CQC report explained · a residential care home
What the CQC found at Fieldview
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Medicines, staffing, safeguarding, risk assessments and infection control were found to be managed safely.
- Effective?
- Good
- Staff were trained and understood how to support decision-making. People's health and dietary needs were assessed and supported, including through contact with healthcare professionals.
- Caring?
- Good
- Inspectors saw warm and respectful relationships. People were supported to make choices, pursue their goals and spend their time as they wished.
- Responsive?
- Good
- Care plans and risk assessments reflected people's current needs and preferences. People were supported with activities, independence and complaints.
- Well-led?
- Good
- The provider and management team used audits and action plans to monitor and improve care. People's views and staff views were sought and acted on.
What inspectors found, March 2018
Fieldview was rated Good; inspectors found safe, caring and well-managed support, with improvements since the previous inspection.
Inspectors visited on 6 and 8 February 2018. They spoke with people using the service, a relative, project workers, managers and other professionals. They reviewed care records, staff records, training information and management records.
The service supported six people living in the care home, as well as people in supported living houses and in the community. Inspectors found people were safe, treated with respect and supported to make choices, build independence and take part in activities.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The previous inspection in January 2017 had rated the service Requires Improvement. Inspectors found that earlier improvements to care records and management systems had been put in place and sustained.
Personalised support
Care plans reflected people's current needs and gave staff clear guidance. People were involved in planning and reviewing their support.
“People's care plans and risk assessments reflected people's current needs.” from the report
Choice and independence
People were supported to make their own decisions, take positive risks and access the community. Staff encouraged people to develop their skills and confidence.
“People were supported to access the community and live as independently as possible with the support of project workers.” from the report
Improved leadership
The quality checks introduced after the previous inspection were now embedded. Audits were used to identify actions and monitor whether they were completed.
“At this inspection we found these improvements had been fully imbedded into the service and the service was rated 'Good' overall.” from the report
Medicines records
needs fixingManagement audits had found concerns about medicine administration and recording when people received support with prescribed medicines. The report says these concerns were put into an action plan.
“These audits had identified concerns with medicine administration and the recording of when people had received support with their prescribed medicines.” from the report
- 01What changes were made after the audits found concerns with medicine administration and recording?
- 02How do you check that medicine records remain accurate and complete?
- 03What is the current position on the manager's application to register with the CQC?
- 04How will my relative be involved in writing and reviewing their care plan?
- 05What activities and community opportunities would be available to support my relative's independence?
This was a comprehensive routine inspection covering all five CQC questions across the care home, supported living houses and community care. This explanation was written from the published report of 21 March 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2017
Rated Requires Improvement; inspectors found safe, effective and caring support, but care records and management checks were not yet reliable enough.
Inspectors visited the home without notice on 12 and 13 January 2017. They spoke with people living at Fieldview and Westend, staff and managers. They reviewed care files, recruitment and training records, medicines information and management records.
People generally felt safe and received their medicines, food, healthcare and personal care. Staff were described as kind and respectful. People were supported to make choices, access the community and develop their independence.
Some care records were out of date or gave conflicting instructions. Mental capacity assessments were not always accurate. At Fieldview, people did not always receive enough positive engagement with staff. The new quality checks had not been running long enough to show that improvements would be maintained.
The overall rating was Requires Improvement. Safe, Effective and Caring were rated Good. Responsive and Well-led were rated Requires Improvement.
People felt safe
People said they felt safe and comfortable. Staff understood safeguarding and how to report concerns.
“People told us they felt safe and comfortable living in both Fieldview and Westend.” from the report
Safe staffing and medicines
There were enough staff with suitable skills to meet people's needs. Medicines were securely stored and records matched the stock held.
“People's medicines were securely stored in line with current and relevant regulations and guidance.” from the report
Kind and respectful support
Inspectors saw warm, friendly interactions. Staff respected people's privacy, dignity and choices.
“Project workers engaged with people in both Fieldview and Westend in a respectful manner.” from the report
Support for independence
People were supported to access the local community and take part in everyday tasks. Staff used people's interests and preferences when planning activities.
“People were supported to access the community and live as independently as possible with the support of project workers.” from the report
Staff training and support
Staff received training, supervision and appraisals. They said the manager supported their development.
“Project workers were supported to take on responsibilities and involved in the development of the home.” from the report
Incomplete and unclear records
needs fixingSome records had not been updated. Mental capacity assessments did not always accurately describe the person's support needs, and key worker meetings were not consistently recorded.
“Whilst people's care plans had been reviewed, there was still some information which required reviewing and could provide conflicting information to project workers.” from the report
New quality system not yet proven
needs fixingThe manager had introduced audits and an improvement plan, but these systems were too new for inspectors to judge whether they would consistently improve the service.
“There was limited evidence of how these audits had improved the quality of the service being provided.” from the report
- 01How do you now check that every care plan and risk assessment is current and does not contain conflicting instructions?
- 02How are mental capacity assessments reviewed and corrected when a person's needs change?
- 03How do you make sure monthly key worker meetings happen and are recorded for every person?
- 04What has been done about the temperature of the room where medicines are stored?
- 05How will you show that the new audits have led to lasting improvements?
This was an unannounced inspection of Fieldview and Westend that reviewed the overall quality of the service, including care, staffing, medicines, records and management. This explanation was written from the published report of 25 February 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Fieldview
5 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- March 2018Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2015Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2014Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- July 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.