17 December 2019
During a routine inspection
Field House (Charter Care) is a domiciliary care agency providing personal care to 114 people in their own homes at the time of the inspection. The service mainly supports older adults, people living with dementia and or people living with physical disabilities.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People did not always receive safe care. We found inconsistencies in the recordings of prescribed creams and there was insufficient guidance in place around ‘as required’ medications. Whilst staff were able to tell us about the risks associated with peoples care, risk assessments were not consistently in place for people’s individual needs. Staff were safely recruited and understood how and when to raise any safeguarding concerns. People were protected from the risk of infection by good infection control practice.
People received effective care. People received support to eat and drink meals of their choosing and where required were supported to access appropriate healthcare. Staff had received training in people’s needs. 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.
People felt supported and cared for by the staff team. People had been involved in developing a plan of care based on their preferences. Staff informed us they enjoyed their role of supporting people.
People received care that was responsive to their needs. People’s care had been reviewed to ensure it continued to meet their needs. People were aware of how to raise concerns, should they have any, and felt confident that these would be addressed.
The service was not always well led. Governance systems were either not in place or not robust. This meant that systems were not effective in monitoring the quality and safety of the service. There were systems in place to seek feedback from people and their relatives.
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 (published 20 June 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified a breach in relation to the quality monitoring of the service.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.