We carried out a review of the data available to us about Field View on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Field View, you can give feedback on this service.
Field View is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
It provides services for adults with a learning disability and autism, Field View is registered to provide support for five adults and at the time of the inspection three people lived in the home.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The outcomes for people using the service reflected the principles and values of Registering the Right Support, by promoting choice, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. 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.
Thorough recruitment and staff induction was in place to ensure that staff were suitable to work and provide support within the service.
We discussed with the manager ways to improve people’s understanding of how individuals are supported with choice. This aspect of people’s care across all U&I Care services needs to be reviewed, to be able to manage family’s expectations in line with legislation as people transitioned from children’s service and receive support in adult services.
Care and support were delivered on an individual basis and the occupants of the home decided the daily routines. Care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities which were meaningful to them for example education and sports. People were given opportunities to experience new activities with varying degrees of success.
We found people were supported to connect with other people using the U&I Care Limited services to avoid social isolation. People also attended events at community activities, social clubs and discos. The time spent engaging with these activities was dependant on their preferences and well-being at the time.
People told us they felt safe and we observed people’s responses which showed us that they felt comfortable with the staff members supporting them. The service worked hard to promote inclusivity and people’s diversity was embraced, staff demonstrated this with their knowledge of how people communicated. Staff were aware of verbal triggers and responses that would demonstrate if people were feeling anxious. Staff supported people to make their needs and wishes known, and what worked best to ensure they had a good day.
Recent changes to the management structure were seen as positive in supporting clear lines of accountability. We considered that this would help with issues we previously identified regarding robust planning and review, overview, record-keeping and governance to support consistent safety and quality of care.
Staff told us they were proud to work for U&I Care Limited. There were processes in place for staff to access support at any time and we were told by staff they felt supported by the management team. Records clearly showed staff received formal supervision, appraisal and regular training.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 04 May 2018) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Field View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service is registered to accommodate up to five people and is in a domestic type building. There is a secure garden to the rear of the premises and local transport links.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At the time of the inspection there was a registered manager in post within the service, however they were not available. The operations manager was made available to support us with the inspection process. 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.
During the inspection we identified breaches of Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the registered provider’s systems had failed to take action to rectify hot water temperatures which were well in excess of safe levels, and posed a scalding risk to people using the service. We also identified a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009 because the registered provider had failed to notify the CQC where people were subject to a Deprivation of Liberty Safeguard (DoLS).
You can see what action we told the provider to take at the back of the full version of the report.
People were protected from the risk of abuse. Staff had been received training in safeguarding people and knew how to report any concerns they may have to the relevant authority.
Recruitment processes were robust and ensured that staff were of suitable character to work with vulnerable people. New staff had been subject to a check by the disclosure and baring service (DBS) and had also been required to provide two references.
People were supported to take their medication as prescribed. People’s medication was stored securely and audits were carried out to ensure stock levels were correct and that relevant processes were being followed by staff.
Staffing levels were sufficient to meet the needs of people using the service. We checked staffing rotas and identified that consistent numbers of staff were on duty.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. This helped ensure that the requirements of the Mental Capacity Act 2005 were being met.
Staff had received the training they required to carry out their roles effectively and new staff had also been supported to undertake a period of induction. This helped ensure that staff had the skills they needed to support people.
People’s dietary needs were clearly documented in their care records and they were supported to have a nutritious diet during meal times.
People were supported to access health professionals to help maintain their physical and mental wellbeing.
Positive relationships had developed between people and staff which was evident in their interactions with each other. Staff were kind and friendly towards people and supported people to maintain their dignity.
Care records contained personalised information about people’s needs which helped ensure that staff had access to up-to-date and accurate information around people’s support needs. This helped ensure that people received the correct level of support.
Staff supported people to engage in activities such as going out for a walk, going to the shops and other activities that were specific to people’s likes. This helped to protect people from the risk of social isolation.
Staff told us that they felt well supported in their jobs. There was an on call system in place to support staff in the event of an emergency, and one member of staff told us of way in which the registered provider had supported them to remain in their role by implementing a strategy to meet their health needs.