Archived: Field House

Updated 7 July 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 checked 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 included an unannounced visit to the home on 16 May 2017 by two inspectors. A second visit to the home was arranged with the registered manager and was carried out on 25 May 2017 by one inspector.

Prior to the visit we looked at information we held about the home and used this information as part of our inspection planning. The information included notifications. Notifications are information on important events that happen in the home that the provider is required by law to notify us about. We asked for feedback from healthcare professionals who had regular contact with the service.

In May 2016 the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used some of this information to assist with planning the inspection, although we were aware the information was not fully up to date.

During our visits on 16 and 25 May 2017 we observed how the staff interacted with people who lived at Field House. We spoke with twelve people who lived there and three of their relatives. We also spoke with five members of care staff, the head of care and the registered manager. We looked at four people’s care records as well as other records relating to the management of the home. These included records relating to the management of medicines and accident and incident records.

Following the site visits, two of the health and social care professionals we contacted sent us their views about the service. We also spoke over the telephone with two people and a relative of one person who used the service provided in the community.

Updated 7 July 2017

Field House provides accommodation and personal care for up to 49 people, including people living with dementia. Nursing care is not provided by the home’s staff. The home is built on two floors and has a number of both large and small sitting and dining areas where people can choose to sit. At the time of this inspection there were 36 people in residence.

The provider is also registered to provide care to people living in their own homes in the community. At the time of this inspection there were four people using this service.

At our last inspection the service was rated as good. At this inspection we found the service remained good.

The service was safe because potential risks to people were assessed and minimised and staff understood their responsibility to protect people from avoidable harm. There were enough staff on duty to meet people’s needs and staff recruitment ensured that only staff suitable to work at this home were employed. Medicines were managed safely and people received their medicines as prescribed.

The service was effective because staff received induction, training and support that ensured they could do their job well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the home supported this practice. People’s nutritional needs were met and people were supported to have enough to eat and drink. A range of healthcare professionals visited the home to support people to maintain good health.

The service was caring because staff treated people with warmth, kindness and compassion. Staff showed they genuinely cared about the people they were looking after. They respected people’s privacy and dignity and encouraged people to be as independent as they could be. Visitors were welcomed and also had warm, friendly relationships with the staff.

The service was responsive because care plans were personalised and gave staff guidance on the care each person needed. A wide range of activities, outings and entertainment was provided and people were encouraged to follow their own interests. People and their relatives knew who to speak to if they were not happy with the service and were confident their complaints would be addressed.

The service was well-led because there was a registered manager in post who was dedicated, approachable and provided good leadership. People, staff and visitors to the home were encouraged to put forward their views about the service being provided. The quality of the care was monitored by a range of audits that were carried out regularly.

Further information is in the detailed findings below.