Archived: Mayfair Homecare - Lewisham

Updated 3 July 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:

This announced inspection took place on 30 April 2019 and 1 May 2019. One inspector and three Experts by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses a domiciliary care service.

Service and service type:

Mayfair Homecare - Lewisham provides care and support to children, adults who are living with a physical disability and adults over 65. At the time of this inspection, 67 people were using the service. Not everyone using the service receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

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.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because the registered manager is often out of the office supporting staff. We needed to be sure that they would be in. We made telephone calls to people using the service on 30 April 2019 and 1 May 2019. We visited the office location on 30 April 2019 to see the registered manager and to review care records, policies and procedures.

What we did:

Before the inspection, we looked at information we held about the service including notifications sent to us. A notification is information about important events, which the service is required to send us by law. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection:

We spoke with the registered manager during the inspection. We looked at 10 care records and medicine administration records. We also looked at 10 staff records and other documents relating to the management of the service.

After the inspection:

We spoke with 18 people who used the service and three relatives. We spoke to two care workers. We received feedback from one health and social care professional.

Updated 3 July 2019

About the service:

Mayfair Homecare - Lewisham is a domiciliary care agency. It provides personal care to older and younger disabled adults living in their own homes. At the time of this inspection 67 people were using the service.

People's experience of using this service:

People’s care and support needs were assessed by staff. Each person had a risk assessment and management plan in place to mitigate any risks found.

Staff followed the provider’s safeguarding policy and processes. This ensured people were protected from the risks of harm and abuse. Safeguarding allegations were reported promptly for investigation.

Medicines were managed in a safe way. Staff had completed medicines management training and then assessed as competent to support people with taking their medicines safely.

Staff employed at the service underwent a robust recruitment process.

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.

People and their relatives gave positive feedback about the service, care workers and the quality of care.

People said staff treated them with kindness and were respectful of their dignity and privacy when providing personal care and support.

People took part in activities that met their individual, spiritual and cultural needs.

People and their relatives were involved and contributed to assessments and reviews of their care.

There were processes in place for people to make a complaint if they were unhappy with their care support.

People received appropriate care and support at the end of their lives.

People and relatives had a positive view of the management of the service. They also told us that the service was well-led.

The registered manager completed regular monitoring and review of the quality of the care provided.

Staff said they enjoyed their roles working for the service.

Rating at last inspection: This is the first inspection of this service.

Why we inspected: This was a planned inspection based on the rating of the service at the last inspection.

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 any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.