Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/09/05 for Mayfield Residential Home

Also see our care home review for Mayfield Residential Home for more information

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living in his home are cared for by a well managed, educated team of staff. People live in attractive, well decorated and safe accommodation. All the residents said they liked their bedrooms. People living in this home are happy and contented. People living in the home enjoy well cooked and well presented food.

What has improved since the last inspection?

Musical afternoons have been introduced to provide additional entertainment for people living in the home.

What the care home could do better:

Where improvements are required the manager is already addressing them.

CARE HOMES FOR OLDER PEOPLE Mayfield Residential Home Fleet Street Holbeach Spalding Lincolnshire PE12 7AG Lead Inspector Mr Toby Payne Unannounced Inspection 26th September 2005 08:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mayfield Residential Home Address Fleet Street Holbeach Spalding Lincolnshire PE12 7AG 01406 426063 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mayfield Residential Care Ltd Mrs Susan Stuffins Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2005 Brief Description of the Service: Mayfield Care Home is a converted house with a purpose built extension set in its own grounds within walking distance of the centre of the town of Holbeach All accommodation is on the ground floor. The home is registered to provide personal care for up to 10 people who are over the age of 65 years. On the day of the inspection there were 8 residents. The registered provider visits the home weekly and works closely with the registered manager. The majority of rooms are single with one double bedroom. There are 4 bedrooms with en-suite facilities. There is car parking to the front of the home and there are gardens to the front and rear of the home. The home is also on a bus route. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and started at 8.45 a.m. It took place over 3 hours. The inspector spoke to 6 residents, one visitor, 2 staff and the manager. The main method of the inspection was called “case tracking”. This involved selecting one newly admitted resident and tracking the care they received through the checking of records, discussion with them and the care staff. The inspector also observed how care was delivered and how staff responded to other residents living in the home. A pre-inspection questionnaire was provided by the home and there were 7 comment cards from the residents and 2 from visitors/relatives. There were no negative comments. All stated they liked living in the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 All residents are involved in their admission to the home. They decide about where they wish to live. Each person receives a detailed assessment, which results in his or her needs being met. EVIDENCE: All residents are assessed before entering the home and written confirmation is sent to them that the home is able to meet their needs. There is a detailed statement of purpose and service user’s guide and a copy of the service user’s guide is given to each person when being admitted to the home. There is a detailed admission procedure, which identifies the needs of residents coming into the home. One newly admitted person confirmed that they had been involved in their assessment and felt satisfied with the care provided by the home. A new member of the care staff was spoken to and knew about the needs of the residents. Comments were “I have settled into the home” and “staff are very kind”. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 8 Each resident is given a detailed contract/terms and conditions when moving into the home. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 11 Resident’s care, health and welfare needs are met by staff who know the resident’s needs. Where required residents can receive attention from their GP and Community Nurse EVIDENCE: All residents had detailed and up to date care plans. These described their health and welfare needs. Records outlined risk assessments, moving and handling assessment and tissue viability as well as social needs. There was evidence to show that wherever possible residents had been involved in their care. Their signatures showed this. There was evidence to show that the care plans had also been reviewed. Staff were observed attending to residents in a kind and courteous manner giving time to talk and laugh with them. Residents commented, “staff are superb” and “the staff are very kind”. Staff were also seen to be encouraging independence by allowing residents to do as much for themselves with the guidance and supervision of staff. This was done in an unhurried manner. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14 A selection of activities were available in the home. People were offered a choice of well-balanced and wholesome meals and commented positively about the catering in the home. EVIDENCE: The home has no written activities programme. On admission to the home details are obtained of resident’s likes and dislikes. Activities include knitting, crocheting, library and newspapers. In addition, there is also a video and games library. Details are also available of local clubs and there are occasional social outings. Local clergy also visit. There is also the garden and terrace available. The home has a written visitors policy. Visitors are welcome to visit the home at any time excluding where possible meal times. This was confirmed with a number of residents and a visitor to the home. Comments were “I can visit whenever I wish to do so”. Residents are encouraged to bring into the home small items of furniture and personal possessions. There was evidence of their independence by people continuing their interests, hobbies and going out of the home. Choice was also evident in their care plans. Residents spoke of how helpful and accommodating the home had been when bringing their own furniture into the home. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents know that any concerns they have are taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: Each resident is given a complaints procedure when they are admitted to the home. No complaints have been received by the home and the CSCI since the last inspection. None of the residents and a visitor had any complaints about the home and felt they could discuss any concerns they had with the staff and manager. Staff also knew what to do if a resident wanted to make a complaint Staff knew what abuse was and what to do if abuse was suspected. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26 People live in well decorated, comfortable, safe and clean accommodation. EVIDENCE: There is one dining room, which, leads to a large lounge. Both these rooms overlook the front garden. The lounge has comfortable chairs, television, pictures and ornaments. The menu is displayed in the dining room. The home was clean and odour free throughout. Residents were satisfied with the cleanliness of the home and how well their clothes were laundered. Comments were “the home is top grade”, “I am very happy here” and “the food is lovely”. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 There is a trained, knowledgeable and competent staff team. The numbers of staff are sufficient to meet the needs of the residents. Staff are correctly recruited. EVIDENCE: Staff in the home are required to undertake catering, domestic and laundry duties as well as caring for service users. The home provides a gardener and the provider works in the home. On the day of the inspection there were no staff vacancies. All posts are advertised locally. The home provides night sleep in cover. The manager monitors this and ensures where required, that they are on wakeful duty. None of the residents or staff expressed any concerns about the level of care or delay in staff responding to their needs. Over 75 of care staff are qualified in delivering care. One new member of staff confirmed they had been recruited correctly and had received a supported induction. Comments were “I received a warm welcome and feel safe and confident to meet the needs of people living in the home”. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 and 33 The home is well lead by a competent manager and staff are supported in their work. EVIDENCE: The manager is registered with the Commission. She has had extensive experience in caring and supporting elderly people. She has been the registered manager of the home since July 2002. She has also obtained a management qualification and is studying for a care qualification. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 15 The manager has meetings with service users every 3 months. Residents were all complimentary about the home and the approach of staff. Staff felt supported and confident in meeting the needs of service users. They also spoke of working as part of a team. They also spoke of the support they received from the manager. Comments were “staff are always polite and courteous”, “the manager is very approachable”, and “we work as one team”. The home has no formal quality assurance monitoring system but does conduct an annual survey by way of questionnaires sent to each service user to obtain their views of the home. They also receive a questionnaire after admission to obtain their views about how the admission was handled and how they have settled in the home. The last questionnaire was sent out on the 1/10/2004. The home received 8 replies from service users and one from a family. Responses showed satisfaction with the care and approach of staff and the home. A further questionnaire is to be sent out in the future. Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 x x x x x Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mayfield Residential Home DS0000043941.V251798.R01.S.doc Version 5.0 Page 19 - 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!