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Field's Care Ltd

Overall: Good read more about inspection ratings

Northwick House 191-193, Kenton Road, Harrow, HA3 0EY 07772 046417

Provided and run by:
Field's Care Ltd

Report from 16 April 2024 assessment

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Safe

Good

Updated 9 August 2024

A safe service was provided for people, and there enough appropriately recruited, and trained staff employed to meet their needs. This meant people were supported to live safely. Risks to people were assessed, monitored, and recorded, by the registered manager and staff when required. Accidents, incidents, and safeguarding concerns were reported, investigated, and recorded appropriately.

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.

Learning culture

Score: 3

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

Safe systems, pathways and transitions

Score: 3

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

Safeguarding

Score: 3

People and their relatives said they felt very safe using the service and the support received was of the standard required by them. They told us staff who supported people knew how to keep them safe. One person said, “I feel very safe with them [Staff].” People and their relatives were confident to raise concerns they might have and knew how to do this if they felt there were safety issues. Whenever possible, people and those important to them were supported to understand how to raise concerns when they did not feel safe. One relative said, “We can always contact the office if we have concerns."

Staff, and the management team provided positive feedback, regarding people receiving the standard of care they required. The management team supported staff to safeguard people from the risk of abuse, and they received relevant, up to date training to achieve this. Staff were aware of how to recognise abuse, neglect, protect people from its different forms and to report any concerns to the registered manager. The provider knew their responsibility to refer safeguarding incidents to the relevant external agencies without delay, ensure they were fully investigated and to take appropriate proactive action to minimise the risk of similar incidents being repeated.

The provider had a safeguarding policy and processes in line with current, relevant legislation. Records showed any safeguarding concerns were reported to the registered manager, recorded, and reported promptly to the relevant external agencies. If appropriate, people and those important to them were involved in this process and informed about what action would be taken to keep them safe. Care plans provided clear information and sufficient guidance to enable staff to keep people safe.

Involving people to manage risks

Score: 3

People and their relatives told us they received a good standard of care. Any risks to people’s safety were well managed, without unnecessary restrictions. People’s relatives said staff knew how to support people with known risks and that they were involved in planning the care they received. One relative said, “We are fully involved in deciding how the care is provided."

The feedback from the management team and staff demonstrated risks to people were safely managed and staff received relevant training to help them keep people safe. Staff understood risks posed to people and knew how they would reduce the risk of injury or harm.

Any risks to people were assessed, and care plans in place to help staff prevent or minimise the identified risks, where possible. The risks included supporting people with their mobility, and personal care. This meant staff received up to date information about the action they should take to manage these risks and keep people safe. There were systems for staff to report concerns, incidents, and accidents. This enabled the provider to have oversight of and be able to manage risks. The management team completed regular audits and care plans updated if new risks were identified.

Safe environments

Score: 3

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

Safe and effective staffing

Score: 3

People and their relatives told us their needs were well met. This was by enough qualified, skilled, and experienced staff being available to support them. One person told us, “I’m very happy, they do everything I need.” A relative said, “Amazing, patient and I can’t praise them enough."

The management team and staff feedback demonstrated there were enough staff to support people with their care and support needs. The management team, reviewed staffing levels regularly to make sure there were enough suitably skilled and experienced staff deployed to meet people’s needs.

The staff duty rotas showed there were enough staff to meet people's needs safely. The provider completed pre-employment recruitment checks prior to employment, to make sure that only appropriate, and suitable staff were employed. This included checks with the Disclosure and Barring Service (DBS) who provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

Infection prevention and control

Score: 3

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

Medicines optimisation

Score: 3

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.