Field House

Field House Care Home is laid out over three floors and divided into areas: Orchard View and the Main House. Orchard view provides accommodation for people living with dementia and is laid out over one level. There are bedrooms, toilet and washing facilities, a kitchen and lounge-diner. The Main House offers accommodation across three floors, provides toilet and washing facilities, a hairdressing room, two lounges and dining area. There are additional 'nooks' or areas where people can sit throughout communal areas in the home. All floors can be accessed by a lift and there is access to other areas in the home via a stairlift. People have level access to large gardens. The registered manager's office is adjacent to the main entrance.

Care plans we reviewed were person-centred and people were supported to access information that was important to them. The provider ensured people were able to maintain relationships and people were supported to access relevant activities. Complaints were reviewed and managed appropriately, the registered manager maintained a log of compliments. People were supported to create treatment escalation plans (TEPs) and the provider was working to develop end of life care plans.

People received care that was effective; people's needs and choices were assessed and reflected in their care plans. Mobility assessments for people who used specialist equipment were not completed in line with published guidance. Also, they did not include all the information required by the provider's template. Staff told us they were supported to carry out their roles through supervision and training. People were supported to eat and drink enough. People retained 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. People told us they were supported to access the healthcare they needed.

People told us they felt safe. People received safe care; risks were identified and assessed, guidance was available for staff about how they could lower potential risks to service users. Staff spoke confidently about how they would identify potential abuse and what they would do if abuse was suspected or witnessed. The provider used a staffing dependency tool to deploy staff across the service in accordance with people's needs. People and staff told us they felt there were times when staffing levels in the home were insufficient. Medicines and creams were managed and administered safely. Recruitment processes were in place, these included checks with the applicant's previous employers and disclosure and barring service (DBS).

The service was well-led, there were governance systems in place to identify errors and omissions and the registered manager was aware of their responsibility to act in an open and transparent way. Staff we spoke with talked about people in a person-centred way and there was a clear staffing structure in place. The provider had built links with local organisations and worked in partnership with others to improve the experiences of people. People and relatives were provided with opportunities to feedback their experiences of the service.