Mayfair Residential Home Limited

Updated 2 April 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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of an inspector.

Service and service type

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

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 16 March 2022 and ended the same day.

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, commissioners and professionals who work with the service. We also looked at information we had received and held on our system about the service, this included notifications sent to us by the provider and information passed to us by members of the public. We used all this information to plan our inspection.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with three people who used the service. We spoke with five members of staff including the registered manager, deputy and a senior care worker. We also spoke with a provider representative who was a director of the provider company. We looked at a variety of records to gather information and assess the level of care and support provided to people. We reviewed two care records. We also considered a variety of records relating to the management and governance of the service.

We looked around the home in both communal and private areas to establish if the environment met the needs of people who lived there.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 2 April 2022

About the service

Mayfair Residential Home is a residential care home registered to accommodate up to 45 people in need of personal care. Accommodation is provided over three floors with single rooms and three double rooms. On the day of the inspection, there were 30 people living at the home.

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

Substantial improvements had been made around fire safety issues seen at an earlier inspection. This included structural measures, staff training and evacuation processes. Other environmental safety concerns had been addressed and we were assured the environment was safe.

Medicines were managed and stored safety. People received their medicines as prescribed by health care professionals.

Staff were recruited appropriately and there were robust systems to ensure they were safe to work with vulnerable people. There were sufficient staff available to support people.

People were protected from abuse and they said they felt safe living in the home.

Infection, Prevention and Control (IPC) processes were thorough. We were assured about the service's ability to mitigate the transmission of infections.

Safe visiting processes were in place to ensure people could see visitors when they wished and could maintain relationships that were important to them.

The home worked in partnership with other organisations and relatives to provide effective and consistent care.

People were happy with the way the service was managed. Staff and people's views and opinions of the service were sought and acted on.

The provider had a system of checks and audits to make sure the service provided consistently good care and support to people. There were robust and up to date policies to guide staff and management about how people should be supported and how the service should be run.

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

Rating at last inspection

The last rating for this service was 'Requires improvement' (published 30 July 2021). The service was in breach of the 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 improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on improvements we told the provider to take at the 2021 inspection. As a result, we undertook a focused inspection to review the key questions of 'Safe' and 'Well-led'. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

The overall rating for the service has changed from 'Requires improvement' to 'Good' 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 Home on our website at www.cqc.org.uk

Follow up

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