Archived: Farm Field View

Farmfield view is a care home providing care and accommodation for people with Autism and learning difficulties providing personal and nursing care. The service can support up to seven people and at the time of our inspection seven people were using the service.

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. However people using the service did not always 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

People who lived at the service were not always safe as safeguarding concerns had not been properly monitored or reported in a timely way. This had resulted in a lack of learning from events.

The risks to people’s safety were assessed but, did not always fully reflect the needs of the person. People were not consistently supported by enough staff to meet their needs and as a result there was a lack of personalised care. They were not able to undertake meaningful and individualised social activities of their choice.

Staff had not always received up to date training to support them in their roles. People’s health needs were not always effectively managed, and although majority of people’s nutritional needs were supported, one person’s weight loss had not been clearly managed. The environment people lived in was not always well maintained.

People were not always 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.

The service didn’t consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support for the following reasons; there was a lack of choice and control. People had not been supported to undertake social activities of their choice on a regular basis.

There was a lack of evidence to show how complaints and concerns had been managed at the service. The quality monitoring processes had not been undertaken consistently to provide effective oversight of the service.

People’s medicines were stored and administered safely, and people were protected from the risk of infection. Staff supporting people were kind and caring, they worked to maintain their privacy and dignity.

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 1 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels, safeguarding issues and management of the service. A decision was made for us to inspect and examine those risks.

People felt safe living at the service there were robust processes addressing any safeguarding issues raised. The risks to people’s safety were assessed and measures in place to safely support them. They were supported by a staff group who knew them well and received regular training to support them with the knowledge to meet people’s needs.

People’s health, nutritional and medicines needs were well managed and they lived in an environment that was clean and well maintained.

Staff showed good knowledge of the principles of the Mental Capacity Act, 2005 (2005) and gained people’s consent before providing care. People were supported to have their views and decisions about their care recognised. People had formed positive relationships with staff who knew their needs and preferences.

There was a positive culture at the service and people and their relatives felt listened to, they were able to raise complaints or concerns and know they would be addressed by staff.

There were quality monitoring processes in place to improve the care for people. However, we found further improvements in some aspects of the quality monitoring processes could be improved to sustain improvements made at the service during the last year.

More information is in detailed findings below.

Rating at last inspection: this is the first inspection of this service under this provider

About the service: Farm Field View accommodates seven people in one adapted building and is one of four services on the Bilsthorpe site owned and run by Lifeways. 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.

Why we inspected: This inspection was a planned inspection undertaken to ensure the new provider for the service was meeting the regulations of the Health and Social Care Act and the Care Quality Commission Registration Regulations.