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Field House Rest Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 December 2019

About the service

Field House Rest Home is a residential care home providing personal to 35 people aged 65 and over at the time of the inspection. The service can support up to 54 people.

People’s experience of using this service and what we found

The provider had not always ensured people were safe and had their needs met. Risks to people were not always managed safely and systems to ensure people were protected from the risk of infection were not always effective. Improvements were not always actioned and completed to ensure people’s safety was improved. People’s medicines were managed in a safe way. People were protected from abuse by knowledgeable staff.

The provider did not always show compassion for people by ensuring there were sufficient staff, and equipment to support people’s dignity and people’s choices about where they received their support. People were not always supported to enjoy their meal time experience. Staff were not always effectively deployed, and people did not always have the equipment they needed to enjoy the meal time experience. People and their relatives said they were supported by kind and caring staff. Staff were kind to people. People’s privacy was not always upheld because staff did not always follow best practice.

People had their needs assessed, and the provider was in the process of adapting the environment to meet people’s needs. People had a nutritious diet, and they enjoyed the food offered. People were supported to access the health care they needed. People were supported to have some 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.

People were supported by staff who knew their needs and attended regular reviews. The management team were reviewing staff deployment to ensure people’s needs were met. People had access to interesting things to do. People’s end of life plans were being reviewed to ensure they were up to date. Complaints were investigated, and outcomes actioned.

The provider did not always have effective governance systems in place to identify shortfalls in the quality and safety of the service. Systems to ensure improvements were completed and sustained were not always effective. Actions identified were not consistently addressed, therefore there was a lack of continuous learning and improving the quality of care provided.

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 9 July 2018).

Why we inspected

The inspection was prompted in part due to concerns received about infection control and staffing levels. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified a breach at this inspection, in relation to the governance of the home.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 4 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 4 December 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 December 2019

The service was not always well-led.

Details are in our well-Led findings below.