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Mayfair Homecare - Islington, London.

Mayfair Homecare - Islington in London is a Homecare agencies specialising in the provision of services relating to caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, learning disabilities, personal care, physical disabilities and sensory impairments. The last inspection date here was 20th June 2018

Mayfair Homecare - Islington is managed by Sevacare (UK) Limited who are also responsible for 46 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Requires Improvement
Caring: Good
Responsive: Requires Improvement
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2018-06-20
    Last Published 2018-06-20

Local Authority:

    Islington

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

7th March 2018 - During a routine inspection pdf icon

This inspection took place on 7 and 8 March 2018 and was announced.

Mayfair Homecare - Islington is a domiciliary care agency. The provider for the agency is Sevacare (UK) Limited. The agency provides personal care to people living in their own houses and flats in the community. It provides a service to people living with dementia, learning disabilities or autistic spectrum conditions as well as physical disability and sensory impairment. The age group of people using the service varied from younger adults to older people. There were approximately 258 people using the service at the time of our inspection. The registered manager told us that 241 people were currently receiving personal care. The provision of personal care is regulated by the Care Quality Commission.

There were two registered managers in post at the time of our inspection. 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 and associated Regulations about how the service is run. We found that both registered managers had experience and training to be able to carry out the regulated activity. The registered managers were supported by a team of three team leaders, three care co-ordinators and two administration workers.

During our last inspection, in January 2017, we identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were related to the lack of sufficient risk assessment to health and wellbeing of people who used the service and person centred care planning. Following the last inspection, the provider had submitted an action plan to show what they would do to improve the service in these areas.

During this inspection, we found the agency had not fully addressed issues around assessment of risks to health and wellbeing of people using the service. Consequently, staff had still not had sufficient information on management of these risks and people could receive support that was not safe.

We found that the agency had made improvement in relation to person centred care planning. People’s care plans included personalised information of their life histories and backgrounds, health needs and personal likes and dislikes. Further improvements were needed to reflect how people would like to receive their personal care.

We found other shortfalls in the provision of the service. We found numerous issues related to medicines management. The agency’s systems for the management of accidents and incidents were not always followed and there was a risk that the same accidents and incidents could happen again. The agency did not always work within the principles of the Mental Capacity Act 2005 (MCA) and there was a risk that decisions related to people’s everyday care were not made in their best interest or with their consent.

Quality monitoring systems used by the agency were carried our regularly. However, they had not been effective in identifying issues found by us during this inspection.

We found that some areas of the service provision were managed adequately, however, they would benefit from further improvements. For example, staff received regular supervision and appraisal of their skills. However, not all staff understood the purpose of supervision and the documentation relevant to staff yearly appraisals was not always available in staff file for review of staff progress and audit purposes. In another example, the agency had dealt with complaints received from people and people said it was done to their satisfaction. However, some improvements were needed to ensure all members of the management team had good awareness of the agency’s complaints procedures.

We also found many positive things about the service provided by the agency. There were safeguarding procedures in place and staff

10th January 2017 - During a routine inspection pdf icon

This inspection was undertaken on 10 and 11 of January 2017 and was the first inspection of this service since the provider registered with the Care Quality Commission in August 2016 and moved into new premises in Islington. The service was previously operated out of the Sevacare Westminster location.

Sevacare - Islington provide support and personal care to people living at home. There were approximately 322 people using the service at the time of our inspection. The registered manager told us that 257 people were currently receiving personal care. The provision of personal care is regulated by the Care Quality Commission.

There was a registered manager in post at the time of our inspection. 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 and associated Regulations about how the service is run.

People told us they liked the staff who supported them on a regular basis and that they were treated with warmth and kindness.

However, some people we spoke with had concerns about staff that worked at the weekend or who were a replacement to their usual, allocated staff member. These concerns included timekeeping, following care plans appropriately and the provision of meals.

People’s care plans were not always focused on the individual and some contained inaccurate and inconsistent information about people’s care requirements.

People told us they were generally satisfied with the support they received with eating and drinking and staff were aware of people’s dietary requirements and preferences. However, some people we spoke with told us they felt staff were not always competent around meal preparation.

Where risks to people’s safety had been identified, ways to mitigate these risks had been recorded so staff knew how to support the person safely. However, there were inconsistences with the assessment and recording of risks. The registered manager had identified these shortfalls in the risk assessment process and had provided further training in order to improve the generic nature of assessments.

The agency had a number of quality monitoring systems including yearly surveys for people using the service and their relatives. However, these systems were not always effective in identifying people’s concerns about the quality of service provision.

Staff could explain how they would recognise and report abuse and they understood their responsibilities in keeping people safe.

The service was following appropriate recruitment procedures to make sure that proper checks were carried out before staff were employed at the agency.

Staff we spoke with had a good knowledge of the medicines that people they visited were taking. People told us they were satisfied with the way their medicines were managed.

Staff told us and records confirmed that they were provided with a good level of training in the areas they needed in order to support people effectively.

Staff offered choices to people as they were supporting them and people told us they felt involved in making decisions about their care.

People confirmed that they were involved as much as they wanted to be in the planning of their care and support. Care plans included the views of people using the service and their relatives. People told us they had no complaints about the service but said they felt able to raise any concerns without worry.

The registered manager was working hard to drive improvements in service delivery through the use of a continuous improvement plan and by demonstrating an open and supportive management approach. Staff were very positive about the registered manager and the support they received by the management of the service.

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2

 

 

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