This is the latest available inspection report for this service, carried out on 6th May 2010.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Mayfield Nursing Home 3 Central Avenue Eccleston Park Prescot Merseyside L34 2QL two star good service 24/11/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Phil McConnell Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Mayfield Nursing Home 3 Central Avenue Eccleston Park Prescot Merseyside L34 2QL 01514309503 01514311230 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sally Griffiths Type of registration: Number of places registered: Conditions of registration: Category(ies) : Maywood Care Limited care home 31 Number of places (if applicable): Under 65 Over 65 31 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP. The maximum number of people who can be accommodated is: 31 Date of last inspection Brief description of the care home Mayfield Nursing Home is a 31 bedded home which provides nursing care to older people (i.e. over 65). It is situated in the Eccleston Park Area of Prescott. This is a quiet residential area, which is close to a main road with good connections to the M57
Care Homes for Older People Page 2 of 10 2 4 1 1 2 0 0 9 Brief description of the care home motorway and the near by town of St Helens. Local shops are a short car journey away. The building is a detached Victorian house, which has been converted so that it is accessible for wheelchair users. Fees charged are currently between £540 to £600 per week, depending on individual needs. Care Homes for Older People Page 3 of 10 What we found:
This Random Inspection was initiated, following concerns that were received by the Care Quality Commission (CQC) about the use of Bedrails at the home. The inspection was carried out on the 6th May 2010. The registered manager was available throughout the visit. We looked at the bedrooms where bedrails were being used. We observed that 9 of the service users beds had bedrails fitted. At the time of inspection visit all of the bedrails appeared to be well maintained, secure and safe. We looked at the files of the 9 people who were using bedrails. It was evident that the individual care plans contained insufficient information regarding the use of bedrails. For example, one persons file had no evidence of a bedrail assessment being carried out. Five other care plans had general risk assessments, but did not contain separate bedrail risk assessments. It was also evident that reviews regarding bedrails were infrequent. We found that, although regulation 26 monitoring visits were being carried out by the area manager, the reports should be more regular (monthly) and include more detailed information. We also discovered that Regulation 37 Notifications were not always completed. These notifications are legal requirements, when the provider must inform the Care Quality Commission (CQC) of any deaths in the home or any incidents / accidents that involve a service user. What the care home does well: What they could do better:
Ensure that thorough and detailed bedrail assessments are completed before, a person goes to live at Mayfield Nursing Home. This is necessary to clearly identify that the persons needs can be provided for. The bedrail risk assessments should be individualised and separate assessment documents and not be included in the general risk assessment section of the care plan. Reviews of bedrail risk assessments should be regularly carried out. This will help ensure that peoples assessed needs are monitored and any changes quickly identified. The CQC must be kept informed of all notifications that are identified in Regulation 37 of the Care Standards Act for Older People. This is needed to ensure that accurate, up to
Care Homes for Older People Page 4 of 10 date, and relevant records are maintained. Monthly and more detailed Regulation 26 providers monitoring visit reports to be actioned. This will help give the assurance that the provider is much more aware of the day to day running in the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 38 37 The registered person shall 31/05/2010 give notice to the Commission without delay of the occurrence of any event in the care home which adversely affects the wellbeing or safety of any service user. This is needed to maintain accurate records and to monitor the safety and wellbeing of service users. 2 38 37 The registered person shall 31/05/2010 give notice to the Commission without delay of the occurrence of the death of any service user, including the circumstances of their death. This is needed to ensure that correct records are maintained. 3 38 26 Where the registered 30/06/2010 provider is an organistaion or partnership, the care home shall be visited in accordance with this regulation.
Page 7 of 10 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action The responsible individual or one of the partners should carryout a monthly monitoring visit. This would include speaking to service users, members of staff, inspect the premises, records, check any complaints and write a report. 4 38 24 The registered person shall establish and maintain a system for reviewing at appropriate intervals. Regular risk assessments of bedrails for individuals to be completed. This will help ensure that the correct procedures are being carried out and that peoples safety is promoted. 5 38 13 The registered person shall 30/06/2010 ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Thorough bedrail assessments must be carried out, before a person can be admitted to the home. 30/06/2010 Care Homes for Older People Page 8 of 10 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
