Field Farm House Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

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 was good. At this assessment the rating has remained as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. There was evidence, where appropriate, people were involved in changes to their care planning. This was reviewed on a regular basis or when people’s needs changed. Staff demonstrated good knowledge of people and their support needs and were able to explain to us how they supported people with specific care needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Care plans and risk assessments reviewed covered areas such as mobility, communication, continence, oral care, daily life, manual handling and personal hygiene. Risk assessments were in place to help identify risk factors specific to each person, such as manual handling, falls and specific nutrition needs. This helped to provide staff with information on how to manage and minimise these risks and provide people's care safely. Where people required care plans and risk assessments relating to their individual conditions such as diabetes, these were in place.

The provider worked well across teams and services to support people. People were supported by staff which worked well with other external services, this enabled people to receive safe and effective care and treatment. People and relatives told us they had access to external professionals where required, such as, dentists, GP’s and chiropodists. Most professionals told us the service worked well with them, one professional told us, “With the computer system that they use, there is plenty of information readily available should I need to know anything such as how much the resident has drunk or eaten in the last 24 hours as well as observations that may have been done which includes blood pressure, pulse rate etc".

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Relatives told us their loved ones had regular access to local services and some people’s health had improved since moving into the service. One relative said, “I’m very pleased with how they have settled in. They have only been there for a few weeks, but they are already looking better than they did at home and they are not agitated like before. They are eating a lot better, and staff take for as long as it takes to allow them and encourage them to eat their meal”. Care records demonstrated where people required additional healthcare monitoring and visits from external professionals. For example, bowel and bladder clinic referrals. The service had regular visits from a primary care paramedic which provided continuity for people. We discussed this with the provider to consider some adjustments to their meal recording to ensure they detail how much people have eaten throughout the day.

The provider routinely monitored people’s care and treatment to continuously improve it. People experienced positive outcomes from the care and support provided by staff. We observed people going out for walks in the day and assisting the laundry staff with their duties. Relatives, and where possible people were involved in the reviews of their care. All relatives told us they were kept informed of any changes and could approach staff to discuss any concerns. One relative told us, “Before they came to the service, they were on too strong a medication which they sorted out”. An external professional also told us, “They (registered manager) are considerate of people living with dementia, not always thinking there is a need for medicines, they will consider other things before that”. Systems were in place to continuously monitor people’s care, treatment and outcomes. People’s care plans were up to date and reflected their current needs, however we discussed with the registered manager for these to be reviewed to ensure all of the most up to date information was cited in the body of the care plan.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, not all people living at Field Farmhouse were able to consent to their care. We observed staff supporting people where possible to make day to day decisions, such as what they would like to eat and drink and which activities they would like to join. Staff shared a good understanding of how to assess people’s consent to care and treatment. Where people had required reviews of their capacity to make decisions about their care and treatment. The provider was working within the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty (DOLS). There was evidence referrals had been made to the local authority and where conditions had been authorised, these were detailed in people’s care plans. The provider monitored when people’s assessments and DoLs needed reviewing.