15 June 2023
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
This inspection was carried out by two inspector’s and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Field House is a ‘care home’ with nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this. information to plan our inspection.
During the inspection
We spoke with 13 people who lived at the home, 4 relatives, 5 staff members, the registered manager, the deputy, the clinical manager, the area manager and the provider.
We reviewed a range of records. This included 4 people’s care records in relation to risk assessments in place, 5 staff files in relation to their recruitment, medicines administration charts, health and safety checks and maintenance records. We looked at a variety of audits relating to the management of the home.
15 June 2023
Field House is a care home, which provides personal and nursing care for up to 55 people. At the time of the inspection, 42 people were living at the home.
People's experience of using this service and what we found
People were safeguarded from the risk of abuse. Risks to people's health and wellbeing were assessed thoroughly and clear instructions meant staff were working in safe ways. People were protected from avoidable infections as the home was clean and staff had good hygiene practices.
Medicines were being managed safely. At the last inspection we found evidence that some medicines had been pre potted for people to take later. This practice had stopped, and medicines were safe. An electronic medicine system had been introduced since the last inspection. Accidents and incidents were recorded and used to identify lessons learned, these were shared with the staff team. There were enough staff available to assist people to meet their needs in a prompt way. The provider had a safe recruitment process, which assisted them in recruiting suitable staff.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Governance systems were robust, and the home had a stable management team. Continual monitoring and improvement through audits took place to ensure the home operated effectively and people were safe. The registered manager and the clinical lead were working with staff to ensure people’s records were kept up to date. Staff were proud to work at the home. They spoke positively about the management team. Surveys were sent out to gather feedback, improvements were implemented. Partnerships with other agencies and health professionals enabled effective outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 24 April 2018). The rating at this inspection remains good.
Why we inspected
We undertook this inspection as the service had not been inspected for some time. We inspected two key questions, Safe and Well led. Prior to this inspection we received some information of concern about the care people that people received and in relation to night staff working at the home. We used the information as part of are planning. We found no evidence of concern.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the home remains good based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Field House on our website at www.cqc.org.uk