The Care Quality Commission
  • Mental Health
  • Independent mental health service

Archived: Mayfield House

Overall: Good read more about inspection ratings

45 Wake Green Road, Birmingham, West Midlands, B13 9HU (0121) 448 3511

Provided and run by:
Partnerships in Care (Beverley) Limited

All Inspections

30 September 2021

During a routine inspection

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.

15/01/2020

During a routine inspection

  • The service provided safe care. The unit environments were safe and clean. There was enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect 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 units 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 unit 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.

13th March 2018

During a routine inspection

We rated Mayfield House as good because:

  • The environment at Mayfield House was welcoming and homely. It was clean and well-presented and there was evidence that cleaning was undertaken regularly. Though there were ligature points identified around the unit there was justification for these and they had been mitigated with assessments and working practice. Staffing levels were in line with organisational policy and use of bank and agency staff was rare.
  • Staff were aware of what assessments needed to be undertaken upon admission and during the patients stay at the unit. These were clear and easily accessible. Care plans were personalised and recovery focussed and staff understood the guidance that underpinned the delivery of care.
  • We observed staff and patient interactions and staff appeared to have good knowledge of the patient group. They were able to engage them and discuss their care. They also had knowledge of the individuals and could speak about their likes and dislikes and the best way to engage patients. Patients spoke highly of the staff and organisation.
  • The unit had several rooms in which staff could deliver sessions. These included a lounge area and a fully fitted kitchen. Though patients were encouraged to undertake visits from friends and relatives in a community setting, there were rooms available for visits if required. Key performance indicators were being used to monitor quality and the unit was above organisational targets.
  • All staff had undergone an annual appraisal and there was regular supervision available. Staff had undertaken specialist training to enable them to take bloods and administer medication. Managers were visible in the unit and staff recognised the senior management for the organisation.

28 December 2016

During a routine inspection

We rated Mayfield House as good because:

  • Mayfield House provided a clean and well maintained environment. Staff had considered potential risks relating to this type of service and had plans in place to mitigate this. Staff completed risk assessments and updated these regularly to ensure patients safety.
  • Staff completed care plans with the patients and they reflected the patient’s views in detail. Staff encouraged positive risk taking for patients so that they could be fully prepared for discharge in to the community.
  • Patients spoke highly of the care and support they received from staff. Staff demonstrated a good understanding of patient’s individual needs and tailored the service provided to meet this. Patients said they could talk to staff at any time and would feel listened to.
  • Mayfield House provided a range of rooms to meet the needs of the patients. Patients had their own rooms, which were large and comfortable. Patients had their own mobile phones and could make calls when they wanted. Disabled access was available with a downstairs bedroom and bathroom for patients who required this.
  • Staff felt well supported by managers who were a visible presence in the unit on a daily basis. They had received a high level of training and supervision and felt well equipped to do their jobs. This meant staff displayed high levels of job satisfaction, which was reflected in their positive relationships with patients.