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CQC report explained · a nursing home

What the CQC found at The Mayfair

Goodpublished 17 April 2021, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Medicines, risks, staffing and infection control were managed safely. Two staff members were vague about what they would do if they suspected abuse, and the manager said this would be addressed.
Effective?
Good
People's needs were assessed before they moved in. Staff were trained, supervised and assessed, and people were supported with food, healthcare and decisions about their care.
Caring?
Good
People and relatives said staff were kind, respectful and supportive. Inspectors saw that people could choose where and when to eat and what to do.
Responsive?
Good
Care plans were detailed and tailored to each person. People had activity plans and were supported with communication, relationships, interests and complaints.
Well-led?
Good
The home had effective checks on quality and safety. People, relatives and staff said the home was well run, and inspectors saw a calm and positive atmosphere.
The latest report, explained

What inspectors found, April 2021

Rated Good; inspectors found kind, safe and well-organised care, but long-term independence plans were not always clear.

This was the home's first inspection. It was unannounced and took place on 25 March 2021. Inspectors spoke with people, relatives, staff and professionals. They also checked care records, medicine records, staff files and quality checks.

The inspection followed concerns about how the home managed people whose behaviour could be difficult to manage. Inspectors found no evidence that people were at risk of harm from this concern. They found safe medicines systems, enough trained staff, good infection control and suitable risk assessments.

People said staff were kind and met their needs. Care was planned around people's wishes, healthcare needs and communication needs. The home offered activities and supported people to develop independence. However, inspectors found no clear long-term plans for some people to move towards more independent living. The provider sent evidence after the inspection that it was working to address this.

What inspectors praised
  • Infection control

    The home had strong arrangements to prevent and control infection. Inspectors found that people, visitors and staff had access to protective equipment and regular COVID-19 testing.

    “The provider had robust systems and processes to help prevent and control infection.” from the report
  • Kind and respectful care

    People and relatives gave positive feedback about staff. Inspectors found that people were treated with kindness, dignity and respect.

    “People told us the staff treated them kindly and respectfully.” from the report
  • Personalised care

    Care plans included people's preferences, risks, goals and ways of communicating. Staff used life story books and individual activity plans to understand and support people.

    “Care plans were detailed and person-centred. They included a one-page profile of the person detailing their individual likes and dislikes.” from the report
  • Trained staff

    Staff received induction, training, supervision and appraisals. Their skills were checked regularly, including their ability to manage medicines and infection control.

    “People were supported by staff who were suitably trained, supervised and appraised.” from the report
What inspectors were concerned about
  • Independence plans

    needs fixing

    Although staff supported independence, inspectors did not see clear long-term plans for some younger people to move towards more independent living. After feedback, the provider sent evidence that it was working on this.

    “we did not see any long-term plan in place, to enable them to move to a more independent style of living.” from the report
  • Safeguarding knowledge

    needs fixing

    Most staff could explain what they would do if they suspected abuse, but two staff members were unsure. The manager said this would be addressed without delay.

    “However, two staff members were vague and unsure what they would do.” from the report
Questions to ask them, based on this report
  1. 01What clear long-term independence plan is now in place for my relative?
  2. 02How do you check that every staff member knows what to do if they suspect abuse?
  3. 03How will you assess and update my relative's risks, care plan and personal goals?
  4. 04What activities would be available that match my relative's interests and communication needs?
  5. 05How would you involve my relative and our family in reviewing their care?

This was an unannounced first inspection covering all five CQC questions, including infection prevention and control because of COVID-19. This explanation was written from the published report of 17 April 2021 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.

The story over the years

Every inspection of The Mayfair

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. April 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Mayfair →

  2. September 2019

    Registered with the Care Quality Commission on 4 September 2019.

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.

Next steps

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Most charge £980 to £1,270 a week. 85 can care for a couple. 11 years' experience on average.

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