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Mayfair Residential Care Home Ltd Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 April 2020

About the service

Mayfair Residential Home is a care home providing personal care for up to 19 older people, some of whom may be living with a dementia related condition. At the time of this inspection the service was supporting 18 people.

People's experience of using this service and what we found

Since our last inspection the registered manager had been supported by two carers that had been promoted to senior management roles. Some areas such as infection control and fire safety had significantly improved. Other areas such as falls; medicines management; safety of equipment; records; quality assurance processes were still requiring further improvement.

Care plans were a working progress to include more detailed information to guide a consistent approach by staff to meet people’s needs. Some care plans were person-centred, but this was not consistent across all care plans. The provider advised these were being reviewed and updated to include more person-centred detail. The majority of staff knew people's needs well and how best to support them.

Risk assessments did not always include sufficient guidance for staff to mitigate risks to people's health and safety. Some risks had not been identified by the provider and assessed appropriately. Staff had not ensured people's medicines were always administered as prescribed and that sufficient stocks were in place. Records for topical medicines such as creams did not show they had been administered as prescribed.

The leadership and governance structures in place were not always effective in identifying areas that required further improvement.

Medicines had been monitored for their effectiveness and disposed of in line with best practice guidance. Infection prevention and control measures had been improved significantly and audits in this area were effective. People told us they felt safe and that staff worked well together to support them. Dependency tools were used to ensure staffing levels could meet the needs of people living at the service. These had been regularly reviewed and increased to meet people's changing needs. Staff respected people's dignity, privacy and encouraged them to be as independent as possible.

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. Records were in place detailing those involved in making decisions relating to people's care and support needs. People were supported to access activities both in the service and outside in line with their hobbies and interests. A range of activities were available including exercises, quizzes and entertainers such as singers visiting the service. Staff supported people to access health care appointments as and when needed.

Feedback from people and their relatives was positive about the registered managers approachability and visibility within the service. Staff felt the manager was supportive and available to provide guidance to them when needed.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published July 2019) and there was a breach of regulation 17. This related to the governance of the service. We spoke with the provider following our last inspection and they provided regular actions plans, to show what they would do and by when to improve. At this inspection we found some improvements had been made. These were not sufficient to meet the breach of regulation 17 and a further breach of regulation 12 had been identified. This is the third consecutive inspection rated as requires improvement.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will meet with the provider following

Inspection areas

Safe

Requires improvement

Updated 8 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 April 2020

The service was not always well-led.

Details are in our well-led findings below.