Mayfield Road

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 as good. At this assessment the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care was effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. The provider assessed different areas of people’s health and care needs before they started providing care and then devised their care plans in accordance with these. This included any risks to their health and safety as well as other areas, such as their levels of independence, communication and wellbeing. In conducting their assessments they sought information from people’s relatives and other professionals already involved in their care. However, although the provider reviewed people’s care plans on a monthly basis, we identified one example where the provider had been slow to act to seek further support where their needs increased. The provider has since taken appropriate action to seek the right support to care for this person.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. The provider ensured staff were trained in line with current standards. However, where staff required further training, the provider did not always ensure this was delivered promptly. We identified an example where staff required further, bespoke training to support a person with their particular needs and this had not been delivered promptly. The provider has since assured us they have arranged further training for staff in managing the person’s needs.

Policies and procedures reflected current best practice and legislation.

The provider did not always work well across teams and services to support people. We received feedback from one local authority that the provider had been slow in liaising with them about the care of one person using the service. The provider had been slow to share information about the person’s increasing needs. Since receiving feedback from the local authority and as a result of our assessment, the provider has sought further support with the person’s care.

The provider supported people to manage their health and wellbeing. The provider sought people’s feedback to determine whether they had any specific goals in relation to their care needs. These were then incorporated as part of their overall plan of care.

We saw people had specific nutritional and physical health goals and these formed part of their overall plan of care. This included their dietary needs as well as physical activities to keep people healthy.

The provider routinely monitored people’s care but did not use the information to continuously improve it. They did not always ensure that outcomes were positive and

consistent. We identified one example of a person’s care where although the provider was aware of an increase to their needs and had updated their care plan to reflect this, they did not liaise with external professionals to obtain the support they needed with their care. As a result, the person experienced poor outcomes in relation to their care. The provider has since sought the appropriate support from external professionals as needed.

The provider told people about their rights around consent and respected these when delivering person-centred care. Where people did not have capacity to consent to their care, we saw the provider completed mental capacity assessments in accordance with legislation to provide care in their best interests. Where people had to have their liberty restricted for their own safety, this was done in accordance with legislation and in their own best interests.

Staff had a good understanding of their responsibilities under the Mental Capacity Act 2005 and had a good understanding of the importance of seeking people’s consent to care. One staff member told us “We make sure staff are working in line with people’s consent. Before we do anything, for example personal care, we have to make sure they are ready and happy for you to support them. We ask people what they want to do, what they want to eat.”