• Care Home
  • Care home

Archived: Mayfair Residential Care Home Ltd

Overall: Inadequate read more about inspection ratings

42 Esplanade, Scarborough, North Yorkshire, YO11 2AY (01723) 360053

Provided and run by:
Mayfair residential care home Limited

Important: The provider of this service changed - see old profile

Latest inspection summary

On this page

Background to this inspection

Updated 15 September 2022

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 Health and Social Care Act 2008.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

Mayfair Residential Care Home Ltd is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mayfair Residential Care Home Ltd is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was not a registered manager in post. An interim agency manager had been employed on a short-term contract and they were present throughout the inspection. They are referred to as ‘the manager’ throughout this report.

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 other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the interim agency manager, senior carers, care assistants and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We conducted a tour of the service and looked at a wide variety of records. These included multiple care and medicine records, monitoring documentation, staff files and audits used to monitor the service.

Following the inspection site visit we contacted the nominated individual to request additional information. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Overall inspection

Inadequate

Updated 15 September 2022

About the service

Mayfair Residential Care Home Ltd is a care home providing personal care to up to 20 older people, some of whom may be living with dementia. At the time of this inspection, 13 people were living at the service.

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

The service was not safe. Risks to people had not been assessed or recorded. Checks of equipment, maintenance checks and servicing had not been completed at required intervals. Where shortfalls had been found in relation to the health and safety of the service, action had not been taken to address this.

Medicines had not been administered or managed in a safe way. Safeguarding concerns had not been appropriately reported and thorough recruitment checks had not been completed prior to new staff commencing employment.

Staffing levels were not always sufficient which impacted on the quality of care provided. Staff had not been provided with sufficient support or training to ensure they had the skills and knowledge to carry out their roles.

Action had not always been taken to seek professional’s advice and support when people had lost weight or suffered a high number of falls. People’s care plans had not been updated to reflect people’s current needs, and end of life care plans only contained basic information. We have made a recommendation about end of life care planning.

There was a lack of activities and stimulation within the service. We have made a recommendation about activities. People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice

There was a significant lack of provider oversight and leadership within the service. Quality assurance processes were either not in place or had not been completed for a considerable amount of time. The provider had failed to take action to ensure they were meeting regulatory requirements.

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 8 April 2020) and there were breaches of regulations. 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 the provider remained in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the lack of management oversight within the service. A decision was made for us to inspect and examine those risks.

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.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

The provider acknowledged the significant shortfalls found during this inspection. They took action following the inspection to begin to address some of the shortfalls found. They produced an action plan and began to work with the local authority to make improvements.

The overall rating for the service has changed from requires improvement to inadequate based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mayfair Residential Care Home Ltd on our website at www.cqc.org.uk.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to health and safety, assessing and managing risks, infection control, medicine management, recruitment processes, safeguarding people, nutritional needs, staff support and governance at this inspection.

You can see what enforcement action we took at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The overall rating for this service is ‘Inadequate’ and the service is therefore special measures. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.