Field View Care Home

Updated 29 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Field View is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Field View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a manager in post who was in the process of registering with CQC.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, and a senior care worker, and contacted 9 staff following our inspection visit. We spoke with, 6 people and 2 relatives. We also spoke with a visiting healthcare professional. We looked at 4 care plans, 3 staff personnel files, medicine administration records (MAR) and other records about the management of the service to help inform our inspection judgements.

Updated 29 March 2023

About the service

Field View is a residential care home providing personal care to up to 40 people. Some of the people using the service were living with dementia. At the time of our inspection there were 33 people using the service.

People’s experience of using this service and what we found

The home was predominately clean, and the registered manager and staff understood how to minimise the risk and spread of infection. The provider had systems in place to safeguard people from the risk of abuse. Since our last inspection, improvements had been made to risk assessments. Risks associated with people's care were identified and risk assessments reflected people's current needs and how to keep them safe.

There was a suitable recruitment system in place to ensure suitable staff were selected to work at the home. Some people commented there were not always sufficient staff available. However, on the day of inspection we found staff were available and responded to people in a timely way. People received their medicines as prescribed by staff who were trained and competent to do so safely. Accidents and incidents were analysed, and trends and patterns identified. Action was taken to mitigate future risks to people.

People's needs were assessed and reviewed regularly to ensure care was delivered in line with people's current needs. People received a healthy and balanced diet which met their needs and considered their preferences. Staff received appropriate training and support and felt this assisted them to carry out their role.

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.

A range of audits took place to ensure the service was monitored and the quality maintained. Some areas of the home were tired and worn and required maintenance and decoration. The registered manager was addressing these areas with the provider. We have made a recommendation the provider identifies areas of the home requiring maintenance and takes action to improve the environment.

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 20 December 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance of the service.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.