Background to this inspection
Updated
12 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 24 January 2022 and was announced. We gave the service one days notice of the inspection.
Updated
12 February 2022
Fieldhouse Care Home is a purpose built home in Rochdale. It provides accommodation to a maximum of 46 older people who require assistance with personal care. There are 38 single and four double bedrooms on two floors. Five of the single rooms have an en-suite facility. There is a garden area at the rear of the building. There were 41 people accommodated at the home on the day of inspection.
At the last inspection of August 2016, the service was found to be in breach of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulation 7 HSCA RA Regulations 2014. The service did not have a person registered as manager with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A person registered with the CQC on the 24 October 2016. The service is no longer in breach of the regulation.
The service used the local authority safeguarding procedures to report any safeguarding concerns. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.
Recruitment procedures were robust and ensured new staff were safe to work with vulnerable adults.
The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.
The home was clean, tidy and homely in character. The environment was maintained at a good level.
Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business contingency plan for any unforeseen emergencies.
There were systems in place to prevent the spread of infection. Staff were trained in infection control and provided with the necessary equipment and hand washing facilities. This helped to protect the health and welfare of staff and people who used the service.
People were given choices in the food they ate and told us it was good. People were encouraged to eat and drink to ensure they were hydrated and well fed.
Staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The registered manager was aware of their responsibilities of how to apply for any best interest decisions under the Mental Capacity Act (2005) and followed the correct procedures using independent professionals.
New staff received induction training to provide them with the skills to care for people. Staff files and the training matrix showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.
We observed there were good interactions between staff and people who used the service. People told us staff were kind and caring.
We saw from our observations of staff and records that people who used the service were given choices in many aspects of their lives and helped to remain independent where possible.
We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home and the plans and care regularly reviewed.
People were treated with respect and dignity.
People were treated in accordance to their age, gender, sexuality and religion.
Plans of care were individual, person centred and reviewed regularly to help meet their health and social care needs.
We saw that people could attend activities of their choice and families and friends were able to visit when they wanted.
Audits, surveys and meetings helped the service maintain and improve their standards of support.
People thought the registered manager was approachable and supportive.