Inspection on 18/05/09 for Field View
Also see our care home review for Field View for more information
This inspection was carried out on 18th May 2009.
CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
People who were thinking of moving into Field View were encouraged to take up the opportunity to discuss the home with current residents and their families. Before the new resident was admitted, the manager made sure that their needs were understood and could be met by the service. Staff approached residents in a friendly and respectful manner. They placed importance on promoting residents` privacy, dignity and independence. Residents told us that staff were polite and gave them privacy when they were in their rooms. Mealtimes were pleasant and social occasions. The records told us that people were offered a good diet. Residents enjoyed the food and several described the meals as "lovely." One told us, "In my opinion the food is very good, nicely cooked and served." Staff encouraged people to make choices and decisions about their daily lives. The routines in the home were flexible and revolved around the people who lived there. One member of staff said, "They have their own routines and we follow those." Residents agreed that there were no restrictions on them and one said, "We are never forced to do anything or told we must do this or that." Residents were able to have visitors at any time, which helped people to stay in contact. Visitors said they were made to feel welcome. Residents told us they felt safe in the home. They had no complaints about the home but said they would feel comfortable speaking to staff if there was anything they felt unhappy about. There had been no complaints in the past year. Residents lived in a comfortable and well maintained home. They told us that if anything went wrong they could report it and it would be fixed. The home was clean and free from unpleasant odours. There were enough staff on duty to meet the residents` needs. Staff said they worked well together and residents were happy with the staff team. One resident told us, "I don`t have a family but I have people who care about me." There was a training plan to make sure that staff had the training they needed to understand and meet the needs of the residents. Most staff had either completed or were undertaking the NVQ level 2, which is a nationally recognised qualification in care.
What has improved since the last inspection?
At the last inspection we made it a requirement that the lighting on the upstairs corridor was brighter to assist residents and reduce the risk of falls. This had been done.
What the care home could do better:
Some of the care plans did not give staff enough instructions to help them to meet residents` individual health and personal care needs. Staff must make sure that risks to residents` health and safety are assessed and plans are put into place to monitor, and where possible, reduce the risks.Improvements must be made to records of medicines to make them safer and to make sure that residents receive the correct medication as it is prescribed. The procedure for the manager and staff to follow if they suspected, or were told, that a resident was the victim of abuse was not completely clear. This could result in any incidents not being managed in the correct way. Staff must not start work at the home until their background checks have been carried out. This is so that the manager can be confident that they are fit and safe to work with residents. The acting manager must make sure that she enrols on relevant courses to ensure that she has the appropriate qualifications to fulfil the duties of the management role. In order to comply with legislation the manager must be registered with the Care Quality Commission. The systems for monitoring and improving the quality of the service should be further developed so that there is a clear picture of what the home is doing well and where it can improve. Policies and procedures had not been reviewed for a number of years and some of the information no longer reflected usual practice. This meant that staff did not have current guidance to refer to. The manager must ensure that staff have up to date fire safety training. The service must also consult with the fire officer for advice about the practice of wedging bedroom doors open.