Fieldhouse Care Home

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 requires improvement as staff had not completed appropriate training. 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 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. A thorough assessment was carried out before people moved into the service to ensure suitable support could be provided.The registered manager told us that potential new residents were assessed at home, or in hospital, where discussions were had with the person, their family and if in hospital, the nursing staff. If equipment, such as a profiling bed or a special pressure relieving mattress was needed this was put in place before the person was admitted to the home.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff knew people well and we saw them supporting individuals in ways which reflected their assessed needs. For example, when assisting people with their mobility around the home.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff told us, and we observed that everyone worked well together. All staff attended a handover meeting when they came on shift. This ensured information about people’s care and support needs was shared with the staff team. Staff worked well with a range of external health professionals to ensure people had access to the right support and treatment.

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 access advice from medical and nursing professionals when needed, such as dieticians when people had lost weight or district nurses for wound care. One person told us, “They (the staff) are on the ball and ask for help from the DN’s (District Nurses) or a doctor if they are concerned about me.” People received a balanced diet, with choices of food at each meal and snacks and drinks in between. One person told us, “The food is fantastic; I have gained weight since moving here”. They went on to say there had been menu planning meetings where residents could express their likes and dislikes and these had been actioned. Observations of the mealtime experience were positive. Tables were nicely laid and staff were attentive to people’s needs. People’s weight was monitored regularly using the Malnutrition Universal Screening Tool and their food fortified with extra calories to help increase their weight, when needed. We saw the SALT (Speech and Language Therapy) guidelines for staff to follow to support people who were at risk of choking, with their eating and drinking. Care staff completed training in some health conditions, such as Parkinson’s disease, diabetes and sepsis, which helped them care for people with specific health needs.

The provider routinely monitored people’s care and treatment to continuously improve it. People’s care needs were reviewed regularlyand their care plans updated accordingly. From our observations on assessment it was obvious that staff knew people well.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People and relatives confirmed staff asked for permission prior to commencing care and we observed staff knocking on people’s doors before entering. Where people lacked the mental capacity to make decisions for themselves, decisions were made in their best interests in accordance with the Mental Capacity Act by those acting on their behalf and consent forms were stored in people’s care records.