Background to this inspection
Updated
4 July 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 Act.
Inspection team
An inspector carried out the inspection.
Service and service type
Field View is a ‘care home’. People in care homes receive accommodation personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The 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 commissioners 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 6 people who used the service, 2 relatives and a district nurse. We spoke with the registered manager, the deputy manager, the administrator, a senior care worker and 5 staff members. We also contacted all the staff and relatives via email.
We reviewed a range of records, which included 4 people’s care records, medicine records, staff files and a variety of records relating to the management of the service, including policies and procedures.
Updated
4 July 2023
About the service
Field View is a care home which provides nursing and residential care for up to 36 people. The service provides support to older people, people living with dementia and physical disabilities. At the time of our inspection, 29 people were living at this service.
People’s experience of using this service and what we found
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.
Staff had received training around the Mental Capacity Act 2005 and associated code of practice. The registered manager recognised staff needed to become more confident when applying this in their practice and was organising additional training for them. Staff took steps to safeguard people and promote their human rights.
People were satisfied with the service and felt staff always went above and beyond in delivering the care. They described the little extras staff did as a part of their job. Staff were passionate about providing good care outcomes and took ownership of their practice.
Risk assessments were clear and readily identified how to reduce the risks to people. Staff were familiar with these documents and the actions they needed to take. Medicines management was effective and closely monitored. Staff who administered medicines had the appropriate training. Staff adhered to infection control and prevention guidance.
The management team ensured there was always enough staff to support people. Recruitment practices met legal requirements. The provider’s had developed a central electronic system for filing the relevant information and the administrator ensured recruitment processes were diligently completed.
The systems the registered manager had in place allowed them to critically review the service and proactively looked at how improvements could be made. Staff told us the registered manager was approachable and listened to their views. All felt the registered manager was running a good service.
The provider ran an award scheme across all of their services and for the third year in a row the administrator had been nominated for the top administrator of the year award. They with the registered manager were to attend an awards ceremony and was delighted to have been selected as one of the nominees, particularly as nearly 7000 votes were cast to determine the top four people in each category.
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 (report published 16 November 2017).
In October 2021 we completed a focused inspection looking at infection control and prevention practice and were assured staff followed guidance appropriately.
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.
This report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Field View 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.