24 April 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We undertook a comprehensive inspection of Field House on 13 and 14 March 2018. This involved inspecting the service against all five of the questions we ask about services: is the service safe, effective, caring, responsive and well-led.
The inspection was unannounced. This meant the staff and the provider did not know we would be visiting. The inspection was carried out by two inspectors and an expert by experience on 13 March 2018 and one inspector and an expert by experience on 14 March 2018. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Before the inspection visit we looked at the information we had received about the home. We looked at the notifications we had received. Notifications are information about important events which the provider is required to tell us about by law.
During our visit we spoke with 17 people who lived at the home and 10 visitors. We spent time with people in their bedrooms and in communal areas. We observed the way staff interacted and engaged with people.
We spoke with chief executive, the head of care quality, the registered manager, the deputy manager, the operations manager and 12 staff that included registered nurses, care staff, maintenance, housekeeping, laundry, activity and catering staff. We observed medicines being given to people. We checked how equipment, such as pressure relieving equipment and hoists, was being used in the home.
We looked at five people’s care records in detail and checked other care records for specific information. We looked at medicine records, staff recruitment files, staff training records, quality assurance audits and action plans, records of meetings with staff and people who used the service, complaints records and other records relating to the monitoring and management of the care home.
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.