Mayfield House

Updated 22 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 28 November 2018 and was unannounced. It was undertaken by an inspection manager.

We looked at statutory notifications sent in by the provider. A statutory notification is information about important events which the provider is required to tell us about by law. We looked at previous inspection reports and other information we held about the service before we visited. We used this information to help plan the inspection.

During our visit we met with the four people who used the service. We also spoke with two members of staff and the registered manager. During our visit to the home we observed how staff interacted and communicated with people.

We looked at a sample of records relating to the running of the home and the care of individuals. These included the care records of one person who lived at the home. We also looked at records relating to the management and administration of people’s medicines, health and safety and quality assurance

Updated 22 December 2018

Mayfield House is a residential care home for six people with a learning disability. At the time of the inspection four people were using the service. Mayfield House is a large detached property with local amenities and transport links close by and the home is staffed 24 hours a day. Mayfield House followed the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Mayfield House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good, however, the rating for Well-led had changed to Requires Improvement because the manager had not ensured that they remained up to date with changes in legislation and guidance. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were safeguarded from the risk of abuse as staff were trained to recognise and respond to any signs of abuse. There were sufficient numbers staff to meet people's needs in a safe way. The provider followed safe recruitment procedures to ensure that appropriate staff were employed. Risks to people were assessed and well managed. People's medicines were safely managed and administered. There were effective systems in place to reduce the risk of the spread of infection.

The principles of the Mental Capacity Act 2005 (MCA) were being followed and people were supported to have maximum choice and control of their lives. People were supported to eat sufficient amount of food in line with their needs and preferences. People's health and well-being was monitored and people had access to a range of health service. People were cared for by staff who were supported and had the skills and training to meet their needs.

People were treated with dignity and respect. People's privacy was respected and staff supported people to make choices. People had access to an advocate if they needed one.

People were provided with opportunities for social activities and they were supported to maintain contact with their family and friends. People received a service which met their needs and preferences. There were effective procedures in place to respond to any concerns or complaints. People's end of life wishes were being gained.

There were effective management systems in place and there were systems to monitor the quality and safety of the service provided. People were supported by a team of staff who felt supported and valued.