Mayfield House

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

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good, however, the rating for Well-led had changed to Requires Improvement because the manager had not ensured that they remained up to date with changes in legislation and guidance. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were safeguarded from the risk of abuse as staff were trained to recognise and respond to any signs of abuse. There were sufficient numbers staff to meet people's needs in a safe way. The provider followed safe recruitment procedures to ensure 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.

The principles of the Mental Capacity Act 2005 (MCA) were being followed and people were supported to have maximum choice and control of their lives. People were supported to eat sufficient amount of food in line with their needs and preferences. People's health and well-being was monitored and people had access to a range of health service. People were cared for by staff who were supported and had the skills and training to meet their needs.

People were treated with dignity and respect. People's privacy was respected and staff supported people to make choices. People had access to an advocate if they needed one.

People were provided with opportunities for social activities and they were supported to maintain contact with their family and friends. People received a service which met their needs and preferences. There were effective procedures in place to respond to any concerns or complaints. People's end of life wishes were being gained.

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.

The five questions we ask about services and what we found