Fieldhead Park

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

Effective – this means we looked for evidence that people’s care, treatment, and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question Inadequate. At this assessment, the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider ensured people’s care and treatment were effective by assessing and reviewing their health, wellbeing, and communication needs in partnership with them. Assessments were carried out regularly, and care plans generally reflected peoples care needs, we did however find that a small number of peoples care plans required updating to ensure that they were reflective of the person’s current needs. Staff understood people’s individual needs. When required, referrals were made to health professionals such as the district nurse.

The provider planned and delivered care and treatment in partnership with people, ensuring it

reflected what mattered most to them. This was done in line with legislation and current

evidence-based best practice. Care and support followed recognised guidance, and staff

adhered to clinical protocols while working collaboratively with healthcare professionals to

provide appropriate treatment. For example, speech and language therapy (SALT) input was

sought for individuals with swallowing difficulties. The dietary assistant demonstrated clear

systems for managing dietary needs, including updated kitchen boards and files. She explained

that changes were communicated promptly by team leaders and recorded accurately. Recently,

a person who experienced a choking episode was referred to SALT and placed on a soft diet

pending further assessment, which they tolerated well. Staff showed strong knowledge of

people’s conditions and how to manage them safely.

The provider worked effectively across teams and services to ensure people received coordinated support. They shared assessments so individuals only needed to tell their story once when moving between services. Staff collaborated well internally and with external professionals, maintaining strong clinical oversight and effective communication. They liaised with General Practitioners', district nurses, and other specialists to deliver seamless care. One relative told us, “They always call me to keep me up to date with what’s going on.”

The provider supported people to manage their health and wellbeing to maximise their

independence, choice, and control. Staff supported people to live healthier lives and where

possible, reduce their future needs for care and support. People were supported to maintain and

improve their health. The dietary assistant showed us all the up-to-date information regarding

people’s nutrition and hydration needs; the information was clear and ensured that all special

diets and supplements were provided as required. Staff encouraged people to stay active and

take part in meaningful activities. We saw evidence of dancing and sing along, with people being

encouraged to become involved in ways that where appropriate to them. One person told us,

“It’s got better here; the staff are more talkative. I do activities.”

The provider routinely monitored people’s care and treatment to drive continuous improvement. They ensured outcomes were positive and consistent, meeting both clinical standards and the expectations of individuals. Staff tracked progress against agreed goals and adjusted support as needed. Records showed people were achieving positive results, such as improved mobility and better nutrition. Systems were in place to review the effectiveness of care and implement changes promptly when required.

The provider ensured people were informed about their rights regarding consent and respected

these when delivering person-centred care and treatment. Consent was obtained before care

was provided, and staff demonstrated a sound understanding of the principles of the Mental

Capacity Act (2005), assessing capacity where appropriate. People told us they were involved in

decisions about their care. One person said, “[Staff] are lovely, they talk to you when they are

washing you and don’t treat you like you are a nobody. I have a shower when I want one. They

always knock on the door.”