Care Home: Mayfield House

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What the care home does well The ownere and their staff try to find out what people living in the home like to do and try to make sure that they can do it and they find out what they like to eat and try to make sure that is what they get. If a someone is ill they make sure that they get the right treatment. If someone needs medicines or creams they will make sure they get them. If a someone doesn`t like something they can complain to the owners or the staff and they will look at the problem for them. The home is clean and well decorated. Each person can keep their own belongings safely in their room and those rooms can be decorated how they would like them to be. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. The manager is also cheerful friendly and helpful and does most of the things that help the staff to do their job. What has improved since the last inspection? The kitchen and the dining room has been refurbished with new units being installed in the kitchen and new furniture has been added to the dining room making both areas look inviting as well as easier to keep clean. Written instructions about how to use things like cleaning materials more safely have also been developed. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Mayfield House Arleston Brook Wellington Telford Shropshire TF1 2LA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Michael Moloney     Date: 1 2 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Mayfield House Arleston Brook Wellington Telford Shropshire TF1 2LA 01952504647 Nofax leegatehomes@homail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Leegate Homes Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 6 Date of last inspection Brief description of the care home Mayfield House is registered with the Commission for Social Care Inspection to provide accommodation and personal care to a maximum of six adults with a learning disability. Leegate Homes Limited owns the property and the registered manager is Mr Jonathan Styles. The registered providers have regular input into the management of the home. The accommodation consists of six bedrooms (three with en-suite facility), a fully fitted Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 6 Brief description of the care home kitchen, conservatory, a lounge and a spacious dining/sitting room and bath and shower facilities. The gardens are extensive and well maintained. The house is in keeping with the local community. The homes philosophy of care is Based on a concept of normalisation and the principle that adult people with a learning disability are entitled and should be enabled to live an ordinary life which is fair and equal in its opportunities. Consultation with service users takes the form of regular discussions and group meetings. In addition to this questionnaires are sent out annually to family and others who have contact with the home to monitor and review the quality of care provided. The fees were not available in the homes service user guide. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may want to live in this home and their representatives have most of the information needed to choose a home. Evidence: Nobody has moved into this home since the last inspection so it was not possible to assess the homes admissions procedures. Care Homes for Adults (18-65 years) Page 9 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: Looking at the records of two of the people who live in this home showed that their care plans were reviewed by the staff on a regular basis. Talking to the manager and the staff on duty at the time of the inspection confirmed this. The care plans were seen to cover a number of areas of need from self help skills to interests. The manager and the staff confirmed that the information had been obtained by watching the reactions of those concerned as well as talking with them and their families. The staff were seen and heard talking with the people who live in the home in a clear, friendly and professional manner throughout the inspection. Looking at the way that bedrooms had been decorated showed that some of the interests had been identified and recorded correctly. One room contained a lot of SciCare Homes for Adults (18-65 years) Page 10 of 25 Evidence: Fi memorabilia and another contained a lot of foot-ball related items. Risk assessments and behavioural management programmes were seen to have been developed for a number of the activities so that people could take part in them in as safe a manner as possible. Care Homes for Adults (18-65 years) Page 11 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: The records of two of the people who live at the home were looked at. Both were seen to have detailed care plans which had been developed with the individual in a way that puts their needs first. Talking to the people who live in the home confirmed that these had been developed by talking with them. The manager and the staff also said that they had watched which activities the person liked or disliked and had asked other people such as friends or relatives for their views. A variety of activities were seen to have been arranged for people with some attending college courses, going to the cinema, going for walks and suchlike. Other Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: activities included Club 2000 and Gateway Club during the evenings. The manager confirmed that the home had a vehicle but at the time of the inspection it was being used to take two of the people who live in the home on holiday. However, during the inspection one of the proprietors was seen using his own car to take people to the start of walk. Talking with the people who went with him showed that he often does this. The manager also said that he would use his own car to take a group of people swimming later in the day. All of the bedrooms had locks and talking to the occupants of some of them confirmed that they had keys and could lock their doors if they wanted to. Talking with the people who were in the house at the time of the inspection confirmed that they liked the food that they are provided with. The home had been awarded the Gold Standard for Healthy Eating by the Local Authority. The menus did look varied and balanced. The Residents Meeting minutes showed that menus were regularly on the agenda and the people spoken to confirmed that this was so. Care Homes for Adults (18-65 years) Page 13 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Listening to staff talking with the people who live in the home it was found that the staff talk and behave in a friendly but professional manner. Talking with the staff showed that they used discretion when discussing issues that were personal to an individual person. The records looked at showed when each person had either visited or been visited by a healthcare professional, what for and what the outcome was. These professionals included GPs, psychiatrists, psychologists, community psychiatric nurses, dentists and chiropodists. The arrangements for the storage and administration of peoples medication were looked at. Storage was seen to be appropriate and records correctly maintained. Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: No controlled drugs were found to be kept at the home. Staff said that they receive training in the safe handling of medication before they are allowed to give them to people and their records confirmed this. Care Homes for Adults (18-65 years) Page 15 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: The Annual Quality Assurance Assessment Self Assessment form completed by the home indicated that they had received no complaints. This was confirmed by the manager on the day of the inspection. The homes complaints procedure was seen and this contained all of the information that someone would need should they wish to raise an issue with the manager or the homes owners should the need arise. Talking with the people living at the home confirmed that they would know how to complain, should the need arise, even though they may not be able to access the formal policy document. The manager also confirmed that no issues had been referred into the local procedures that are designed to protect vulnerable adults. Talking with the staff and looking at their records showed that they had received training in the local policies and procedures for the protection of vulnerable adults. Care Homes for Adults (18-65 years) Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: Mayfield House was a detached residential house adapted to its current use in a sensitive manner. It has a rural location just outside the Shropshire town of Wellington. Five of the bedrooms were seen to be upstairs and one down. The occupants of two of the rooms were happy to show their rooms. All of the rooms were looked at and were seen to have been personalised to the taste of the person whose room it was. One room had a very strong Sci Fi theme and another was obviously the room of a keen football supporter. On the ground floor there was a kitchen, a lounge and a dining room off which was a conservatory. Talking with the people who live in the home as well as the manager and the staff it was apparent that the dining room, which was also furnished with settees, was where people tended to congregate. The kitchen led straight off this as did the conservatory which acted as an entrance porch for the side entrance to the Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: house. Watching the people moving around the home showed that this was used as the main entrance to the home this whole arrangement giving a homely feel on entering the house. Walking around the house it could be seen to be clean and tidy with some work to the decor having already been identified by the proprietors as being necessary. The home was seen to have laundry facilities that were capable of keeping clothing, bedding, towels and the like clean and hygienic. The gardens were large and private. To the rear of the house two of the people who live there were seen to have their own sheds in which they keep belongings that are not for immediate use or are more appropriately kept in the garden. There was also a large general purpose shed for the storage of garden equipment and tools as well as a greenhouse containing young plants. A number of raised beds were also seen to be in use for the growing of vegetables. The gardens were also seen to be well kept and at the time of the inspection one of the people who live in the home was sweeping the paths. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions and to support the smooth running of the service. Evidence: At the time of the inspection there were two staff on duty. Talking to the manager and the staff on duty in the home confirmed that two more staff had taken two of the people who live in the home on holiday to Minehead. Looking at the rota and talking with the staff established that staffing levels varied according to what support was needed by the people who live in the home. Those staff that were there were heard chatting to the service users in a positive and supportive manner. Talking with the managers and the staff during the inspection confirmed that the majority of the staff had achieved at least National Vocational Qualification level two in care which is a qualification that is considered appropriate for people who work in this kind of service. Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: The training records showed and the manager and the staff spoken to confirmed that training in such things as food hygiene, infection control and moving and handling were up to date. The recruitment records of two of the staff were looked at and these showed that appropriate references had been obtained before people had access to service users as part of the procedure that ensures that they are fit do so. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: The manager confirmed that both he and the Assistant Manager had gained the Registered Managers Award which is an appropriate qualification for people running a facility such as this. This home is run by a family owned company. The manager is one of the directors of that company as was another member of the family who was working as a care worker on the day of the inspection. A third member of the family was seen to take a group of the people who live in the home out for part of the morning which was an activity that the people concerned confirmed was a regular event. This level of involvement in the day to day running and operation of the home enables the directors to closely monitor how well the home is meeting the needs of the people who live there. The home does, however, send out questionnaires to the relatives of people living in the home to ask their views on how well the home is meeting the need of the Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: people living there. These are sent out annually. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. A variety of records were seen that showed that safety issues are constantly monitored. Records of such things as fridge freezer temperatures, fire equipment tests, gas safety tests and portable appliance testing were seen to have been maintained. Accident records were looked at and these showed that such incidents were monitored by the manager. Hazardous materials were seen to have been stored in a locked cupboard. Staff records also showed that the mandatory training that is necessary to keep the service users safe has been taking place. This includes training in such things as food hygiene, fire prevention and infection control. Staff spoken to confirmed that these records were accurate. Care Homes for Adults (18-65 years) Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 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, Care Homes 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 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 Adults (18-65 years) Page 24 of 25 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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