Archived: Farm Field View

Farm Field is registered to provide accommodation for people who require nursing or personal care. At the time of the inspection there were seven people using the service.

On the day of our inspection there was not a registered manager in place and had not been since July 2016. 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. However, there was a manager in place who became the registered manager following our inspection visit in December 2016.

People were safe living at the service because staff knew how to recognise and report any incidents of harm. Staff were confident that the manager would deal with any concerns that they reported.

Staffing levels were adequate to meet people’s needs. Staff told us they received an induction, training and supervision and felt supported by the management team. Staff were recruited through safe recruitment practices.

Medicines were safely administered and stored.

People received sufficient to eat and drink and their nutritional needs were catered for.

The manager applied the principles of the Mental Capacity Act 2005 (MCA) and Deprivations of Liberty Safeguards (DoLS), so that people’s rights were protected. People were asked for their consent before care and support was provided and this was respected.

People’s healthcare needs had been assessed and were regularly monitored. The service worked well with visiting healthcare professionals to ensure they provided effective care and support.

Staff did not always respect people's privacy and dignity however, the manager responded to our concerns appropriately.

People told us staff were kind and caring. People were encouraged to be independent and make individual choices. Staff were aware of people's support needs and their personal preferences.

People received care and support that was personalised and responsive to their individual needs.

People were supported to participate in activities, interests and hobbies of their choice. The complaints policy was accessible for everyone.

The management team was supportive and approachable towards people and relatives. People were involved or had opportunities to be involved in the development of the service. There were systems in place to monitor and improve the quality of the service provided.

People's needs had been assessed and support plans were up to date and reflective of people's needs. People told us they felt their needs were well met. Comments included, 'Everything is alright. If we're not happy we tell the staff or the manager.'

People received nutritional, well balanced meals. People told us they were involved in developing the menu. Comments included, 'The food's lovely, we always get a choice and we go shopping with the staff.'

We observed the home to be well maintained, and saw cleanliness and infection control policies and procedures were in place.

We found staff received relevant training that supported and enabled them to carry out their duties.

We saw the provider had internal quality, monitoring and audit systems in place. People who used the service had been asked for their views about the service they received in the last 12 months.

As part of the inspection we spoke with three people who used the service and three relatives. We also spoke with the registered manager, three members of staff and a visiting professional. We looked at service information and support plans for three people.

People we spoke with talked positively about the staff that supported them. People were able to tell us the names of their key workers. One person told us, '(Name) is my key worker, he's great.'

Another person said, 'I like living here, it's alright. I can talk to all the staff. We go on holidays, we're planning to go to Blackpool this year.'

We found that people who used the service had their needs assessed and planned for in consultation with them or their appointed representative. A relative we spoke with told us, 'I attend a yearly review meeting but I feel involved in all aspects of my son's care.'

We found people received care and support that met their safety and welfare needs. We saw people were receiving the correct level of support as stated in their support plan.

We saw people engaged well with staff and were supported to participate in activities of their choice.