The Fieldings

Updated 13 January 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 the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had 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 5 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 13 January 2022

About the service

The Fieldings is a residential care home providing accommodation for those who require nursing or personal care. The home is registered for 47 people and there were 29 living at the service at the time of our inspection.

The home spans over two floors with a dining room on each floor and various lounge areas. Bedrooms have their own en-suite facilities.

Medicines were not always managed safely. We found a number of discrepancies regarding the management and monitoring of medicines.

Staff didn't always respect people’s dignity and privacy but they were working on ways to ensure that people were as independent as possible.

End of life care planning was not followed through with people’s wishes. One person had asked to have a will written and this had not been supported.

Staff referred to people in a respectful manner. Some people felt that the staff supported them well, other people thought that some staff did not support them as well.

The provider had acknowledged improvements that were required and had put measures in place to make the required improvements. This was being implemented at the time of our inspection and we saw that new processes had been implemented to bring about positive change.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The environment was safe, clean and suitable for people’s needs. We observed cleaners working in both the communal areas and cleaning individual rooms.

People’s right to make their own decisions was respected. People were supported to access healthcare services if needed. Staff had appropriate skills and knowledge to deliver care and support in a person-centred way. People were supported to have enough to eat and drink.

The service had a manager who was registered with the Care Quality Commission. However we were told by the area manager that there was to be a new registered manager in post and the current one would be deregistering from the service. There was an acting deputy manager who had applied to be the registered manager and they had a clear vision about the quality of care they wanted to provide. Staff were aware of their roles and responsibilities. A range of quality assurance checks were carried out to monitor and improve the standards.

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

Why we inspected

This was a full comprehensive inspection as a follow up to a previous responsive inspection which was carried out on 3 May 2019. At the previous inspection the service was rated as inadequate in all domains and there were several breaches of regulation. We carried out this inspection to identify if the provider had carried out the required improvements as per our last inspection findings.

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.