30 January 2017
During a routine inspection
The last inspection took place on 28 & 29 June and 13 July 2016. At that time, we found the provider was not meeting the regulations in relation to good governance and staff training. We returned on this inspection to check improvements had been made.
The Mayfield Trust is an independent charity providing a range of care and support services to children, young people and adults with learning disabilities and other complex needs. The services provided include supporting people to join in community based activities and personal care. At the time of the inspection personal care was only being provided to ten people, which is the part of the service the Commission regulates.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.
The service primarily supported children and adults to pursue a range of activities in the community, for example, swimming, bowling, wall climbing, play gyms, parks and visits to local places of interest. They had two mini buses and people using the service went out in groups supported by staff. The service operated at weekends and if people required support with their personal care in order to access this service this was provided by care workers.
There were enough staff to support people and meet their needs. Safe recruitment procedures were in place, which ensured only staff who were suitable to work in the service were employed.
People told us their relatives received a reliable service from a consistent team of care workers who were kind and caring. Staff were able to offer support with medicines, meals and healthcare appointments if these services were required. People had their own individualised care plan, which was reviewed on an annual basis or as and when their needs changed.
Safeguarding policies and procedures were in place and staff were aware of the need to report anything untoward in order to keep people safe.
There were policies and procedures in place in relation to the Mental Capacity Act 2005 and Deprivations of Liberty Safeguards (DoLS).
Staff training was not up to date but this had been identified through one of the service’s own audits and plans had been put in place to address this.
A complaints procedure was in place and we saw when concerns had been raised these had been responded to and resolved.
We found some quality audit systems had been introduced but these were still in their infancy and needed to be tested over time to see how effective they were.