Field House is registered to provide accommodation for up to six people with a learning disability. At the time of our inspection six people were living at the home. A comprehensive inspection was undertaken on the 31 January 2017 and the provider was rated as good overall and was meeting all the regulations that we checked relating to the Health and Social Care Act 2008.

This unannounced focused inspection was undertaken by one inspector on the 9 October 2017. We inspected the service against one of the five questions we ask about services: is the service safe. This is because we had received information of concern regarding the numbers of staff that were available to support people and the support people received in managing their behaviours. This report covers our findings and the other key lines of enquiry (KLOEs) under the question ‘is the service safe’. You can read the report from our last comprehensive inspection visit, by selecting the ‘all reports’ link for the Field House on our website at www.cqc.org.uk

People were safe with the support they received. The staff team had a good understanding of people’s identified risks and how to support them to keep safe. Staff were aware of their responsibilities to report concerns to protect people from harm. The registered manager had demonstrated their understanding regarding their responsibility to protect people from harm as they had reported concerns to the local authority safeguarding team when required.

There had been some changes in the staff team since our last inspection and new staff were in post. Some people demonstrated behaviours that put them and others at risk of harm and there was enough trained staff available to support them in a safe way. People were supported to develop their skills in independent living by staff that had guidance on how to minimise risks; to maintain people’s safety whilst promoting independence.

People received their medicines when needed and practices were in place to ensure medicines were managed safely. Recruitment checks were undertaken to ensure staff were suitable to work with people.

We inspected this service on 31 January 2017. This was an unannounced inspection. This was the first inspection since the provider’s registration on the 15 July 2016.

The service was registered to provide accommodation for up to six people with a learning disability. At the time of our inspection there were two people using the service.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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 protected from the risk of harm because identified risks were managed safely, the recruitment practices were thorough, and the staff understood what constituted abuse or poor practice and people were supported to take their medicines as needed. Staff received training to support the people they worked with and supervision, to support and develop their skills. Staff felt listened to and were happy to raise concerns.

People were supported by a consistent staff team that knew them well and promoted their independence Staff understood people’s preferred communication method and the support they needed to make their own decisions. When people were unable to consent they were supported in their best interest.

People’s needs were assessed and support plans where developed with people to enable them to be supported in their preferred way. People were supported to maintain a diet that met their dietary requirements and preferences and were supported to use healthcare services. The delivery of care was tailored to meet people’s individual needs and preferences. People were enabled to develop and maintain interests at home and within the local community to promote equality and integration.

People knew how to complain and information was provided to them in an accessible format to support their understanding. There were processes in place for people to raise concerns and complaints and express their views and opinions about the service provided. The provider had systems in place to monitor the quality of the service to enable them to drive improvements.