- Care home
The Fieldings
Report from 21 May 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 20 August 2024 to 29 August 2024. 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 conditions. At the time of the assessment, the service was supporting 10 people with their personal care needs. The Fieldings was last rated Requires Improvement (published 7 May 2024). Both the previous and this assessment have been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We returned to complete remaining quality statements which had not been covered in our first assessment because we had seen improvements. We assessed a total of 25 quality statements from the safe, effective, caring, responsive and well-led key questions. The scores for these areas have been combined with scores from the previous assessment. This means the overall rating has changed from Requires Improvement to Good. 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 that there were limited incidents in the care home, but when incidents happened (like a person falling over) then improvements were made by the staff team. People felt staff knew their needs well and supported them to access external health and social care professionals. People were supported in a safe and clean environment, and staff protected them from the spread of infection. Staff used national risk assessment tools, to understand how to most effectively support people’s needs. Care was mostly person centred, however people felt that meal options did not always include much vegetarian variety. The registered manager began to take action to improve this. Some people at the care home smoked cigarettes, an indoor smoking room had been arranged for this. The management team had not considered the impact of the second-hand cigarette smoke on other people and staff. We raised this with them, and they started to take action to review this. People received care from kind and caring staff, who knew them well. People were able to have visitors and engage in activities of their choice. People had been involved in some planning for future goals, however people’s advanced wishes for end of life preferences had not been explored. This was raised with the management team, who agreed to take action on this. There was no-one receiving end of life care at the time of the assessment, who would be affected by this. There was clear roles and responsibilities in the management team. This resulted in good oversight of the service, and a culture of good quality care. Management worked well with external stakeholders, to ensure people received good quality care.