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.