Mayfield House

Updated 22 November 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 and was carried out by one adult social care inspector. The inspection took place on 23 October 2018 and was unannounced.

Prior to the inspection the provider submitted a provider information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and the improvements they plan to make. We looked at statutory notifications sent in by the service. A statutory notification is information about important events which the service is required to tell us about by law. We looked at previous inspection reports and other information we held about the service before we visited. We contacted Healthwatch and local commissioners to seek their views on the service provided. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services. No concerns were raised. We used this information to help plan the inspection.

During our visit we met with the six people who used the service and one relative. We also spoke with four relatives on the telephone. We met with two members of the provider’s senior management team and five members of staff. During our visit to the home we observed how staff interacted and communicated with people.

We looked at a sample of records relating to the running of the home and the care of individuals. These included the care records of three people who lived at the home. We also looked at records relating to the management and administration of people’s medicines, health and safety and quality assurance.

Updated 22 November 2018

Mayfield House is a residential care home for six people with a learning disability, associated physical disability and/or autistic spectrum disorder. Mayfield House is a large detached property and the home is staffed 24 hours a day.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going 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.

There were sufficient staff to meet people’s needs in a safe way. Staff were trained to recognise and report any signs of abuse. The provider’s procedures ensured that appropriate staff were employed. Risks to people were assessed and well managed. People’s medicines were safely managed and administered. There were effective systems in place to reduce the risk of the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People were supported to eat well in accordance with their needs and preferences. People’s health and well-being was monitored and supported. People were cared for by staff who had the skills and training to meet their needs.

Staff interacted with people in a kind and respectful manner and they knew people well. People’s privacy was respected and staff supported people to maintain their dignity. The provider’s procedures relating to confidentiality were understood and followed by staff.

People were provided with opportunities for social stimulation and work placements and they were supported to maintain contact with their family and friends. Staff ensured people saw healthcare professionals when they needed. People could be confident that they received a service which met their needs and preferences. There were effective procedures in place to respond to any concerns or complaints.

There were effective management systems in place and there were systems to monitor the quality and safety of the service provided. People were supported by a team of staff who felt supported and valued.

Further information is in the detailed findings below