- Care home
The Fieldings
Report from 29 January 2024 assessment
Contents
Ratings
Our view of the service
The Fieldings is a ‘care home’ providing personal care and support to older people and younger adults with physical disability, people living with dementia, people who experience drugs and alcohol dependency issues, and people living with mental health issues. At the time of the inspection, the service was supporting 12 people with their personal care needs. The Fieldings was last rated Requires Improvement (published 6 December 2019). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 7 February 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 8 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines optimisation; Assessing needs; Consent to care and treatment; Independence, choice and control and Equity in experiences and outcomes. We assessed some but not all quality statements at this visit which means we use the ratings from the previous inspection to rate the key questions of effective, caring and responsive. This assessment did not cover all parts of our Single Assessment Framework, therefore we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings.
People's experience of this service
People told us they felt safe, staff knew them well and felt confident to raise any concerns. Staff and some people told us that they would benefit from more staff. Most people told us they felt there was enough staff, that they were well trained, that staff know them well and provide them with support. 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 told us they were able to live as independently as possible and make their own choices. We observed people being supported with their medicines, speaking with staff about activities and planning outings. People seemed comfortable and relaxed with staff and staff engaged with them in a caring and warm manner. People's engagement with staff indicated that they had developed trusting relationships with them. We observed staff engaging well with residents. They were, polite and seemed to be attending to the support needs of the residents.