Archived: Mayfair Homecare

Updated 19 June 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

Our inspection was completed by three inspectors and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert-by-experience had knowledge about personal care of adults using this type of service.

Service and service type

Mayfair Homecare provides personal care and support to people living in their own homes. Services are provided to older people, people with mental health issues, physical and learning disabilities and sensory impairment. At the time of the inspection 79 people were receiving a regulated activity.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was present on the day of the inspection.

Notice of inspection

Our inspection was announced. This was to ensure that the registered manager would be present at the office. The inspection took place on the 14 May 2019.

What we did before the inspection; During the inspection; and After the inspection.

Our inspection was informed by information we already held about the service. We also checked for feedback we received from members of the public and local authorities. We checked records held by Companies House. We reviewed the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

At the office we spoke with the registered manager and five members of staff. We reviewed four people's care records, medicine records, audits, recruitment records for three staff and other records about the management of the service. With permission we also visited four people in their homes and spoke with two more members of staff that were with people that we visited. We also rang and spoke with five people and three relatives.

After the inspection the registered manager provided us with a plan of actions taken since the inspection. They also provided us with additional evidence of staff training, supervisions and policies. We also received feedback from one social care professional. This information was used as part of the evidence to form our judgements.

Updated 19 June 2019

About the service

Mayfair Homecare provides care for people who live in their own homes. Services are provided to older people, people with mental health issues, physical and learning disabilities and sensory impairment.

People’s experience of using this service and what we found

Assessments were not always undertaken to identify risks to people to protect them from harm. The management of medicines required improvement particularly around recording. However, people did say they received their medicines when needed. Accidents and incidents were not always recorded appropriately or analysed.

Training and supervision was not always effective or robust. People’s capacity to make decisions was not always being assessed where needed. Care plans required more detailed guidance and staff needed to ensure that information in care plans was read by them before they delivered care.

Quality assurance was not always effective. Where shortfalls had been identified with staff this had not been addressed robustly. Staff were not given travel time between calls which meant they were not always staying for the full length of the care call. However, people, relatives and staff were complimentary of the management team.

People told us that they felt safe with staff and that staff followed good infection control. Staff underwent a robust recruitment process before they started work. People were supported with health care appointments and staff ensured they had sufficient food and drink before they left the call.

People and relatives said that staff were kind and caring. We saw attentive interactions between staff and people. Staff ensured that people were listened to and were patient and respectful towards them.

Rating at last inspection

At the last inspection the service was rated Good (the report was published on the 12 November 2016).

Why we inspected

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner