Archived: Mayfield House

Updated 24 December 2021

Mayfield House is a six bedded rehabilitation unit for patients that are recovering from mental illness. It is owned and operated by the Priory Group and forms part of a rehabilitation pathway that has been developed to provide step down facilities to patients at their 24 -bedded hospital. It is a unit specifically for women between the age of 18 and 65.

The unit has been open since 2014. It was last inspected in January 2020 and was rated good overall at that time. The unit provides community-based rehabilitation and promotes independent living.

The service is registered for the following regulated activities:

• Treatment of disease, disorder or injury

The building is a large house with six bedrooms, two lounge areas and a kitchen and dining area. There is also a small room set aside as a nursing office. On the top floor is a large room that doubles as a storage room and staff area. The only rooms that are locked are the nursing office and upstairs storeroom. Patients have keys to their own bedrooms, which they can lock if required. The unit has an open front door and patients are encouraged to come and go whenever they want. The door is locked at night for security reasons, but informal patients can leave at any time.

There is a registered manager shared between Mayfield House and another Priory hospital nearby.

The deputy ward manager is the only qualified nurse and is solely responsible for monitoring medication. The two services also share a psychiatrist and a psychologist who develop treatment and care plans and have regular input into the day-to-day care of the patient group. All other staff members are health care support workers who have undergone training to allow them to administer medication and take bloods.

At the time of the inspection we were informed by patients and staff of the forthcoming closure of Mayfield house. The service only had three patients since January 2021 and had not received any referrals in that time. All patients had been allocated assessed placements to move to when the unit closed on the 25th October 2021.

What people who use the service say

Patients were very complimentary about staff and spoke highly of them and the service. They stated staff could not do enough for them and it was the best place to come to when patients were ready to return to the community and practice independent living skills.

Patients were also disappointed that the unit was closing and felt although they were involved in decisions concerning their treatment and care that in this case they were not consulted.

Updated 24 December 2021

Our rating of this location stayed the same. We rated it as good because:

• The ward environments were safe and clean. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with regards to safeguarding.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
• The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.
• Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed for other than a clinical reason.
• The service worked to a recognised model of mental health rehabilitation. It was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

• Mayfield House did not always have a qualified member of staff available. Between the hours of 5pm and 7am and at the weekend the service operated an on-call rota for qualified staff. Mayfield house was on a list of locations requiring a qualified staff to attend as and when required.
• Patients did not have access to a nurse call alarm. The service discussed purchasing a nurse call alarm system, but it was not in place at the time of the inspection. Patients called nurses if they required assistance.

Updated 24 December 2021

Our rating of this service stayed the same. We rated it as good: see summary above for details.