Mayfield Hall

Mayfield Hall is a care home without nursing and is registered to provide accommodation and support for a maximum of 20 people. The registered manager said they would consider themselves full at 18, as some rooms were registered for shared occupancy if needed. At the time of the inspection there were 16 people living at the service. People living at Mayfield Hall were older people, living with frailty or dementia.

The service is an older building set over three floors with a lift to access rooms above the ground floor. Only the ground and first floors are available for people needing care, as the second floor is used for private staff accommodation.

People's experience of using this service:

People told us Mayfield Hall was a good place to live. We saw good practice during the inspection, when people were supported well by staff.

There was an established management team at the service, who worked alongside care staff each day. Other quality assurance systems and regular audits were in place to assess, monitor and improve the quality and safety of the service provided. Some of these would have benefitted from further development and this was discussed with the registered manager. We have made a recommendation about the management of laundry systems.

Risks to people from living with long term health conditions were assessed. These included risks such as from falls, choking, poor nutrition or pressure ulcers, and included actions taken to mitigate risks where possible. People told us they ate well, but where there were concerns over people's nutrition or hydration appropriate actions were taken.

Systems were in place to safeguard people from abuse, and the service responded to any concerns or complaints about people's wellbeing. The service learned from incidents to prevent a re-occurrence. People's rights were being respected, and decisions had been made and recorded in people's best interests where they were not able to make these decisions themselves. The service respected and supported individual people's equality and diversity.

There was a recruitment process in place that helped ensure potential staff were safe to work with people who may be vulnerable. Enough staff were in place to meet people's needs, and staff received the training and support they needed to carry out their role.

Care plans were based on up to date assessments of people's needs. They contained details about people's wishes and guided staff on how the person's care should be delivered. We saw people's care plans were

being followed in practice. Staff knew people well.

People received their medicines as prescribed, and there were safe systems in place to manage the storage, administration and disposal of medicines. The service was being audited in the fortnight following the inspection by the local pharmacist. The registered manager planned to discuss some areas of prescribing practice with them, for example ensuring clarity around the use of 'as required' medicines.

Staff told us Mayfield Hall was a good place to work, and they were well supported by the management team, who were always available on call. The building was older and in need of some updating, although we did not identify any areas of potential risk.

More information is in the full report