• Care Home
  • Care home

United Response - 29 Mayfair Avenue

Overall: Good read more about inspection ratings

29 Mayfair Avenue, Twickenham, TW2 7JG (020) 8894 2053

Provided and run by:
United Response

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of Assessment: 23 July 2025.

United Response - 29 Mayfair Avenue is a residential care home that provides personal care and support to older people with a learning disability and autistic people. The service can accommodate up to 4 males. A Housing Association owns the building and as the property's landlord is responsible for its maintenance. At the time of this inspection, 4 people resided at the care home.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

This inspection was conducted by a single adult social care inspector and was unannounced. We reviewed 16 quality statements including all those in relation to the key question, Is the well-led? For the other 4 key questions which we did not review all the quality statements associated with them. We used the ratings awarded at their last inspection to calculate the overall rating.

The service was rated good at their last inspection [published 13 June 2019].

We were prompted to inspect the service because of the age of their previous CQC inspection report which was now over 6 years old. In addition, we wanted to check they had improved how they operated their governance systems as we had recommended they do at their last inspection.

Based on the findings of this inspection the service remains rated good overall.

The service had made improvements to the way they operated their governance systems as recommended at their last CQC inspection.

The service now had a good learning culture and people could raise concerns. There was a culture of continuous improvement with staff given time and resources to try new ideas. Managers investigated incidents thoroughly.

The atmosphere in the care home was relaxed and calm. Feedback from managers and staff was positive.

People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff made sure people understood their care to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.

People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.

Managers and staff had a shared vision and culture based on listening, learning and trust. Managers were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. People with protected characteristics felt supported. Staff understood their roles and responsibilities. Managers and staff worked with the local community to deliver the best possible care and were receptive to new ideas.

 

30 April 2019

During a routine inspection

About the service:

United Response - 29 Mayfair Avenue is a residential care home that provides personal care and accommodation for up to four older people some of whom have learning disabilities

and autism. At the time of this inspection two people were using the service.

People's experience of using this service:

• The service was not consistently well-led. There were no robust quality assurance processes in place for the registered manager to monitor the quality of the services provided for people, including accuracy of care records and staff's training needs. We made a recommendation about this.

• Although staff were not supported to update their knowledge and skills in all areas required for their role, the registered manager took immediate action to address this.

• People’s communication aids required updating which the management team agreed to implement immediately.

• Care plans provided guidance for staff on how to mitigate the potential risks to people but more information was required on what were the specific risks to people and how it impacted on people.

• Staff undertook appropriate checks before they were employed by the service.

• People received the necessary support to manage their medicines safely.

• Staff followed provider’s procedures if they noticed people being at risk to harm or when incidents and accidents took place.

• The staff team were trained and applied the Mental Capacity Act 2005 (MCA) principles in practice as necessary.

• Staff assisted people with preparation of their meals or to attend their health appointments when necessary.

• Confidentiality principles were followed to ensure safe keeping of people’s personal information.

• People were treated with dignity, kindness and staff were respectful towards people’s privacy.

• Staff were aware of people’ communication needs and used verbal and body language to have conversations with them.

• Staff encouraged people to make decisions about their daily activities.

• Care plans were person-centred and individualised.

• People were encouraged to make complaints which were addressed accordingly.

• Staff planned to have conversations with people about their end of their lives wishes.

• Staff felt that the registered manager was responsive and guided them well.

• There were shared responsibilities between the staff team to ensure good care delivery for people.

Rating at last inspection:

This was the first inspection of the service after they changed their provider from Richmond Homes and Lifestyle Trust to United Response in May 2018. At the last inspection on 22 March 2016, the service was given an overall rating of Good with requires improvement in well-led.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspection will be planned in line with our re-inspection programme. If any concerning information is received, we may inspect the service sooner.

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