Mayfield Homecare Services Limited

Updated 11 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by an adult social care inspector.

Service and service type:

Mayfield Homecare Services Limited is a domiciliary care agency. Not everyone using the service receives a regulated activity. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

There were 99 people using the service at the time of the inspection.

The service had two managers 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:

We gave the service 48 hours’ notice of the inspection visit because the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

Inspection site visit activity started on 20 February 2019 and ended on 21 February 2019. We visited the office location on 20 February 2019 to see the manager and office staff; and to review care records and policies and procedures. On 21 February 2019 we contacted people using the service, family carers and staff for feedback about the service.

What we did:

Before the inspection, the registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We also reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about.

During the inspection, we spoke with six people using the service, two relatives, six members of staff and both registered managers. We looked at the care records of four people who used the service and examined records in relation to the management of the service such as five staff files, quality assurance checks, staff training and supervision records, safeguarding information and accident and incident information.

Updated 11 April 2019

About the service:

Mayfield Homecare Services Limited is a domiciliary agency providing care and support for people in their own homes.

People’s experience of using this service:

People and their relatives told us they felt safe and staff were kind and caring. There were sufficient numbers of staff deployed to meet people's needs in a flexible, timely way and to ensure their safety. Staff understood their responsibilities to safeguard people from abuse. Risk assessments were carried out to allow people to retain their independence and receive care with minimum risk to themselves or others.

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 supported this practice. People’s needs were assessed prior to them using the service. All staff received ongoing training and support and arrangements were in place for new staff to receive induction training.

People received care and support from a consistent team of staff with whom they were familiar. Staff arrived on time and stayed for the full time allocated. People told us they were always treated with kindness, care and respect and without discrimination. Staff had developed good relationships with people and had spent time getting to know them and their specific needs and wishes.

People were involved in discussions and decisions about the care and support they needed and could influence the delivery of their care. Staff had up to date information about people’s needs and there were effective systems in place to respond when their needs changed. People were supported to have maximum choice and control of their lives and their healthcare needs were monitored as appropriate. People were supported with their dietary needs in accordance with their care plan.

People were aware of the complaints procedure and processes and were confident they would be listened to should they raise any concerns. Systems were in place to monitor the quality of the service, although some improvements were needed in this area. People’s feedback was sought in relation to the standard of care and support. People and relatives told us that they were very satisfied with the service provided and with the way it was managed.

The service met the characteristics for a rating of "good" in all key questions. More information is in the full report.

Rating at last inspection:

At the last inspection of July 2016, the service was rated Good.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

We will continue to monitor the service to ensure that people receive safe and high-quality care. Further inspections will be planned for future dates.