The Fields

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 good. At this assessment the rating has remained 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 relative said, “Before moving in [name] they had a detailed process to write the Care Plan. We have plenty of contact with the service. They (staff) listen to you and keep us informed. They know our relative well and they have a named key worker. The staff show our relative love and attention. The manager is (named). We have annual meetings to review how things are going. They are a good manager and are on the ball.” People had their needs assessed prior to moving into the service. Care plans were detailed and contained people's needs, religious and cultural needs, communication, wishes and preferences. A staff member said, “People are safe and happy, we have safeguarding procedures, we monitor risks such as falls and choking, food guidelines are in the kitchens, we have a file. Everything is in people’s health files, we get to know people’s communication and we know what people like and don't like. We offer food choices, we look at people's non-verbal cues, we get to know people.” People had high level mobility needs, and they had assessments in place, to ensure they individualised mobility and safety equipment. A multi faith prayer room was in place for people to use.

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. People had an annual health check in place and people had access to a range of external professionals. A staff member said, “People are seen by professionals, 1 person has had a best interest decision, due to needing medical treatment, and have just seen the dietician. We go to the dentist, or they visit here, opticians come here too.” Care plans detailed professionals’ advice and we found 1 person had photos for staff guidance, about correct positioning they should be in. A professional told us, “We have a positive experience of the service. Staff are friendly, helpful and communication is good, we are introduced to people. Our appointments are always arranged appropriately.”

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. Professionals told us staff worked well with them, to meet peoples physical, mental and emotional needs. A professional said, “Staff provided me with all the support plans and risk assessments when asked, and they supported with all meetings and a visit for [name] to their new home.” The service was working closely with dieticians, which was part of an initiative to enable dieticians to be more integrated into adult social care services.

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 had foot, nail and oral healthcare assessments in place. People were offered health screenings, and information was given to people in accessible formats, to enable them to make informed choices. People were offered nutritionally balanced meals and healthy snacks, such as fruit and yoghurts. A relative said, “Staff have reduced the food portion sizes to try to lose [Name’s] weight. The physio visits to give exercises and massage. I would definitely recommend The Fields to others.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The provider had their own 'expert by experience' who went to their services to speak with people and ensure they were happy with their care, or any changes they wished to make. Where people displayed behaviours of distress, detailed care plans were in place, these detailed people's non-verbal cues when they were happy and when they may be becoming distressed. Staff knew people well and understood how to de-escalate incidents. The service was focused on restraint reduction and had a positive behaviour support team in place. A staff member said, “We have lots of training. We know people well, each person is different, and things are tailored to them. We meet people’s needs because everyone does something they enjoy, and we understand people’s changing needs.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. A relative said, “Staff support our relative to make decisions and ask them. They talk to him. There is a Deprivation of Liberty Safeguards (DoL’s) in place, and I am the legal representative. They have tried most things to help communication like Makaton and picture books.” People had their capacity assessed and deprivation of liberty safeguarding authorisations were in place for people who lacked capacity to make decisions. People had their capacity assessed for a range of specific decisions about their care and support. Staff understood their responsibilities to gain consent from people and had training relating to the mental capacity act and DoLS. We found some video monitoring which was required to keep people safe, to be showing on monitors in communal areas. The management team were made aware of this and were exploring different methods to ensure people had their dignity respected, whilst also keeping them safe.