15 August 2022
During an inspection looking at part of the service
Fieldside Care Home provides care and accommodation for up to 34 older people, some living with dementia in one adapted building. At the time of our inspection there were 31 people receiving care and support.
People’s experience of using this service
People were not always safe. The provider had not ensured risks to people associated with infection control and environmental hazards were identified and mitigated. We discussed our concerns with the environment and infection control with the registered manager and nominated individual during the inspection and they have taken action to resolve some of the immediate issues we identified.
Despite the issues with safety we found people and their relatives were very positive about the care and support they received. Comments included, “I honestly cannot speak highly enough of the registered manager and the team, they are very kind and caring” and “The [registered] manager and staff are extremely good at what they do I am just glad we found somewhere like Fieldside.”
The provider had made improvements to the quality of care plans and risk assessments. Medicines continued to be managed safely.
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.
Staff were also positive about the support they received from the provider. Managers and staff worked in partnership with a range of health and social care professionals to plan and deliver care and support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last inspection, the service was rated as Requires Improvement (Report published 20 April 2021) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has remained ‘Requires Improvement’ based on the findings of this inspection.
We have found evidence that the provider needs to make further improvements. Please see the Safe and Well-led sections of this full report. The provider had taken some action during the inspection to mitigate risks and continued to liaise with the inspector after the inspection to advise of further improvements scheduled.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fieldside Care Limited t/a Fieldside Care Home on our website at www.cqc.org.uk.
Enforcement:
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have identified continued breaches in relation to safety and good governance processes at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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. If we receive any concerning information we may return to inspect.