Fieldhouse Care Home

People were treated with kindness, dignity and respect. Staff asked permission before providing support and encouraged independence.

“We observed many instances where staff demonstrated a caring attitude towards people as well as offering practical support.” from the report

Inspectors found enough staff to meet people's needs. Recruitment checks had been completed for the staff files reviewed.

“There were enough staff on duty to meet people's needs.” from the report

Staff monitored people's health and helped them access doctors, hospital and other health professionals when needed.

“Staff monitored people's health and wellbeing and supported them to access healthcare services, where necessary.” from the report

People were offered a range of activities and were involved in menu choices and personal decisions.

“The activity coordinator produced a 4 weekly plan of activities, after discussing preferences with people.” from the report

Records and authorisations were missing for some medicines, including covert medicines, creams, thickening powder and patches. The medicines audit had not identified these problems.

“Medicines were not always managed safely. This placed people at risk of harm.” from the report

Some risk assessments and care plans were missing or had not been reviewed. Emergency evacuation plans were also missing for some people living at the home.

“Several people's risk assessments had not been reviewed and updated as required; this placed people at increased risk of harm.” from the report

Management audits had not found important problems with medicines, records, risk assessments and infection control. The home had not shown that it had learned from similar issues at another care home owned by the provider.

“Quality assurance systems required further improvement.” from the report

Some staff were not following hand hygiene guidance. Slings were stored in a way that risked cross-contamination, and washing records were incomplete.

“People were not always protected from the risk of infection as staff were not consistenly following safe infection prevention and control practices.” from the report

Some relatives said communication could be better and that they were not asked for feedback. A complaints file was not available during the inspection, although the home later provided an audit of two minor complaints.

“There was no complaints file available, and the deputy manager told us they were not aware there was a complaints file in place.” from the report