered manager met with staff on a monthly basis to carry out a COVID-19 support session. This gave staff the opportunity to discuss how the pandemic had impacted them.
Field House is a care home that provides personal and nursing care to a maximum of 21 older people, including people who live with dementia. At the time of the inspection 18 people were using the service.
People's experience of using this service:
People said they felt safe and they could speak to staff as they were approachable. People and staff told us they thought there were enough staff on duty to provide safe and individualised care to people.
Staff knew about safeguarding procedures. Staff were subject to robust recruitment checks.
Arrangements for managing people's medicines were safe. People were very positive about their home.
People's privacy and dignity were respected. There was a good standard of cleanliness.
People were provided with very good standards of care by staff who were well-trained and supported in their roles. One person commented, “There are rooms to take our visitors, that are nice and clean and they bring tea and coffee on a tray, always making family welcome. Staff are lovely and treat you as part of their family.”
Staff had an understanding of the Mental Capacity Act 2005 and always asked people to consent to their care. No one living at Field House at the time of our inspection was considered to lack capacity with regards to their decisions.
People had access to health care professionals to make sure they received appropriate care and treatment. Staff followed advice given by professionals to make sure people received the care they needed. People received a varied and balanced diet to meet their nutritional needs and personal wishes.
Risk assessments were in place and they accurately identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks.
People, relatives and health professionals were consistently positive about the care provided. They confirmed that staff were attentive, kind and caring.
Communication was effective and staff and people were listened to. Staff said they felt well-supported and were aware of their responsibility to share any concerns about the care provided.
People said they knew how to complain. The provider undertook a range of audits to check on the quality of care provided.
Why we inspected:
This was a planned inspection based on the previous rating. It was a comprehensive inspection.
Rating at last inspection:
The home was rated Good at the last inspection (report published in March 2016).
Follow up:
We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated good. We will continue to monitor the service through the information we receive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This inspection took place on 10 February 2016 and was unannounced. This was the first inspection of this home under the present ownership and management.
The Field House is a care home without nursing for up to 21 people, some of whom have dementia. The property is a large, adapted house and accommodation is on three floors with a passenger lift to facilitate access.
At the time of the visit the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us that they felt safe in this home. Staff were aware of the need to keep people safe and they knew how to report allegations or suspicions of poor practice.
People were protected from possible errors in relation to their medication because the arrangements for the storage, administration and recording of medication were good and there were robust systems for checking that medication had been administered in the correct way.
People who lived in this home and people’s relatives, told us that they were very happy with the care provided. People had opportunities to participate in a range of activities in the home and community, but if they chose to spend time engaged in hobbies in their rooms, this choice was respected.
People’s relatives and friends were made welcome by staff and there was a quiet area where people could entertain them.
People and, where appropriate, their relatives, were consulted about their preferences and people were treated with dignity and respect.
Staff working in this home understood the needs of the people who lived there. We saw that staff communicated well with each other.
Staff were appropriately trained, skilled and supervised and they received opportunities to further develop their skills.
The manager and staff we spoke with understood the principles of protecting the legal and civil rights of people using the service.
People were supported to have their mental and physical healthcare needs met and were encouraged to maintain a healthy lifestyle. The manager sought and took advice from relevant health professionals when needed.
People were provided with a good choice of food in sufficient quantities and were supported to eat meals which met their nutritional needs and suited their preferences.
There was effective leadership from the manager and senior members of staff to ensure that staff in all roles were well motivated and enthusiastic. The manager assessed and monitored the quality of care consistently through observation and regular audits of events and practice.
The manager consulted people in the home, their relatives and visitors to find out their views on the care provided and used this information to make improvements, where possible. The manager checked to see if there had been changes to legislation or best practice guidance to make sure that the home continued to comply with the relevant legislation.