Fieldhead Park

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question inadequate. At this assessment, the rating

has changed to good. This meant people’s needs were met through good organisation and

delivery.

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 were at the centre of their care and treatment decisions, working

in partnership with them to respond to any changes in needs. Staff knew people well and

adapted support to reflect their preferences, routines, and cultural backgrounds. Feedback

about involvement in care planning was mixed; some relatives said, “We have not discussed

their care plan,” while another commented, “I have got an appointment to discuss their care

plan; I saw it on the Facebook notices.” One person told us, “They know what I like, it’s all

written down.”

Staff supported people to take part in meaningful activities that reflected their interests and life

stories. One person said, “We go out in the bus, we go shopping. We went last week and this

week. I like dominoes and cards. We have a list of activities. We are having fireworks. I go to the

hairdresser every week. I go to everything. [Name]is very good at activities. We discussed my

care plan a few months ago. If I had a problem I’d complain to [registered manager]. I did

complain about a person about 2 years ago and [name] sorted it out.”

During our visits, we observed lively interaction, including sing-alongs, dancing, and games,

creating a positive and engaging atmosphere in the home.

The provider understood the diverse health and care needs of people and their local

communities, ensuring care was joined-up, flexible, and supported choice and continuity. Staff

worked closely with healthcare professionals, including GPs and SALT teams, to deliver

coordinated support. Records showed timely referrals and follow-ups. People told us they felt

confident their care needs were met without disruption. One visiting professional said, “I've

always found the staff very responsive—they take time to discuss the individual, their needs,

any changes to needs or medications, and they are happy to answer any questions or discuss

the care plans. They have explained clearly the care they are providing and any changes that

may have needed to be made. They have considered any suggestions or requests and acted on

these as appropriate.”

The provider ensured people received accurate, up-to-date information in formats tailored to their individual needs. New flash cards were introduced to help people make choices about daily activities and their nutrition and hydration needs. One relative told us, “They keep us well informed. I speak to [registered manager] when I visit, or they call me if it’s something urgent.”

The provider made it easy for people to share feedback, ideas, or raise complaints about their

care, treatment, and support. Staff involved people in decisions about their care and explained

what had changed as a result. People and relatives told us they felt listened to and included in

decision-making. Feedback was actively sought and used to improve the service through

residents’ meetings and the “You Said, We Did” board. Staff encouraged people to express their

views and respected their choices. One person said, “I go to resident meetings. Yes, they listen.

I complained about the sandwiches not having enough filling. We have beautiful sandwiches

now, the best I’ve ever had. Yes, it’s well run. I know [registered manager], they are lovely, I can

talk to them and [name]. Recent changes had been that my creams are now in a black box. The

food has also improved. I wouldn’t change anything here.”

The provider ensured people could access the care, support, and treatment they needed when they needed it. The service was accessible to all, with reasonable adjustments made for individuals with physical, sensory, or cognitive needs. The premises were adapted with ramps, handrails, and accessible bathrooms. Staff supported people to access external services and community activities. The home had a vehicle for regular outings, and 1 person told us, “We have lots of trips planned, we go out all the time.” No one was disadvantaged because of their background or needs.

Staff and leaders actively listened to information about people most likely to experience

inequality in care and tailored their support accordingly. People received equitable care and

treatment. Staff treated everyone fairly and with respect, regardless of background, and involved

other professionals when needed. Care plans reflected individual goals, and people were

supported to achieve positive outcomes. Staff understood the importance of inclusive care and

worked to remove barriers. One person said, “You can have a laugh with them [staff]. I have

never seen anything out of place.” Another added, “They treat me as a person.”

People were not always supported to plan for significant life changes, including end-of-life care,

giving them enough time to make informed decisions about their future. Care plans did not

consistently record people’s end-of-life preferences, and families were not always involved in

these discussions. One relative said, “Not discussed end of life care, but I know [name] doesn’t

want to go to hospital.”

Staff had received training in palliative care and spoke confidently about supporting people at

this stage. One staff member told us, “The palliative care nurses are always on the end of the

phone if I want advice, and they're fabulous when they visit residents. End-of-life care is one of

my passions. Everyone deserves to die a dignified and comfortable death when the time

comes.” Another added, “I have undertaken end-of-life training, and good end-of-life care is

person-centred and focuses on helping individuals live comfortably and with as much dignity as

possible. Care is planned around the individual’s wishes, preferences, and values.”