The Mayfair

Updated 17 April 2021

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 was carried out by one inspector, a member of CQC’s medicines team, a specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The Mayfair 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.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

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 10 members of staff including the nominated individual, registered manager, deputy manager, quality assurance manager, activity coordinator, nurse and care workers.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We emailed six professionals who were regularly involved in the service and received feedback from two.

Updated 17 April 2021

About the service

The Mayfair is a nursing home providing care to 18 adults aged 18 and over. People living at the service had a range of needs including mental health, physical disabilities and dementia. There were 17 people using the service at the time of our inspection.

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

People were supported to maintain their independence, and some had successfully moved to more independent living. However, there were no clear long-term plans in place for individuals about how to make this happen. Following our feedback, the provider sent us evidence they were working with people to address this shortfall.

There were systems in place for the safe management of people’s medicines. Staff received training in this, and their competencies were assessed to help ensure they could support people with their medicines safely.

People using the service were happy with the care they received. They told us staff were kind and met their needs. Feedback from relatives was positive, and indicated they were happy with the care their family members received.

People’s needs were assessed before using the service, and their care and support had been planned in line with their needs and wishes. Staff knew people’s needs well and had assessed risks to their safety and well-being. There were guidelines in place to help minimise these risks. People had access to healthcare services when needed and the staff communicated well with healthcare professionals to meet people’s needs.

There was a range of social activities offered, and people were consulted in relation to activities they wanted to take part in. People were supported to undertake daily tasks and be involved in the running of the home. The home was clean and hazard-free. There were robust procedures for preventing and controlling infection, and the staff followed these.

There was enough suitable staff at any one time who were trained and supported so they knew how to care for people. The registered manager regularly assessed staff competencies and skills. Staff received regular supervision and a yearly appraisal.

There were systems for identifying, investigating and responding to complaints, accidents, incidents and safeguarding alerts. We saw the provider learnt from these to make improvements to the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The provider had systems for monitoring and improving the quality of the service, and these operated effectively.

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

Rating at last inspection

This service was registered with us on 4 September 2019 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the management of people who presented with behaviours that may be seen as challenging. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern.

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.

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.