Latest Inspection
This is the latest available inspection report for this service, carried out on 7th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Fieldgate Nursing Home.
Annual service review
Name of Service: Fieldgate Nursing Home The quality rating for this care home is: The rating was made on: two star good service 3 0 1 0 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Christine Bowman Date of this annual service review: 3 0 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 153 Portsmouth Road Horndean Hampshire PO8 9LG (023)92593352 Telephone number: Fax number: Email address: Provider web address:
fieldgate@btconnect.com Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Extraservices Limited Number of places (if applicable): Under 65 Over 65 0 39 39 0 The maximum number of service users to be accommodated is 39 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Physical disability (PD) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Fieldgate nursing home is a registered care home providing nursing and personal care to 39 clients in the older person category. The home is situated in a residential area close to local amenities. The clients accommodation comprises of seven single rooms and sixteen shared rooms and there is a passenger lift that allows access to both floors. There are a variety of
Annual Service Review Page 2 of 6 3 0 1 0 2 0 0 8 aids and assisted baths to meet the needs of the clients. The service also benefits from a large and well-maintained garden with access for wheelchair users. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service One completed survey had been returned. Information we have about how the service has managed any complaints or allegations. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection report completed on 30th October 2008. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It gave us the information we asked for. The service confirmed that the clients, their relatives and representatives had been consulted about their views of the service provided. As a result of listening to the people who use the service, clients care plans had been reviewed, menu choices had been changed, clients had been provided with more choices, and made decisions about when they would prefer to take baths. Two staff, who had failed to promote the stress free ethos sort at the home had been dismissed. Single rooms with en suites had been requested by several prospective clients and planning permission had been approved for this development to improve facilites for the residents. The manager recorded in the AQAA some of the improvements made over the previous twelve months. Improvements icluded the re-launched the homes web site, providing the Statement of Purpose and Service User Guide on line, so that our service is always open to the public and prospective clients, who like to peruse a service on line. A form had been added to the clients folder marked The Person giving a summary of their needs to inform new and agency staff of the their wishes and preferences in receiving support. Minutes of residents meetings are now being recorded. Care staff meetings had been arranged offering the opportunity for their views to be shared and listened to. Under the section of the AQQA, which records what the home could do better, the manager wrote, we are not aware of anything we could do better in this area of our service but we are always open to suggestions proposed at any time by prospective clients, current clients, their representatives or the staff, and we are open to suggestions by any health care professional. The AQQA recorded a low turnover of staff resulting in good outcomes for the clients with respect to consistency and continuity, and confirmed that all newly recruited staff receive an induction, which is in line with the Skills for Care Common Induction Standards, as an introduction to the caring role. The home provides an in-house trainer, suitably qualified, and with up-to-date skills to deliver the homes training Annual Service Review Page 4 of 6 programme. All the staff are provided with training and development portfolios for their continuing professional development. One service user survey completed by relatives on behalf of a client showed positive responses to all questions. They recorded that they thought their relative was well cared for, enjoyed the activities provided and the meals, and was aware of the complaints procedure. The AQAA recorded that one complaint had been received over the previous twelve months, and that it had been resolved within twenty-eight days. No safeguarding referrals had been made over the same period. The home continues to let us know about the things that have happened since the last key inspection and they have shown us that they have generally managed issues well. The previous key inspection report completed on 30th October 2008 included good outcomes for residents under all of the seven outcome areas. Four recommendations were made as a result of the previous inspection including referring to clients by name in their person-centred plans, demonstrating why an activity requested by a resident cannot take place, where there are identified risks associated with an activity, making sure the contact details of the Care Quality Commission are up to date to inform the people who use the service, and arranging meetings with the care staff to ensure their collective views and needs are shared and listened to. What are we going to do as a result of this annual service review? The Care Quality Commission (CQC) will continue to monitor the service and the schedule of inspection remains the same. However, the CQC can inspect the service at any time should there be any concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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