Archived: 45 Mayfield Park North

Updated 7 September 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Prior to our inspection we looked at all information available to us, including notifications. Notifications are information about specific events, the service are legally obliged to inform us of.

The inspection was carried out by one Inspector of Adult Social Care. As part of our inspection, we spoke with three people living at the home. We spoke with the registered manager and three other members of staff (two of which were bank or agency staff). We reviewed support files for two people and the records for the two permanent members of staff working at the home. We looked at other records relating to the running of the home such as quality monitoring information, audits and complaints.

Updated 7 September 2017

The inspection took place on 9 August 2017 and was unannounced. The home provides accommodation and support for people with mental health needs. There were four people living at the home at the time of our inspection.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in March 2015 the service was rated Good. At this inspection, the service remained Good.

There were some difficulties at the time of our inspection with relationships and dynamics between people living at the home. This had led to people reporting they didn't always feel safe. However the registered manager was aware of this and working with other professionals to manage the situation and ensure that people were safe.

People received safe support with their medicines. Those people who were managing their own medicines had undergone an assessment to ensure they were safe to do so.

At the time of our visit there were two permanent members of staff in post; a number of staff had recently left their posts for various reasons. Recruitment was under way and the registered manager was using consistent bank staff and agency staff to cover the necessary shifts. Staff who were lone working were able to contact senior staff on call if they needed to.

Staff told us they were well supported with training and supervision to enable them to carry out their roles effectively. Training included safeguarding, medicines and equality and diversity.

There was nobody in the home with a DoLS authorisation in place; we observed how people went out as they pleased. Staff were aware of the principles of the Mental Capacity Act and gave examples of how they put it in to practice.

There were clear plans in place to support people's mental health needs and these were reviewed regularly to ensure they were reflective of people's current needs.

People were supported by staff who were kind and caring and treated people respectfully. People's independence was encouraged and supported. People were able to be involved in planning their own care and running of the service.

People were able to complain and make their views known if they needed to. There was a process in place and we viewed examples of complaints that had been investigated and responded to.

Staff were positive about the support they received from the registered manager and felt able to raise their concerns when necessary.

There were effective systems in place to manage the quality of the service provided.