We carried out a review of the data available to us about Mayfield House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Mayfield House, you can give feedback on this service.
Manon House is a residential care home providing personal care for up to six people. The service provides support to people with mental health needs. At the time of our inspection there were three people using the service.
People's experience of using this service and what we found
People were kept safe. Staff knew how to raise safeguarding concerns and how to report them appropriately. Risks to people were identified as part of the assessment and care planning procedure. Risk management strategies were in place to assist staff to manage these risks and to identify triggers for behaviours that may challenge, for people they were supporting.
There were sufficient numbers of staff to meet people's needs.
Medicines were managed in a safe way.
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.
Staff received a wide range of training to ensure they had the skills and knowledge to support people safely. Staff told us they also received regular, supportive supervisions.
People's dietary needs were being met, and they had access to healthcare services where needed.
People were supported by staff in a kind and caring way. People were supported and encouraged to maximise their full potential where ever possible. Staff knew the people well and care records detailed people's preferences, likes and dislikes. People had access to social activities that met their interests and needs.
A complaints procedure was available and displayed to enable people to access it if they or their relatives had a need.
People received personalised care and support to meet their needs and wishes.
People using the service and staff were given the opportunity to provide feedback on the service.
A wide variety of comprehensive quality assurance audits were in place to ensure the quality of the service was maintained. This included audits for medicines, staff competencies, care plans, food safety, incidents, accidents and complaints.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (Published 20 May 2021)
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 in relation to dignity and respect and good governance.
Why we inspected
We undertook this comprehensive inspection to check they had followed their action plan and to check whether they now met legal requirements.
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, which will help inform when we next inspect. If we receive any concerning information we may inspect sooner.
Manon House is a residential care home which can support up to six people in one adapted building. The service specialises in supporting people with mental health needs. There were four people using the service at the time of this inspection.
People’s experience of using this service and what we found
Since purchasing Manon House in March 2020 the provider had made improvements to the service. The premises had been redecorated and refurbished, a new records system was implemented and the provider was working towards embedding a ‘person centred’ culture at the service.
However, improvements had not been entirely effective in achieving their intended outcome, to improve the quality of the service for people. The communal garden was cluttered with debris and waste from the improvement works and redecorated areas lacked personalisation. There were restrictions to people’s autonomy and independence in the home and private information about them was not always stored securely.
The provider’s own checks had not picked up missing or incomplete information in people’s care records. Food safety checks were unreliable as these did not give assurance current practice had been fully embedded at the service.
People were satisfied with the care and support provided by staff and staff were attentive to their needs. People felt safe and comfortable with staff. Staff had been trained to safeguard people from abuse. There were enough staff to support people. The provider made sure people were supported by suitable staff.
Health and safety checks were carried out of the premises and equipment. The premises was clean and tidy. Staff followed current practice to reduce infection and hygiene risks at the service.
Staff were provided relevant training to meet people’s needs. They were supported by managers to learn, develop and improve in their role.
People were supported to stay healthy and well. Staff helped people eat and drink enough to meet their needs and to take their prescribed medicines. Recommendations from healthcare professionals were acted on so that people received the relevant care and support they needed in relation to their healthcare needs.
People were involved in planning their care and support and could state their preferences for how this was provided. People were supported to be as independent as they could be with daily living tasks. Staff knew people well and understood how their identified needs should be met.
People were supported to undertake activities and interests that were important to them. Relatives were free to visit family members if they wished.
The provider had arrangements in place to make sure any accidents, incidents and complaints were investigated, and people kept involved and informed of the outcome.
Managers encouraged people and staff to have their say about how the service could improve and acted on this feedback.
The provider worked proactively with other agencies and healthcare professionals and acted on their recommendations to improve the quality and safety of the service for people.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 30/07/2020 and this was the first inspection. The last rating for the service under the previous provider was requires improvement, published on 27/02/2020.
Why we inspected
We normally inspect new services within 12 months of them registering with CQC. Given the last rating for the service under the previous provider, we scheduled a comprehensive inspection to check the safety and quality of care people received under the new provider.
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 coronavirus and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the caring and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
After this inspection the provider wrote to us to tell us what action they had taken to mitigate risks. This included removing debris and waste from the premises, purchasing personalised pictures for people to display in the communal lounge, removing restrictions in the home and updating people’s records with current information about their needs and identified risks.
Enforcement
We have identified breaches in relation to dignity and respect and good governance. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.