Fieldhouse Care Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement due to a breach of regulations in respect of the safe management of medicines. At this assessment we found improvements had been made and the service was no longer in breach of regulations. The rating has changed to good. This meant people were safe and protected from avoidable harm. However, some improvements are needed to the environment, notably in the bathrooms. The provider has a plan in place for these to be carried out. Improvements are also needed in the oversight of people’s fluid intake and how this is monitored and documented in people’s care records.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement as staff had not completed appropriate training. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement as people did not always have person-centred risk assessments in place. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. We found a breach of regulations in respect of the governance of the service. At this assessment we found improvements had been made, the service was no longer in breach of regulations and the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.