You are here

Field Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 June 2020

About the service

Field Lodge is a residential care home providing personal and nursing care to 68 people aged 65 and over at the time of the inspection. The service can support up to 72 people. The care home accommodates people in four wings over three floors. Two wings accommodate people who need nursing care, one of which caters for people living with dementia. Two wings accommodate people who need personal care, one of which caters for people living with dementia.

People’s experience of using this service and what we found

Field Lodge gave people a modern, spacious, clean home, with a warm, homely and lively atmosphere. People showed and told us how much they liked the staff and enjoyed living there. A relative wrote, “[I write this] to express the family’s utmost gratitude for the exceptional care my [family member] experienced during [their] years at Field Lodge. Some of the carers are so young yet they are so dedicated. It never ceases to amaze me how kind and professional they are….All the staff have been so supportive during this time (death of spouse) – “thank you” seems so inadequate for the love and care my [family member] has been shown.”

The whole staff team, led by the lifestyle lead, provided an exceptionally wide, varied and interesting range of things for people to do so that people were kept as meaningfully occupied as they wanted to be. Staff frequently ‘went the extra mile’ to make sure people had the care they needed.

Some improvements were required as the information in some care plans was not always consistent; not all risks had been assessed and not all risk assessments were up to date or accurate; some charts such as food and fluid charts were not always completed correctly or monitored; and equipment to keep people safe, such as sensor mats, was not always in place when needed and was not regularly checked. The provider had a quality assurance system in place but it had not identified these issues.

People were not always supported to have maximum choice and control of their lives nor in the least restrictive way possible; best interest decisions were not always made and recorded. People’s privacy and dignity was not always upheld.

Staff knew people well and treated people equally and without discrimination. They were kind and caring and supported people to maintain or regain their independence. Staff were motivated, knowledgeable and skilled to provide care to each person and had undertaken training in a range of subjects relevant to their role. Some risk assessments were in place and a new, electronic system was in place to support staff to manage people’s medicines.

The provider had systems in place to ensure that people, their relatives, staff and visitors to the home were involved as much as they wanted to be in the running of the home. There was a registered manager in place who worked hard to improve the service.

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

Rating at last inspection

The last rating for this service was good (published 18 August 2017).

Why we inspected

This was a planned inspection based on the previous rating. Following the first day of the inspection we received the report of a safeguarding investigation raised in May 2018, involving two people who lived at Field Lodge. The report highlighted a number of improvements needed. We carried out day two of the inspection to make sure the improvements had been made and sustained.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 June 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 2 June 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 2 June 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 2 June 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 June 2020

The service was not always well-led.

Details are in our well-Led findings below.