Background to this inspection
Updated
8 March 2017
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.
This inspection took place on 10th and 11th November 2016 and was unannounced. The inspection team consisted of one inspector.
Prior to our inspection we reviewed information we held about the service. This included previous inspection reports and notifications we received from the provider. A notification is information about events that the registered persons are required, by law, to tell us about. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the home, what the home does well and improvements they plan to make.
We contacted commissioners (who fund the care for some people) of the service and Health Watch Nottinghamshire to obtain their views about the care provided at the service.
During the inspection we observed staff interacting with the people they supported. We spoke with six people, four relatives, four care staff and the manager. After the inspection we spoke with three relatives and one social care professional.
We looked at the relevant care records of three people and the recruitment records of three members of staff. We also looked at other records relating to the management of the service.
Updated
8 March 2017
The inspection took place on 10th and 11th November and was unannounced.
Farm Field is registered to provide accommodation for people who require nursing or personal care. At the time of the inspection there were seven people using the service.
On the day of our inspection there was not a registered manager in place and had not been since July 2016. 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. However, there was a manager in place who became the registered manager following our inspection visit in December 2016.
People were safe living at the service because staff knew how to recognise and report any incidents of harm. Staff were confident that the manager would deal with any concerns that they reported.
Staffing levels were adequate to meet people’s needs. Staff told us they received an induction, training and supervision and felt supported by the management team. Staff were recruited through safe recruitment practices.
Medicines were safely administered and stored.
People received sufficient to eat and drink and their nutritional needs were catered for.
The manager applied the principles of the Mental Capacity Act 2005 (MCA) and Deprivations of Liberty Safeguards (DoLS), so that people’s rights were protected. People were asked for their consent before care and support was provided and this was respected.
People’s healthcare needs had been assessed and were regularly monitored. The service worked well with visiting healthcare professionals to ensure they provided effective care and support.
Staff did not always respect people's privacy and dignity however, the manager responded to our concerns appropriately.
People told us staff were kind and caring. People were encouraged to be independent and make individual choices. Staff were aware of people's support needs and their personal preferences.
People received care and support that was personalised and responsive to their individual needs.
People were supported to participate in activities, interests and hobbies of their choice. The complaints policy was accessible for everyone.
The management team was supportive and approachable towards people and relatives. People were involved or had opportunities to be involved in the development of the service. There were systems in place to monitor and improve the quality of the service provided.