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Inspection Summary


Overall summary & rating

Good

Updated 24 April 2018

Field House is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Field House provides accommodation with nursing and personal care for up to 55 people. At the time of our inspection 44 people were living in the home.

At the last inspection on 15 and 16 February 2017 the service was rated Requires Improvement. We found breaches in two regulations relating to safe care and treatment and record keeping. Following this inspection, the provider sent us an action plan telling us how they would make the required improvements.

We carried out a comprehensive inspection on 13 and 14 March 2018. At this inspection, we found improvements had been made and the legal requirements had been met. We found further improvements were needed to the quality assurance systems to ensure the service provided to people is consistently well-led.

The service has improved to Good.

There was a registered manager in post. 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Sufficient numbers of staff were deployed at the time of our visit. Staff performance was monitored. Staff received supervision and training to ensure they could meet people’s needs.

Medicines management shortfalls were promptly acted upon and actions taken to make improvements.

Staff demonstrated a good understanding of safeguarding and knew how to report concerns.

Risk assessments and risk management plans were in place. Incidents and accidents were recorded and the records showed that actions were taken to minimise future occurrences.

People’s dietary requirements and preferences were recorded and people were provided with choices at mealtimes.

Staff were kind and caring. We found people were being treated with dignity and respect and people’s privacy was maintained.

A range of activities were offered and provided people with entertainment both in and out of the home.

Systems were in place for monitoring quality and safety. Improvements were needed to make sure required areas for improvement were identified.

Inspection areas

Safe

Good

Updated 24 April 2018

The service has improved to good.

Improvements had been made to the management of medicines. Where shortfalls were identified the provider took prompt action.

People were protected from abuse because staff had received training and knew how to identify and act on concerns.

Staff were safely recruited and staffing levels were sufficient to meet the needs of people living in the home.

Accidents and incidents were reported and actions taken to reduce recurrences.

Effective

Good

Updated 24 April 2018

The service has improved to good.

The service complied with the requirements of the Mental Capacity Act 2005 (MCA). People were asked for consent before care was provided.

People were provided with sufficient food and fluids and systems were in place to monitor and act on changes to people�s intake.

Staff received training and support to enable them to meet people�s needs.

People had access to a GP and other health care professionals.

Caring

Good

Updated 24 April 2018

The service remains good.

People received care from staff who were kind, caring and compassionate.

Positive relationships had developed between people living in the home, visitors and staff.

Responsive

Good

Updated 24 April 2018

The service has improved to good.

People�s needs were assessed and care plans were in place to meet individual needs.

People were offered a range of group activities, both in and out of the home.

A complaints procedure was in place and readily available to people.

Well-led

Requires improvement

Updated 24 April 2018

The service remains requires improvement.

Systems were in place to assess, monitor and mitigate risks to people. Improvements were needed to make sure systems identified shortfalls, for example, in medicines management and record keeping.

A registered manager was in post. The management team had been strengthened and additional roles had been created.

The registered manager recognised their responsibilities with regard to notifications required by the Commission.