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Inspection Summary


Overall summary & rating

Outstanding

Updated 13 April 2019

The inspection was carried out on 4 and 7 February 2019. The first day of the inspection was unannounced.

Mayfield Court 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

The home is registered to provide support for up to 35 people. At the time of our inspection 35 people were living there. The home provides support for people who have a physical disability. Some of the people living there also have additional needs for support due to a learning disability or the fact they are living with dementia.

At our last inspection we rated the service outstanding. At this inspection we found the evidence continued to support the rating of outstanding and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Everybody we spoke with was complimentary about the service provided at Mayfield telling us they believed it to be exceptional. Comments we received from people living at the home included, “It’s the best place to live,” “Best place ever” and “I love it. I’ve got my freedom, space, independence but can be around everyone. The best of both worlds. 24-hour care for me but I can be left alone [if I want].” Relatives were similarly complimentary about the service provided. Their comments included, “Mayfield is second to none,” and “It’s her home, she is comfortable here.”

Mayfield Court was exceptional at putting people who lived there at the heart of everything they did and recognising that this was people’s home and actively enabling and supporting people to make their own choices and decisions. This included regularly seeking people’s opinions formally and informally. This enabled people to take control of their lives and ensure staff delivered their support in partnership with people. Their innovative approach included a well-established residents meeting led by a committee of people who lived at the home. Committees for gardening and decorating were also set up by people living at the home. The registered manager had established procedures for listening to people’s views and acting on them. She provided formal feedback to residents committees and ensured people were kept up to date within information about the running of their home. As a result of this people all had confidence in the staff team and confidence that the they could live the lifestyle of their choosing and make their own decisions.

People felt safe living at Mayfield Court and were very confident to approach any member of staff or the registered manager to discuss any concerns they had. Concerns were taken seriously, thoroughly investigated and the outcome was always shared with people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Where people needed support to express their views of make decisions the service was pro-active at seeking advocacy and support for them.

People living, working and visiting the home had confidence in and felt supported by the registered manager and management team. The management team were a visible presence throughout the home and people felt comfortable approaching senior staff.

There was a culture of learning imbedded in the home. New guidance, ideas and research were discussed with staff and people living there and a ‘can do’ attitude was taken to implementing new ideas if they would benefit people’s lives.

The building and equipment within the home were safe and regularly health and safety checks were carried out.

People received the support they needed with their physical

Inspection areas

Safe

Good

Updated 13 April 2019

The service remains good in the safe domain.

Effective

Outstanding

Updated 13 April 2019

The service remains outstanding in the effective domain.

Caring

Outstanding

Updated 13 April 2019

The service has improved to outstanding in the caring domain.

Responsive

Good

Updated 13 April 2019

The service remains good in the responsive domain.

Well-led

Outstanding

Updated 13 April 2019

The service remains outstanding in the well-led domain.