• Care Home
  • Care home

Archived: Fieldway Residential Home

Overall: Requires improvement read more about inspection ratings

5 Fieldway, Adamthwaite Drive, Blythe Bridge, Stoke On Trent, Staffordshire, ST11 9HS (01782) 388332

Provided and run by:
Fieldway Residential Home limited

Latest inspection summary

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Background to this inspection

Updated 14 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by two inspectors.

Service and service type:

Fieldway Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Fieldway Residential Home accommodates up to 18 people in one adapted building. There were 16 people using the service at the time of the inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

Providers are required to send us key information about their service, what they do well and improvements they plan to make. This information helps support our inspections. We reviewed the information the provider had sent us and other information we held about the service. This included notifications about events that had happened at the service, which the provider was required to send us by law. For example, safeguarding concerns, serious injuries and deaths that had occurred at the service.

We spoke with six people who used the service. We observed care and support in communal areas to assess how people were supported by staff. We spoke with three members of staff and the registered manager.

We viewed five people’s care records to confirm what we had observed and staff had told us. We looked at how medicines were stored, administered and recorded for four people. We also looked at documents that showed how the home was managed which included training and induction records for staff employed at the service. The registered manager showed us how they monitored and managed the service.

Overall inspection

Requires improvement

Updated 14 March 2019

About the service:

Fieldway Residential Home is a residential care home that was providing personal care to 16 people aged 65 and over at the time of the inspection. People who used the service had physical disabilities, sensory needs and mental health needs such as dementia.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

Improvements were needed to ensure records were consistently up to date. The registered manager was working towards their action plan and some improvements were still being implemented and imbedded into the service.

Improvements were needed to ensure mental capacity assessments were consistently reviewed when people’s needs changed and to ensure the assessments were decision specific.

People were supported by safely recruited staff who had the skills and knowledge to provide safe and effective support. People were supported to manage their risks, whilst maintaining their independence. Systems were in place to ensure people received their medicines as prescribed. Effective care planning was in place which guided staff to provide support that met people’s needs which were in line with their preferences.

People were supported to eat and drink sufficient amounts in line with their assessed needs. People’s diverse needs had been planned for which ensured people received individualised care in all aspects of their life. Professional advice had been sought and acted on to ensure people’s health and wellbeing was maintained.

Staff were kind and caring towards people and promoted choices in line with individual communication needs. People were treated with dignity and their right to privacy was upheld.

People had opportunities to be involved in activities. People and their relatives were involved in the planning of their care, which meant people were supported in line with their preferences. There was a complaints system in place, which people and relatives knew how to use. There was no one receiving end of life care at the time of the inspection. However, people’s advance decisions were recorded.

There had been improvements to the governance at the service. There was an open culture within the service, where people and staff could approach the registered manager who acted on concerns raised to make improvements to people’s care. Feedback was gained from people and staff which was acted on to make improvements.

Rating at last inspection:

Requires Improvement (Report published 21 August 2018)

Why we inspected:

At the last comprehensive inspection in July 2017 the service was rated Requires Improvement overall (in the key questions of Safe, Effective, Caring and Responsive) The key question of Well-Led was rated inadequate. There was a breach in Regulation 17 because the provider’s governance systems were not effective in identifying and mitigating poor care. We served a notice of proposal which asked the provider to forward a monthly action plan to us (CQC) to show how they planned to make improvements to people’s care.

At this inspection, improvements had been made to meet the regulations. However, further improvements were still needed in the key questions of Effective and Well-Led. The service had met the characteristics of Good in Safe, Caring and Responsive. Therefore, the overall rating is Requires Improvement.

Follow up:

We will continue to monitor the service through the information we receive.