Fieldway Care Home

Updated 29 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was conducted by 2 inspectors.

Service and service type

This service is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection a registered manager was not in post. However, the provider confirmed that a manager had been recruited and would submit an application to register after their official start date.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke in person with 8 people using the service, 1 relative, the interim manager, the area director, the deputy manager, 4 nurses, 7 care workers and an activities coordinator.

Records looked at as part of this inspection included, 6 people’s care plans, a weekly social activity schedule, the services complaints log and other records related to the management of the service.

We continued to seek clarification from the provider to validate evidence found. We requested the provider send us additional evidence after our inspection in relation to staff training.

Updated 29 March 2023

About the service

Fieldway Care Home is a residential care home providing personal care and support for up to 68 people living with nursing and dementia care needs. At the time of the inspection, there were 61 people using the service. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People told us they liked living at Fieldway Care Home and that staff were kind and treated them with respect.

The provider had acted on our recommendations from the previous inspection in relation to activities provision within the home. However, we found record keeping especially in relation to end of life care planning needed to be improved.

People told us they enjoyed the range of activities in the home and were complimentary about the wellbeing team who were responsible for running these. Members of the wellbeing team had received training in how to support people living with dementia and offered both group and individual activities for those people who were bed-bound.

People received care and support from staff according to their individual assessed needs and preferences. Care plans were person-centred and contained information about how they preferred staff to meet their individual care needs and wishes.

People said they were aware of the provider’s complaints policy and how to raise any concerns or complaints they might have.

The provider had made arrangements for adequate management cover whilst they were recruiting a new, permanent registered manager. The interim manager had identified a number of areas of improvement for the service which were being actioned. There was an open culture within the service and staff said they felt well supported. The provider engaged with people and relatives asking for their feedback about how the service was run. Governance systems were used to monitor the quality of care provided.

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

The last rating for this service was requires improvement (published 10 October 2019). There were recommendations in place regarding activities provision. At this inspection enough improvement had been made in relation to this area.

Why we inspected

This inspection was carried out to look at improvements against the recommendations found at the previous inspection. As a result, we undertook a focused inspection to review the key questions of responsive and well-led only.

We did not inspect the key questions of safe, effective and caring. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fieldway Care Home, on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.