The Mayfield Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first inspection for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed and person-centred care records were developed based on people’s needs and preferences. People were involved in initial and on-going assessments. Records were detailed and reflected what was important to and for the person. However, we found some records did not contain the correct information. This had not affected the care people received, as staff knew people very well. Managers informed us that records, including medication records, would be reviewed to ensure accuracy. Review of records, after the first day, showed records had been reviewed, and improvements had been made. Training for staff and managers in writing, reviewing and auditing care plans was also arranged.

A relative said, “They definitely know [person’s] needs, very confident on that. No doubt they know what they are doing.”
 

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s nutrition and hydration needs were identified and met. People were positive about the food. They told us, “The food is very good; 4 meals a day. You can have them in your room if you want “ and “The food is absolutely superb. When I tell people they are amazed.”

We observed lunch service during our inspection. There was a relaxed atmosphere, music playing, tables were set including flowers and condiments. Meals were put on plates to show people what was on offer, for those who might not be able to choose from a menu. During our observation we saw staff encouraging people to eat. They were checking if people were happy with their food, also offering more. One person said to a staff member that the food was; "Absolutely lovely."
 

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

We observed staff speaking to each other very respectfully, and working well together. Staff told us they enjoyed working at the home, there was a good culture and supportive teamwork. Staff said, "The staff I work with; the relationship between us and the residents is really positive. We've got some fantastic carers and I mean career carers. They're meant to do it” and “I love it. We're a team together; we've got some great staff."
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access a range of health care professionals. There were regular visits from health care professionals including GP, opticians and district nurses. Staff talked positively about working closely with health care professionals. One said, “We always get the support of the district nurses."

People told us they were supported to access health care if needed. They said, “The GP or nurse practitioner does a weekly round and if you need to see them you can” and “If you need a doctor ask and they get you one.”
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. There was regular review of people’s care and support, we saw people or their relatives were involved in those reviews.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider was meeting the requirements of the MCA. Records included assessments of people’s capacity, and best interest decisions where required. People told us their consent was always sought; they were involved in decisions about their care and support and their choices were respected.