Mayfield Residential Home

Updated 14 July 2021

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Mayfield residential home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager 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 to ensure measures could be put in place to reduce COVID-19 risks.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, head of care, senior care workers and care workers.

We reviewed a range of records. This included three people’s care records and two medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 14 July 2021

About the service

Mayfield Residential Home provides personal care and accommodation for up to 29 older people. There were 23 people living at the home at the time of the inspection, some of whom had a dementia related condition.

People’s experience of using this service and what we found

There were systems and processes in place for risk management for people. However, there was information available on how staff should support people which could cause confusion and increase the risk to people's safety and welfare.

There were organisational governance processes in place to monitor the quality of the service. However, some shortfalls were found.

Most staff provided positive feedback on the management of the service; some concerns were still being raised. The provider was taking action to address this.

People were supported by sufficient numbers of staff who had received training for their role.

People received their medicines from staff who had been trained to safely administer medicines.

Staff had received training about good practice for infection prevention and control. Information and guidance on infection control measures in place were available for staff and people.

People and their relatives provided positive feedback on the caring, friendly nature of staff.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 05 September 2019)

Why we inspected

We received concerns in relation to the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.