Fieldhouse Care Home

Fieldhouse Care Home is a residential care home providing accommodation for persons who require nursing or personal care to up to a maximum of 42 people. Accommodation is provided over 2 floors, with lift access. There are shared lounges, bathrooms and dining areas and a secure outside garden area. The service provides support to older people, including people living with dementia. At the time of our inspection 40 people were using the service.

People’s experience of the service and what we found:

People’s medicines were not always managed safely. Governance arrangements were not robust. Accurate and up to date care records were not always maintained. Building related health and safety checks had been completed but infection control procedures were not always being followed. Improvements were needed to the design and decoration of the service.

We have made recommendations about developing dementia friendly environments, prioritising record keeping, staff training training and maintaining a Deprivation of Liberty Safeguards (DoLS) tracker.

There were enough staff on duty to meet people’s needs. Staff were recruited safely to ensure they were suitable to support people living at the home. Staff had received safeguarding training and people felt safe living at the home.

People and their relatives had not always been involved in the care planning process and care plans needed to be reviewed to ensure they were accurate. 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.

Further improvements were needed to systems for auditing, assessing, monitoring, and improving the quality and safety of the service. Policies and procedures were in place to guide staff. Staff felt able to approach the management team with concerns. The provider had a development plan which they were working towards to improve the service.

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

Rating at last inspection

The last rating for the service under the previous provider was good, (published on 21 August 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement [and Recommendations]

We have identified breaches in relation to safe care and treatment and good governance. Please see the action we have told the provider to take at the end of this report.

We recommend the provider consults best practice guidance on developing dementia friendly environments.

We recommend the provider prioritises record keeping, ensuring people’s care records are all up to date.

We recommend the provider keeps an accurate and up to date Deprivation of Liberty Safeguards (DoLS) tracker, including identifying any conditions that may be attached to authorisations.

We recommend the provider prioritises staff training in supporting people living with a learning disability and/or autistic people.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.