CQC report explained · a residential care home
What the CQC found at Mayfield Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was using protective equipment safely, supporting social distancing, accessing testing and maintaining hygiene. They also found arrangements for visitor checks and preventing or managing infection outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection control practices during a focused coronavirus review.
The inspection took place on 29 October 2020 and was announced. It was part of a CQC thematic review of infection prevention and control in care homes. There were 22 people living at the home.
Inspectors found good practice. Visitors had temperature checks and completed a questionnaire before entering. The home used clear signs about protective equipment and handwashing, changed the lounge layout for social distancing, and carried out daily checks of staff handwashing and use of protective equipment.
People were supported to keep in touch with family and friends using video calls. Staff also supported activities, including decorating gingerbread and making decorations.
The home was inspected but not rated. This means the visit did not give an overall quality rating or ratings for all five areas. It looked specifically at infection prevention and control.
Visitor infection checks
Visitors had their temperatures taken and completed a questionnaire before entering the home.
“All visitors had their temperatures taken and completed a questionnaire prior to entry.” from the report
Family contact
Staff helped people keep in touch with family and friends through video calls.
“People were supported to keep in contact with their family and friends through the use of technology.” from the report
Protective equipment and hygiene
The home used clear signs to encourage protective equipment and good hand hygiene.
“There was clear signage around the home encouraging the use of personal protective equipment (PPE) and good hand hygiene.” from the report
Social distancing
The lounge layout had been changed to help people keep apart.
“The layout of the lounge area had been changed to support social distancing.” from the report
Staff checks
The registered manager carried out daily checks of staff handwashing and how they put on and removed protective equipment.
“The registered manager completed daily audits of staff putting on and taking off (donning and doffing) their PPE and handwashing.” from the report
Activities
Staff supported people to take part in activities during the visit.
“Staff supported people to take part in activities.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitor temperature checks and questionnaires being carried out now?
- 02How do you check that staff continue to use protective equipment and wash their hands correctly?
- 03How are people supported to keep in contact with family and friends?
- 04How do you access testing for people living here and for staff?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was an announced thematic review focused on infection prevention and control; the home was inspected but not rated and the report does not assess the other four key questions. This explanation was written from the published report of 18 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2019
Mayfield Care Home was rated Good; inspectors found safe, kind and well-managed care, with some improvements needed to mealtimes, signage and staff training records.
This was an unannounced scheduled inspection. One inspector spoke with six people, three relatives, a visitor, the manager and staff. They observed care, checked medicines and reviewed care, staffing, training and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well cared for. Inspectors found kind staff, enough staff to meet people's needs, safe medicines arrangements and care plans that reflected people's needs and preferences.
There were some areas to improve. Inspectors recommended improving the mealtime experience. Signage was not yet particularly suitable for people living with dementia, and the inspector initially wanted clearer evidence of individual learning for staff completing the care certificate. The manager took some immediate action and later provided further assurances about training.
People felt safe
People said they felt safe both during the day and at night. Staff understood how to identify and reduce risks.
“People told us they felt safe living at Mayfield Care Home, both during the day and at night.” from the report
Enough staff
Inspectors found enough staff to meet people's needs and saw care being provided promptly.
“There were sufficient numbers of staff employed at the home to meet people's needs.” from the report
Kind and respectful care
Staff knew people well and treated them with patience, kindness and respect. People were offered choices and involved in decisions.
“staff were patient and kind when attending to people” from the report
Personalised support
Care plans explained people's abilities, preferences and support needs. Staff also knew about people's life histories.
“Care plans provided staff with descriptions of people's abilities and how they should provide support in line with people's preferences.” from the report
Approachable leadership
The manager was visible in the home and people, relatives and staff knew how to raise concerns or share their views.
“The registered manager had an 'open door' approach which meant they were easily available to people, relatives and staff.” from the report
Mealtime experience
needs fixingThe dining room had notices intended for staff and there was little interaction between staff and people during lunch. The inspector recommended exploring ways to improve mealtimes.
“The small dining room contained notices on display for staff and there was little interaction between people and staff.” from the report
Dementia-friendly signs
needs fixingSome signs around the home were not well suited to people living with dementia. Improved signage had been identified as a priority, but the report says it was still earmarked for installation.
“There was signage around the home but this was not particularly dementia friendly.” from the report
Individual training evidence
needs fixingThe inspector was not initially clear how much individual input staff had into group care certificate training. The home later supplied evidence of individual workbooks and staff demonstrating their knowledge and skills.
“during our inspection it wasn't clear how much input individual staff had with this.” from the report
- 01What has changed about the dining room and staff interaction at mealtimes since the inspection?
- 02Have the planned dementia-friendly signs now been installed throughout the home?
- 03How do you check that each member of staff completes and understands their own care certificate work?
- 04How will you support a person with limited vision to find their room and understand information around the home?
- 05How do you review and learn from the care given at the end of someone's life?
This was an unannounced scheduled inspection covering all five key questions, including the premises and the care provided; the previous overall rating was Good. This explanation was written from the published report of 25 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Mayfield Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015
Registered with the Care Quality Commission on 19 October 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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