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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 March 2019

About the service: The service is a care home that provides personal care for up to 19 older people, some of who may be living with dementia. 18 people used the service at the time of our inspection.

People’s experience of using this service: Work was still required to improve the staff and provider’s knowledge and practice in key areas such as medication, Mental Capacity Act 2005 where there is continued recommendations in this report. In addition, fire safety, infection control and risk management. Staff understood the basics around how to keep people safe. Information following accidents and incidents was not recorded to evidence action taken to reduce the likelihood of future harm. Systems to check that people were receiving safe and good quality care required further development.

The provider had worked hard since the last inspection to make changes that impacted positively on people’s experience of using the service. Staff understood the vision the provider had to ensure people received high quality person centred care. People said staff knew them very well, could anticipate their needs and that support was delivered in a timely way. People described good provision of activities and events that were tailored to their needs. People were supported to maintain relationships and afforded support to develop and build new relationships. People and their relatives described high levels of satisfaction with the service which impacted positively on their overall wellbeing. A relative told us, "It is a very warm place, not clinical. As you walk through the door it is a home. We feel as a family this is a home from home."

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were treated with respect and dignity and their independence encouraged and supported. Where people required support at the end of their life, this was carried out with compassion and dignity.

The environment enabled people to have time on their own and time with other people if they chose this.

The registered manager and management team were well respected. People, their relatives and staff all felt confident raising concerns and ideas. All feedback was used to continuously improve the service.

For more details please see the full report either below or on the CQC website at www.cqc.org.uk

Rating at last inspection: Requires improvement (Published 17 January 2018). The service remains rated requires improvement. This is the second time the service has been rated requires improvement. We will maintain contact with the provider until the next inspection to understand the action they are taking to improve the rating to at least good.

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 8 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 8 March 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 8 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 8 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 8 March 2019

The service was not always well-led

Details are in our Well-Led findings below.