The Fieldings

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People’s needs were well supported. Peoples care plans were kept up to date, and national risk assessment tools were used effectively. This helped people have positive outcomes. Staff mostly kept up to date records on people’s daily care. However, we identified that they did not always keep clear records of what people had drank. We raised this with the registered manager, who agreed to take action to improve staff record keeping. Staff were aware people’s preferences and respected these in a person-centred way.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

People felt that they received good quality care, which was in line with what their health condition required.

Staff understood the national risk assessment tools that the care home used. Staff explained that these were reviewed monthly, and staff were kept up to date on any risks identified.

Care plans followed national guidelines on how to support people most effectively. For example, care plans had clear details on how to support a person’s skin integrity

People felt that the staff team worked well together. They explained that staff also worked well with other professionals.

Staff explained that they had regular handover meetings. These meetings happened before new staff started on shift and ensured that staff who were starting work for the day or night were up to date on how people were. For example, if a person had fallen, when the next staff came to work, they were updated on this incident and how the person was feeling.

We spoke to two visiting health care professionals. They explained that staff always kept them up to date on people’s changing needs. They explained that staff worked effectively with them when advice was given.

Care plans included clear details on people’s care needs. If visiting health professionals reviewed these documents, they would have a clear understanding of the person’s holistic needs and how staff best supported them.

People explained that staff regularly weighed them and kept them up to date with changes in their weight. People felt that the food offered was healthy.

Staff explained that people were supported to live healthy lives. One staff member said, “We do support them with a healthy lifestyle, in the good weather months we do group trips to do local walks around the forest. We encourage residents to walk to the doctors which is just down the road. We have a balanced diet on the menus. We always have plenty of fruit to ensure they are getting their 5 a day.”

Staff did not always keep clear records on what people drank, or how much they drank. Some records suggested people were not drinking enough. For example, one person’s daily notes recorded the person had only drank 30ml one day. We assessed that this was likely a recording error, as we saw people with drinks throughout the day and nobody had been treated for dehydration. We raised the poor record keeping with the registered manager, who took prompt action to review the processes in the care home. People were regularly weighed to ensure they remained a healthy weight. Some people could be at risk of weight loss, and processes were in place to ensure additional calories were added to their food.

People felt that their health was monitored, and staff supported them to stay healthy. One person said, “I like walking and fell over one time. Now I ask for support from staff and they provide this - I never have to wait too long.”

The registered manager explained that they regularly walked around the care home to oversee what care was provided. They ensured care plans were completed to a high standard and explained that any concerns were addressed quickly with staff. This effective management contributed to good outcomes for people.

People at the service had good outcomes. Staff knew their needs well and had clear guidance on how best to support them. Where people had health conditions, there was clear guidance on how best to support the persons health, to ensure they had the best outcome.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.