Background to this inspection
Updated
10 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. We checked whether the registered 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 Care Act 2014.
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 one inspector.
Service and service type
Fieldside View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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. This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We usually give a short period notice of our inspections to check if a service has active cases of COVID-19. However, this inspection was unannounced because we needed to check people were not being restrained unnecessarily to receive care and treatment.
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 registered provider sent us in the provider information return. This is information registered providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We inspected all areas of the accommodation and grounds used by people living in the service. This included external storerooms and workshops. We spoke with all the people living in the service and observed some of the care three people received in communal areas. We spoke with three support workers, the registered manager and the operations director.
We reviewed the support plans for four people. We also examined records relating to instances when a person had become distressed increasing the likelihood they would need to be restrained to keep themselves and other people safe. In addition, we looked at policies and procedures relating to the use of restraint, the training staff had received and their understanding of the correct use of restraint techniques. We also looked at records relating to the management of medicines, health and safety records, staffing records and quality checks.
After the inspection
We continued to seek clarification from the registered provider to validate evidence found. This included information sent to us by the registered manager describing how the service was run. We also spoke by telephone with two more members of staff and a relative who gave us their views on the service.
Updated
10 July 2021
About the service
Fieldside View is registered to provide accommodation and care for four people who have learning difficulties. The service is on the same site as another larger service run by the same registered provider.
At this inspection there were four people living in the service.
People’s experience of using this service and what we found
People told us they were safe at the service and well supported by staff. A person said, "The staff are my friends and help me lots." A relative said, “The staff do know the residents very well and stability is what my family member needs.”
People were safeguarded from the risk of abuse and received the care they needed. Medicines were managed safety. There were enough staff on duty. Infection was prevented and controlled. Lessons were learned when things went wrong.
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.
We expect health and social care providers to guarantee autistic people and people with a learning difficulty the choices, dignity, independence and good access to local communities most people take for granted. Right support, right care, right culture is the statutory guidance that supports CQC to make assessments and judgements about services providing support to people with a learning difficulty and/or autistic people.
Right support:
• The model of care and setting maximised people's choice, control and independence. People were empowered to make day to day choices, enabled to take control of their care and enabled to be as independent as possible. This meant people were empowered in all areas of their lives and enabled to live their life to the full.
Right care:
• Care was person-centred and promoted people's dignity, privacy and human rights. Staff had the knowledge and skills to support people in a person-centred way. Staff understood learning difficulties and autism and how to support behaviour that challenged in a positive way. People were supported in a person-centred way and interactions were respectful.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives. There was a positive culture in the service. This promoted people's self-esteem, confidence, human rights and quality of life.
This service was able to demonstrate how they were meeting the underpinning principles of ‘right support, right care, right culture’. People lived in a domestic-style property and received person-centred care promoting their dignity, privacy and human rights. Leaders and staff understood the importance of empowering people to develop their independence.
Quality checks had been completed to ensure people received safe care and treatment. People and their relatives had been invited to contribute to the development of the service. Regulatory requirements had been met and good team-working was promoted.
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 25 June 2019).
The service remains rated Good.
Why we inspected
The inspection was prompted in part because of concerns received about people not receiving safe care due to the use of inappropriate restraint. A decision was made for us to inspect and examine this risk.
We undertook this focused inspection to gain an updated view of the care people received. This report only covers our findings in relation to the Key Questions Safe and Well-led. We found no evidence during this inspection people were at risk of harm from this concern. Please see the Safe and Well-Led sections of this full report.
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 infectious outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from the previous comprehensive inspection for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained as Good. This is based on the findings at this inspection. Please see the Safe and Well-led sections of the full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fieldside View on our website at www.cqc.org.uk.
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.