You are here

Fieldway Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 October 2019

About the service

Fieldway Care Home is a residential home providing nursing and/or personal care to older people. The service can accommodate and support up to 68 people in a single building compromising of two floors, each with their own separate adapted facilities. Most people using the service have nursing needs and are living with dementia. At the time of the inspection, there were 53 people using the service.

People’s experience of using this service

At our last inspection we found the provider had failed to ensure people had enough opportunities to participate in meaningful activities that reflected their social interests and needs. At this inspection we found not enough improvement had been made in relation to activities. We have therefore repeated the recommendation we made at the providers last inspection that they find out about training for activities coordinators, based on current best practice, in relation to meeting the specialist social care needs of people living with dementia.

At our last inspection we also found multiple breaches of regulation. This was because the provider had failed to ensure medicines were always safely stored; people received continuity of care and support from competent staff ; people were treated with dignity and respect, records were appropriately maintained and governance systems were operated effectively.

At this inspection we found the provider had made enough improvements to ensure they were no longer in breach of regulations. This was because we found medicines were now managed safely; sufficient nursing and care staff were employed to meet people’s ; staff treated people with respect and dignity; governance systems were operated effectively and records were appropriately maintained by staff.

Similarly, people told us the service had significantly improved in the last six months under the leadership of the new manager. Feedback from people, relatives and professionals about the standard of care and support at the home was positive. In addition, most people also said the new manager had done a “great job” ensuring the service was now fully staffed with permanent nurses and care workers who were familiar with people’s needs and wishes.

However, the provider will need to demonstrate that all the improvements described above are sustainable over a longer period of time before we can consider rating the service good overall.

People were cared for and supported by staff who knew how to manage risk and keep people safe. We saw the premises remained clean and staff followed relevant national guidelines regarding the prevention and control of infection. People continued to live in a suitably adapted and reasonably well decorated care home that met their needs.

The training and support staff received remained relevant to their roles and responsibilities. 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. People were supported to maintain a nutritionally well-balanced diet. People were supported to stay healthy and well and have access to the relevant community health care professionals.

People were treated equally and had their human rights respected, including their spiritual and cultural needs and wishes. People were encouraged and supported to develop their independent living skills. Assessments of people’s support needs continued to be carried out before they started using the service.

Care plans were personalised and up to date. Managers and staff understood the Accessible Information Standard and ensured people were given information in a way they could easily understand. People were encouraged to make decisions about the care and support they received and had their choices respected. People were satisfied with the way the provider dealt with their concerns and complaints. People’s end of l

Inspection areas

Safe

Good

Updated 10 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 10 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 October 2019

The service was not always well-led.

Details are in our well-led findings below.