Background to this inspection
Updated
29 September 2021
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by two inspectors.
Service and service type
Mayfield House is a ‘care home’. People in care homes receive accommodation and nursing or 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.
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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We made observations of the care provided. We spoke with four people who used the service and two relatives about their experience of the home. We spoke with eight members of staff including the nominated individual, registered manager, senior care workers, care workers and the chef. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and a range of other records including policies and procedures.
Updated
29 September 2021
About the service
Mayfield House is a residential care home providing personal care to 22 people aged 65 and over including people living with dementia at the time of the inspection. The service can support up to 34 people.
People’s experience of using this service and what we found
Allegations of abuse had not always been reported to the local authority and due consideration had not always been given to possible risks when recruiting new staff. People told us they felt safe living at the home and they received their medicines in a safe way. Necessary improvements had been made to ensure there were robust infection prevention and control procedures and thorough health and safety checks were taking place on equipment and the environment.
People's care needs had been assessed and staff had received appropriate training so they knew how best to provide people’s care. People enjoyed their meals and were supported to maintain a healthy weight. Where needed health care professionals had been contacted for direct care or support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us they enjoyed living at Mayfield House and liked the staff who supported them. People were treated kindly, promoted to be independent, and had their privacy and dignity protected.
Necessary improvements had been made to care plans which detailed people's care needs and staff used these to provide the right care and support. People were able to do the things they enjoyed and were supported to have contact with people who were important to them.
There had been improvements made to management oversight at the home however further improvement to management systems was required. The home worked well with other professionals to improve people’s care. People using the service, visitors and staff spoke positively about the registered manager. They felt able to discuss any concerns and felt these would be investigated and addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 15 October 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.