The Fieldings

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People were supported to live in an environment that promoted people’s preferences and autonomy. People received care from staff that knew them well, which allowed good continuity of care. People were supported to access external health and social care professionals in a way that they preferred. People were supported to communicate in ways that worked for them. People were listened too and treated as equals.

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.

People explained that care was arranged around their preferences and routines. One person said, “I can choose my own routines. I get up in the morning for medication and then make my own choices throughout the day.”

The registered manager explained, “I think care is really person centred. Some staff have been stronger than others. I will observe and if I think some staff need more support, then I will meet with the staff and help them improve.”

We saw people receive person centred care. People were supported to engage in their own routines, by staff that knew them well.

People felt that they received care from staff that knew them well. This allowed good continuity of care.

Staff explained that people’s activities were decided with the person, at a time that they prefer. For example, a few people at The Fieldings enjoyed going to a car boot sale at the weekend and staff were available to go with them.

Two visiting health professionals visited the service during our assessment. Both explained that there was good quality care at The Fieldings. They explained that there is good communication with them, to ensure continuity of care for people.

Care plans included details on how people interacted with other care services. For example, one care plan explained that a person was reluctant to receive medical support. There was clear guidance for how staff could support the person to remain well.

People explained they received good quality information. One person explained that the information was shared verbally, by leaflets and notice boards. They felt that the information shared in multiple formats, allowed them to understand the options available to them. This allowed them to integrate well with others in the care home and receive the best care for them.

Staff explained that there was adapted information available for people. For example, picture cards were available to communicate with people using images.

The service had a policy in place which encouraged information to be provided in a way that people understood.

People explained that they were listened to. One person said, “There is a complaints procedure. I have made a complaint and spoke with a senior member of staff. They spoke with the manager who handled this in a discreet and confidential manner. I was happy with the procedure.”

Staff explained that people were listened to and involved. A staff member said, “We’re always asking them how or where they would like to receive the care, or how they would like to communicate.”

We saw that people had been listened to and involved. For example, one person had wanted to see a rock band and staff were working with them to make this happen. Another person had wanted to go shopping, staff had supported this person to learn how to budget and spend their money.

People felt they were treated equally. This meant they had equal access to facilities in the home, and externally.

Staff understood people’s diverse needs and how to ensure people’s needs were met.

We spoke to two visiting health professionals. They felt the service treated people equally and ensured everyone was able to access care services.

There was a clear equality policy in place. This guided staff to value people’s diversity and ensure that people received good quality care.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People had been involved in some planning for the future. For example, people were supported to identify a goal, such as learning how to budget their money. Staff then worked with people to ensure they reached their goal. While some planning for the future was arranged, there was no evidence that people were involved for planning for the end of their life.

Staff felt that if people were at the end of their lives, then good quality care would be provided. One staff member said, “We haven’t had too many cases of end of life. Although, the entire scenario would be dealt with through their needs being met and comfort being the most important aspect. We would also get in touch with family, doctors, and other third-party sources to ensure that their end of life wishes are met.”

There was no one at the service who was at the end of their life. We saw that care plans had not considered people’s advanced end of life wishes. This could include where they would like to be cared for and what would be important to them. We reported this to the registered manager, who said they would take steps to improve this advanced planning.