The Mayfield Trust's Domiciliary Care Services and Supportive Living Services received a Good rating across all five key questions at its first CQC inspection in December 2022. The service demonstrated strong person-centred practice, safe medicines management, and effective governance, with only minor recording gaps identified.
Concerns (2)
minor
Record keeping
: “some of the actions staff took to manage varying level of risk was not always recorded. For example, when the consistency of a person's food was altered according to their health status, this was not fully reflected in their risk assessment.”
minorEnd-of-life care: “One person was receiving end of life care...Whilst a specific end of life care plan was not in place, other areas of the person's care plan evidenced the support they needed and were receiving.”
Strengths
· People felt safe and protected from abuse; relatives expressed high confidence in the service's safety.
· Medicines were managed safely, with adaptations to promote self-administration where possible.
· Robust transition processes in place for new residents, tailored to individual needs including an 18-month transition for one person.
· Person-centred care plans and holistic assessments were detailed, live documents updated in line with changing needs.
· Staff received comprehensive induction and specialist training, including positive behaviour support.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; promoting privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships; support to follow interests and take part in activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; working in partnership with othersGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles; continuous learning and improving careGood