The Field View Residential Home

Updated 21 July 2021

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by three inspectors. Two inspectors visited the home. The other inspector contacted relatives by telephone to gather feedback on their experiences.

Service and service type

The Field View Residential Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. The registered manager is also the provider and therefore has overall legal responsibility for how the service is run and for the quality and safety of the care provided.

Notice of inspection

Our inspection was announced. We gave the service 72 hours notice of our visit because the service was inspected during the coronavirus pandemic and we wanted to be sure we were informed of the home's coronavirus risk assessment for visiting healthcare professionals before we entered the building.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection and any recurrent themes of concerns. We sought feedback from the local authority and commissioners who work with the service. We also contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections.

We also used the completed Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who lived at the home about their experiences of the care provided. We spoke with the registered manager, the care manager and three members of care staff.

We reviewed two people's care records and four people’s medicines records. We looked at a sample of records relating to the management of the service including health and safety checks, accident and incident records, policies and procedures and a sample of completed audits and checks. We checked two staff recruitment files.

After the inspection

We spoke with six people's relatives/friends about their experiences of the care provided. We also gathered feedback from one staff member via email. We reviewed the additional documentation we had requested from the registered manager during the site visit. We continued to seek clarification from the provider to validate evidence found.

Updated 21 July 2021

About the service

The Field View Residential Home provides accommodation and personal care for up to 20 people. It provides care to older and younger people living with dementia, people with mental health issues and people with sensory impairments. During out visit 19 people lived at the home.

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

The systems in place to monitor people's health and wellbeing and assess the quality of the service were now effective and led to good outcomes for people. Feedback from people, relatives and staff, together with observational checks and audits, took into account people's experiences of living in the home to drive improvement.

Improvements had been made to ensure staff had the guidance they needed to minimise people’s identified risks. Staff understood their responsibilities for keeping people safe and could explain the processes to follow if they had concerns.

Environmental risks had been assessed and actions taken to maintain oversight of assessed risks. The home was clean and tidy and infection control practices minimised the risks of infections spreading.

There were enough staff with the appropriate skills, knowledge and experience to effectively and safely meet people's needs. Medicines were managed in a safe way and people’s prescribed medicines were available to them.

People's nutritional and hydration needs had been identified and assessed and meals were adapted to meet people’s individual preferences. People saw healthcare professionals when required to monitor and manage their health and wellbeing.

Staff were caring and interactions between staff and people were warm and respectful. The registered manager complied with the Equality Act 2010 and people’s diversity and individual lifestyle choices were respected. People contributed to care planning to ensure their daily routines reflected their choices and preferences and key information about their likes and dislikes was known and recorded.

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.

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 Requires Improvement (published 27 April 2019) and there were three breaches of Regulations. 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.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.