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 which provides nursing and residential care for up to 36 people. The service provides support to older people, people living with dementia and physical disabilities. At the time of our inspection, 29 people were living at this service.
People’s experience of using this service and what we found
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.
Staff had received training around the Mental Capacity Act 2005 and associated code of practice. The registered manager recognised staff needed to become more confident when applying this in their practice and was organising additional training for them. Staff took steps to safeguard people and promote their human rights.
People were satisfied with the service and felt staff always went above and beyond in delivering the care. They described the little extras staff did as a part of their job. Staff were passionate about providing good care outcomes and took ownership of their practice.
Risk assessments were clear and readily identified how to reduce the risks to people. Staff were familiar with these documents and the actions they needed to take. Medicines management was effective and closely monitored. Staff who administered medicines had the appropriate training. Staff adhered to infection control and prevention guidance.
The management team ensured there was always enough staff to support people. Recruitment practices met legal requirements. The provider’s had developed a central electronic system for filing the relevant information and the administrator ensured recruitment processes were diligently completed.
The systems the registered manager had in place allowed them to critically review the service and proactively looked at how improvements could be made. Staff told us the registered manager was approachable and listened to their views. All felt the registered manager was running a good service.
The provider ran an award scheme across all of their services and for the third year in a row the administrator had been nominated for the top administrator of the year award. They with the registered manager were to attend an awards ceremony and was delighted to have been selected as one of the nominees, particularly as nearly 7000 votes were cast to determine the top four people in each category.
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 (report published 16 November 2017).
In October 2021 we completed a focused inspection looking at infection control and prevention practice and were assured staff followed guidance appropriately.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
This report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Field View on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice during our inspection:
• Systems were in place to prevent people, staff and visitors from catching and spreading infections.
• Staff supported people's emotional wellbeing. People and their relatives were supported to keep in contact using a range of technology. Visits were facilitated in a dedicated room with appropriate measures in place.
• The home was clean and hygienic. Additional cleaning of all areas and frequent touch surfaces was being carried out regularly.
• Staff had undertaken training in putting on and taking off PPE and other relevant training.
• The home was following national guidance for anyone moving in. Staff worked with people and their relatives to ensure they were aware of self-isolation procedures, where this was necessary.
• People were supported to understand the pandemic and the need for infection prevention and control (IPC) measures, such as staff wearing face masks.
The home had a registered manager in place. A registered manager is a person who has registered with CQC 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.
Field View provides care and accommodation for up to 36 older people and people with a dementia type illness. On the day of our inspection there were 34 people using the service.
Accommodation is provided across one level. Facilities included several lounges, a dining room, communal bathrooms, shower rooms and toilets, hairdressing room, coffee shop, sweet shop and a communal garden. The general reception was spacious with a comfortable seated area.
We saw that entry to the premises was controlled by key-pad entry and all visitors were required to sign in.
The layout of the building provided adequate space for people with walking aids or wheelchairs to mobilise safely around the home and was suitably designed for people with dementia type conditions.
The provider had procedures in place for managing the maintenance of the premises.
People who used the service and their relatives were complimentary about the standard of care at Field View. We saw staff supporting and helping to maintain people’s independence. People were encouraged to care for themselves where possible.
People were treated with respect and the staff understood how to provide care in a dignified manner and respected people’s right to privacy.
The staff knew the care and support needs of people well and took an interest in people and their relatives to provide individual personal care.
Staff had completed training in safeguarding of vulnerable adults and knew the different types of abuse and how to report concerns. Thorough investigations had been carried out in response to safeguarding incidents or allegations.
The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty in order to meet the needs of people using the service.
Staff were properly supported to provide care to people who used the service through a range of mandatory and specialised training, supervision and appraisal.
The service was working within the principles of the Mental Capacity Act 2005 and any conditions on authorisations to deprive a person of their liberty were being met. All the care records we looked at contained evidence of consent.
People were protected against the risks associated with the unsafe use and management of medicines.
People had access to food and drink throughout the day and we saw staff supporting people to eat and drink at meal times when required. People’s weight and nutrition was closely monitored.
People had access to a range of activities in the home and within the local community.
All the care records we looked at showed people’s needs were assessed. Care plans and risk assessments were in place where required and daily records were up to date. Care plans were written in a person centred way and they were reviewed regularly.
Staff used a range of assessment tools and kept clear records about how care was to be delivered. People who used the service had access to healthcare services and received ongoing healthcare support.
The provider had a complaints policy and procedure in place and complaints were fully investigated. Staff we spoke with told us they felt able to approach the registered manager and felt safe to report concerns.
The provider had a robust quality assurance system in place and gathered information about the quality of their service from a variety of sources.
The service had policies and procedures in place that took into account guidance and best practice from expert and professional bodies and provided staff with clear instructions.
This inspection took place on 10 August 2015 and was unannounced. This meant the staff and provider did not know we would be visiting.
Field View provides care and accommodation for up to 36 older people and people with a dementia type illness. On the day of our inspection there were 32 people using the service.
The home had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
Field View was last inspected by CQC on 10 June 2013 and was compliant.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.
Thorough investigations had been carried out in response to safeguarding incidents or allegations.
Medicines were administered appropriately and people received their medicines at the time they needed them.
Staff training was up to date and staff received regular supervisions and appraisals, which meant that staff were properly supported to provide care to people who used the service.
The home was clean, spacious and suitable for the people who used the service.
CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The Deprivation of Liberty Safeguards (DoLS) are part of the Mental Capacity Act 2005. They aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom. We discussed DoLS with the registered manager and looked at records. We found the provider was following the requirements in the DoLS.
All of the care records we looked at contained consent to people’s care and treatment.
People who used the service, and family members, were complimentary about the standard of care at Field View.
Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.
We saw that the home had a full programme of activities in place for people who used the service.
Care records showed that people’s needs were assessed before they moved into Field View and care plans were written in a person centred way.
The provider had a complaints policy and procedure in place and complaints were fully investigated.
The provider had a robust quality assurance system in place and gathered information about the quality of their service from a variety of sources.
As part of this scheduled inspection we followed up on a compliance action set at the previous inspection in November 2012. We found improvements had been made in this area.
People told us they had been asked for and provided written consent prior to receiving care or treatment. One person said 'They (the staff) do everything right. They don't take any advantage (of you).' They also said if there was anything they didn't understand, the staff would explain it to them.
People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.
People said they were happy with the care and support they received at Field View. One person told us "The staff's good ' they look after you. A nurse (carer) walks with me, just the one, to help me keep my balance.' Another person said 'I'm very happy here, very content. It was my birthday at the weekend and the staff came in and sang for me ' it made my day.' Other comments included 'You can ask them (the staff) anything, and they'll come and help you' and 'I'm quite content.'
We found people received their medicines when they needed them. One person said 'They (the staff) stand with me to make sure I swallow them (my tablets)' and 'I'm always given my tablets, morning and evening.'
There were effective recruitment and selection processes in place.
People told us they were happy with the care and support they were receiving. One person told us "We are well looked after here. It's a good place to be' and another person said 'It's alright, they look after you well.' Although people told us they felt well looked after, other evidence did not always support this. We saw some of the actions set out in people's care plans had not been carried out.
People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. One person said "Staff ' they are really nice" and "If you want anything, they'll get it for you." Other comments made by people who used the services included "They (the staff) are a very good crew" and "These nurses (this is how this person referred to the staff) are very good." Everybody we spoke with told us they felt safe at Field View and with the care staff employed by the service.
People said they were aware of the complaints system. One person said "If I wanted to complain, I'd speak to the staff here." All of the people we spoke with said they hadn't had any reason to complain.