Fieldview

Updated 21 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive and routine inspection which took place on 6 and 8 February 2018. This inspection was carried out by one inspector. At the time of the inspection there were six people living in Fieldview receiving care and support. Additionally 24 people were receiving care and support in their own homes, including Westend and Pearcroft.

We requested and reviewed a Provider Information Return (PIR) for Fieldview prior to this inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service which included notifications about important events which the service is required to send us by law. We received feedback from one health care professional and one commissioner regarding the service.

We spoke with eight people who were using the service and one person’s relative. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We spoke with six project workers, the manager, the deputy manager and the providers. We reviewed seven people's care records and associated files. We also reviewed staff training and recruitment records and records relating to the general management of the service.

Updated 21 March 2018

We inspected Fieldview on 6 and 8 February 2018. Fieldview provides accommodation and personal care for six people with mental health needs. Fieldview also covers two supported living houses called Pearcroft and Westend where project workers assisted people with mental health needs. Additionally the provider provided community care for 12 people living within the local area. Fieldview is located in Stonehouse and is near to a range of amenities including shops, GP practices and a train station.

We last inspected Fieldview in January 2017. At this inspection the service was rated as “Requires Improvement”. At the January 2017 inspection we found improvements were being made in relation to the management of the service and maintaining people’s care records, however these improvements had not been fully implemented or sustained. At this inspection we found these improvements had been fully imbedded into the service and the service was rated ‘Good’ overall.

There was a manager in post who was in the process of registering with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were happy, safe and benefitted from an active and full life. People's ability to be as independent as possible was promoted and respected by project workers. People were supported to take positive risks and to be in control of their care and support. Where possible, people understood what their medicines were for and how they assisted with their wellbeing. Project workers ensured people had their medicines administered safely. There were enough project workers deployed to meet people’s individual needs.

People where possible were involved in writing and reviewing their care plans, which were tailored to their individual needs. People were at the centre of their care. Project workers knew people well and knew how to support people live a full life and achieve their goals. The manager and staff looked for opportunities to offer people that would help them develop, gain confidence and live a fulfilled life.

Project workers were well supported and trained which enabled them to ensure they could provide people with the best possible care and support. Project workers understood and worked to the values of the registered manager and the provider and put people at the heart of everything they did. Project workers were supported to develop professionally through dedicated management training programmes.

The service had a strong leadership presence. The manager and deputy manager were committed and passionate about the people they supported. Thorough and frequent quality assurance processes and audits ensured that all care and support was delivered in the safest and most effective way possible.