Archived: Cambian - The Fields

Updated 9 September 2015

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 15th June 2015 and was unannounced. The inspection team included two Adult Social Care Inspectors, one Inspection Manager and a Specialist Advisor. A Specialist Advisor is a professional with experience of working with people who use this type of care service. The Specialist Advisor was a registered Nurse with experience of working with adults with learning disabilities.

Prior to the inspection we also reviewed the information we held about the service and the registered provider. This included notification of any incidents which may impact on service delivery and any injuries or alleged abuse sustained by people living at The Fields. We also spoke with the local authority who shared some concerns with us about the administration of medicines, particularly regarding PEG care. A PEG is a medical procedure in which a tube is passed into a person’s stomach, most commonly done to provide an alternative means for feeding.

We spent time observing the daily life in the service including the care and support being delivered by all staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

During the inspection we spoke with six people living at The Fields, two relatives, eleven members of staff, including the registered manager, deputy manager, administrator and nurse. In addition we spoke with a further seven members of staff to ask them about their experiences of working at the Fields and what support and training they received.

We reviewed a wide range of records, including five people’s care plans, two people’s care plans relating to their health needs, medicine charts of all people on the nursing unit, six staff files and a number of records relating to the management and quality assurance of the service.

Updated 9 September 2015

The Fields is registered to provide accommodation for people who require nursing or personal care. The home can accommodate up to 54 people who have learning and/ or physical disabilities. The home is divided into seven units, one of which provides nursing care. The home is situated in the Woodhouse area of Sheffield and benefits from access to local facilities.

It is a condition of registration with the Care Quality Commission that the home has a registered manager in place. There was a registered manager in place who was present on the day of our inspection. 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.

Our last inspection was on 7th May 2014. The home was found to be meeting the requirements of the regulations we inspected at that time.

This inspection took place on June 15th 2015 and was unannounced. This means the people who lived and worked at The Fields didn’t know we were coming. On the day of our inspection there were 54 people living at the home.

People told us they were happy living at the Fields. One person commented, “There are nice friendly people here, especially the staff, they are lovely and caring.”

We saw the staff were caring and compassionate. They clearly all knew the people who lived at the Fields and were able to understand and respond appropriately to their needs.

There were a wide range of activities available to people who lived at the Fields.

A relative told us they were kept informed and they found the registered manager “approachable and staff are fantastic.”

People were protected from abuse and the service followed adequate and effective safeguarding procedures.

There were thorough pre-employment checks completed for new staff to ensure people’s safety was promoted. Staff were supported to undertake training and had regular supervision for development and support.

There were good, regular quality-monitoring systems carried out at the service.

Whilst care plans contained some information on the individual’s needs and how these should be met, gaps in recordings meant full and accurate detail was not recorded or available to staff.

During our inspection, we found one breach of the Health and Social Care Act 2008 (regulated Activities) 2014, Regulation 9 Person Centred Care.