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Inspection Summary

Overall summary & rating


Updated 19 January 2018

Mayfield Road is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Mayfield Road accommodates twelve people with a learning disability in one adapted building. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion.

This inspection took place on 13 December 2017 and was unannounced. At our last comprehensive inspection of the service in October 2016 we gave the service an overall rating of requires improvement. We found the provider had not sufficiently addressed issues we had identified at a previous comprehensive inspection of the service in January 2016 and were in breach of the regulations because medicines were not managed safely and there was a risk that people did not receive 'as required' or covertly administered medicines safely. Some medicines were not stored at appropriate temperatures and medicines were not disposed of appropriately. We found the provider’s quality improvement systems were not always effective as the issues we identified at our previous inspection had not been improved. We also found care plan reviews were not always effective in making sure care records were kept up to date.

At this inspection we found the provider had taken action to make improvements and now met legal requirements. Information was available to staff to help them support people with their ‘as required’ medicines so that they received pain reliving medicines promptly and appropriately. Staff had access to the provider’s policies for homely remedies and covert medicines. This helped to ensure people received safe and appropriate support with their medicines in these specific situations, which adhered to their legal rights. People received the medicines prescribed to them. Stocks were regularly checked and accounted for and systems were in place to dispose of medicines safely. Medicines were stored safely and securely. The temperature of the room and fridge where medicines were stored was taken daily and was within safe recommended ranges so that people’s medicines would continue to remain effective and safe to use.

The provider’s audit systems were now used effectively to make improvements to the quality of care and support provided to people evidenced by the improvements made and sustained since our last inspection to medicines management arrangements. Senior staff undertook regular monitoring and audits of other key aspects of the service. When gaps or shortfalls in the service were identified required improvements were made promptly. People’s care records and associated documents were reviewed monthly to check these were complete, accurate and up to date.

Since our last inspection a new registered manager had been appointed at the service. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was aware of their registration responsibilities and submitted statutory notifications about key events that occurred at the service as required. People and staff spoke positively about the management and leadership of the service. The registered manager promoted an inclusive and open culture in which people and staff were encouraged to share their views and participate in developing the service. The provider maintained arrangements to deal with people's complaints appropriately if these should arise.

People were safe at Mayfield Road. Staff knew how to protect people from the risk of abuse or harm and follo

Inspection areas



Updated 19 January 2018

The service was now safe. Medicines management arrangements had been improved and people received their medicines as prescribed.

Staff knew what action to take to protect people from abuse and how to minimise identified risks to their safety. Learning from incidents was used to reduce risks of further reoccurrence.

The environment was clean and servicing of the premises and equipment was carried out to ensure these did not pose unnecessary risks.

There were enough staff to support people. The provider carried out robust recruitment checks on new staff to check their suitability and fitness.



Updated 19 January 2018

The service remains good. People�s needs were assessed in line with best practice so that they experienced good health outcomes.

Staff were well supported and trained to help them to meet people�s needs.

Staff supported people to eat and drink sufficient amounts, monitored their health and wellbeing and supported them to access healthcare services when they needed to.

The layout of the premises were designed to meet people�s individual needs.

Staff were aware of their responsibilities in relation to the MCA and Deprivation of Liberty Safeguards (DoLS).



Updated 19 January 2018

The service remains good. Staff were kind, attentive and knew people well including their preferred method of communication.

Staff respected people's right to be treated with dignity and right to privacy particularly when receiving care.

People were supported by staff to be as independent as they could be. Family members or friends had no restrictions placed on them when visiting the service.



Updated 19 January 2018

The service remains good. People received personalised care, which was regularly reviewed and updated as their needs changed.

People had access to a range activities to have their social and physical needs met.

The provider maintained appropriate arrangements to deal with complaints if these should arise.

The service was participating in a pilot initiative aimed at improving end of life care for people with a learning disability.



Updated 19 January 2018

The service was now good. The provider�s audit systems were now used effectively to make improvements to the quality of care and support provided to people.

People�s records were up to date and accurate.

People and staff were encouraged to share their views and participated in developing the service.

The provider supported the service to continuously improve and worked in partnership with others to develop and improve the delivery of care to people.