2a & 2b Mayfair

Updated 5 May 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 was planned to check 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 was a comprehensive inspection which took place on the 12 April 2018 and was carried out by an inspector and inspection manager. It was unannounced.

Before the inspection we reviewed the information we held about the service which included previous inspection reports and notifications. A notification is information about important events which the service is required to tell us about by law. We contacted the local authority safeguarding team. We also requested feedback from twenty-four commissioners and community professionals. We received seven responses.

The provider submitted a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. However, due to technical issues we were unable to review this prior to inspection.

During the inspection we looked at four people’s care plans and associated documents. We looked at people’s daily notes and other documentation, such as medicine records, relating to people who use the service. We checked four staff recruitment files. We also looked at agency staff recruitment records. In addition we looked at records relating to the running of the service including staff training records, service improvement and quality assurance audits, compliments/complaints and accidents/incident records.

We interacted with five people who live in the service. We spoke with two staff members, a senior support worker, the registered manager and the deputy manager. We received comments from three relatives of people who live in the service, after the inspection visit.

Updated 5 May 2018

This was an unannounced inspection that took place on the 12 April 2018.

2a and 2b Mayfair is a residential care home (without nursing) which is registered to provide a service for up to ten people with learning disabilities and other associated difficulties. At the time of inspection the service was providing support to ten people aged between 29 and 52 years old. 2a and 2b Mayfair is two homes that are connected by a corridor. People who have more complex behavioural needs reside in one side of the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The care service has been developed and designed in line with 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.

Staff had been trained in safeguarding people and health and safety policies and procedures. Their knowledge, skill and understanding contributed to keeping people, themselves and others as safe as possible. People continued to be supported by suitable staffing ratios.

People's health and well-being needs were assessed and met by staff who responded very effectively to people's changing needs. The service worked very closely with health and other professionals to ensure they met people's health and well-being needs to a very high standard.

The service understood the relevance of the Mental Capacity Act 2005, Deprivation of Liberty

Safeguards (DoLS) and consent which related to the people in their care. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible. There were the policies and systems in the service to support this practice.

The caring, committed and enthusiastic staff team continued to meet people's needs with kindness and respect. People’s privacy and dignity were promoted at all times. The service was exceptionally responsive to peoples communication needs in a person centred way.

People received good care from a well-led service. Systems were in place to assess and monitor the quality of the service. The registered manager was experienced and qualified and listened and responded to people, staff and others. Staff said they felt supported by the registered manager and said they were listened to if concerns were raised.

Further information is in the detailed findings below.