Field House Residential Care Home

Updated 19 August 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

This inspection was carried out by 1 inspector.

Service and service type

Field House 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 House 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 registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the 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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

As part of this inspection, we spoke with the management team. This included the registered manager and 2 directors. We also spoke with 6 staff members and 2 visiting health professionals.

We spoke with 5 people who lived at Field House and the relatives of 4 people. We also observed care and support provided by staff.

We reviewed a range of records including 4 people’s care records, staff recruitment and training records and information relating to the auditing and monitoring of service.

Updated 19 August 2023

About the service

Field House is a residential care home providing personal care to up to 28 people. The service provides support to older adults. The accommodation is provided across 2 separate floors in one adapted building. At the time of our inspection visit there were 16 people using the service.

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

Improvements had been made to all aspects of the service since the last inspection. Leadership had been consistent and the management team worked well with external agencies in order to promote positive outcomes for people.

Risks to people’s health, safety and welfare were identified and managed. Medicines were managed safely and staff followed infection prevention and control policies.

Improvements had been made to governance systems and action had been taken to address any shortfalls identified in audits. The provider continued to work through a programme of improvements to the environment.

Safe staff recruitment systems were in place. There were enough staff, who received up to date training, to provide safe care. Improvements had been made to the way in which staff were deployed.

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 and update

The last rating for this service was requires improvement (published 13 February 2023). There were continued breaches of regulations. This service has been in Special Measures since 25 August 2022. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. Therefore, this service is no longer in Special Measures.

Why we inspected

We undertook this focused inspection to check whether enforcement action we previously served in relation to conditions of registration and breaches of Regulations 12, 13 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to good based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Field House on our website at www.cqc.org.uk.

Follow up

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