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Care Services

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Mayfield Nursing Home, Eccleston Park, Prescot.

Mayfield Nursing Home in Eccleston Park, Prescot is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs and treatment of disease, disorder or injury. The last inspection date here was 10th February 2018

Mayfield Nursing Home is managed by Mayfield Care Limited.

Contact Details:

    Address:
      Mayfield Nursing Home
      3 Central Avenue
      Eccleston Park
      Prescot
      L34 2QL
      United Kingdom
    Telephone:
      01514309503

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2018-02-10
    Last Published 2018-02-10

Local Authority:

    St. Helens

Link to this page:

    HTML   BBCode

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.

4th January 2018 - During a routine inspection pdf icon

Mayfield nursing home is a ‘care home’ that provides nursing care for a maximum of 31 older people. At the time of the inspection there were 26 people living at the service. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post who was responsible for the day-to-day running of the service. 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.

We carried out this inspection on 04 and 08 January 2018. The first day of the inspection was unannounced and the second day was announced.

At the last inspection, in April 2015, the service was rated Good. At this inspection we found the service remained Good.

People felt safe living at the service. They were protected from abuse and harm because staff understood how to recognise and report safeguarding concerns. Risks to people’s safety were assessed and mitigated, this included risks associated with aspects of people’s care and the environment.

The environment was clean and hygienic and smelt pleasant throughout. Staff followed good infection prevention and control practices such as the use of personal protective equipment (PPE) to help minimise the spread of infection.

Medication was managed safely. There were safe systems in place for the receipt, storage, recording and administration of medication. People received their medication at the right times and it was administered by staff who were suitably trained and underwent regular checks on their competence.

Staff were recruited safely. The suitability of staff was assessed prior to them being offered a position. This included a check on their criminal background, previous work history, skills and qualifications. There were sufficient numbers of suitably skilled and experienced staff to meet the needs of people and keep them safe.

Staff received training and support for their role. New staff completed induction training to learn their role and they were provided with ongoing training in areas of health and safety and topics relevant to the needs of people. Staff received support through one to one supervisions, appraisals and staff meetings.

People were provided with food and drink to meet their needs and help them maintain a balanced diet. People were given a choice of food which was prepared in accordance with their likes, dislikes and dietary requirements set out in their care plans.

People’s healthcare needs were understood and met. Staff supported people to access appropriate healthcare services as and when they needed to. Staff recognised when there was a decline in a person’s health and wellbeing and took the appropriate action. This included prompt contact and referrals to other health and social care professionals.

People’s legal rights were understood and upheld. Staff demonstrated knowledge and understanding of the principles of the Mental Capacity Act (MCA) 2005 and associated deprivation of liberty safeguards (DoLS). Decisions made on behalf of people who lacked capacity were made in accordance with legal requirements. Staff knew how to ensure each person was supported as an individual in a way that did not discriminate against them.

Some items of furniture and carpets were in need of replacing due to wear and tear. The registered provider assured us that these were being replaced as part of an ongoing programme of refurbishment. The environment had some aids including signage to help orientate and stimulate people living with dementia. The registered manager and registered provider recognised that further dev

2nd April 2015 - During a routine inspection pdf icon

This was an unannounced inspection, carried out on 02 April 2015.

Mayfield Nursing Home provides accommodation for up to 31 people needing nursing care. The building is a converted building in a residential area of St Helens. There are transport links to the M57 motorway and the nearby town of St Helens. A train station and bus stop are also within 5 minutes walking distance.

There were 26 people using the service at the time of our inspection.

The service has a registered manager who has been in post since June 2013. 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.

The last inspection of Mayfield Nursing Home was carried out in April 2013 and we found that the service was meeting all the regulations that were assessed.

Improvements to some parts of the service would enhance people’s living environment. Some items of furniture in people’s bedrooms and decoration in parts of the service were old and damaged. Personal protective equipment and information for staff was displayed in areas of the service people used and this took away the homely feel. Signs displayed on bedroom doors which could help people locate their bedroom were not being used appropriately.

People told us they were happy and that they felt safe living at the service. Family members had no concerns about their relative’s safety and the way their relative was treated. Staff knew how to respond to any concerns they had about a person’s safety, including allegations of abuse. Training provided to staff and information made available to them helped to ensure people were safeguarded from abuse and avoidable harm. The environment was clean and hygienic and equipment used at the service was regularly checked and tested to make sure it was safe.

Assessments were carried out to establish people’s needs and the necessary care plans were developed for people on the basis of these. People’s preferences and choices about how they wished their care and support to be provided was included in their care plans. Regular care plan reviews took place to ensure people’s needs were consistently met. Reviews involved people who used the service and other relevant people such as family members and health and social care professionals.

Processes for recruiting staff were safe and thorough to ensure staff were suitable for their role. People’s needs were understood and met by the right amount of skilled and experienced staff. Staff were available when people needed them and people told us that they liked the staff and that they were good at their job.

People’s health care needs were met and they received input from other healthcare services when required. Staff were confident about what to do if they became aware of any concerns about a person’s health or wellbeing. Medication was managed safely and people received their medication at the right times.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS) and to report on what we find. Policies and procedures were in place to guide staff in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager understood what their responsibilities were for ensuring decisions were made in people’s best interests.

Staff received an appropriate level of support and training relevant to the work they carried out and the needs of people who used the service. People who used the service told us they liked the staff. Family members told us they had a lot of confidence in staff and that their relative had received the right care and support. Staff were caring and kind in their approach and they respected people’s privacy, dignity and independence.

The service was managed by a person who was described as being approachable and supportive. The quality of the service was regularly checked and improvements were made based on the findings of these checks and from seeking people’s views about the service.

17th April 2013 - During a routine inspection pdf icon

People living in the service told us that they were happy with the care provided. Some told us although it was not their home they were comfortable living in Mayfield Nursing Home. They told us that their health and social needs were met and staff were supportive and caring. Relatives told us that they were confident that their loved ones were well supported living in the home and they had noticed improvements in their physical condition since they moved into the home.

We observed during the day that staff were supportive of the people living in the home. Our observations showed that improvements in support could be made particularly over the lunch time. The manager agreed to make improvements in this area and to increase staff awareness in communicating with people.

Improvements have been made since out last visit particularly in record keeping and the management of medication. Both areas showed that effective systems were in place to maintain the safety of people living in the home.

17th August 2012 - During an inspection in response to concerns pdf icon

Medicines were stored safely and securely.

We saw that appropriate arrangements were in place for people to receive their medicines through pump/syringe drivers. This is particularly important for people nearing the end of life. One person told us, “the girls sort all my medicines for me, they’re lovely.”

21st December 2011 - During an inspection to make sure that the improvements required had been made pdf icon

During our visit we observed care workers supporting people in an affectionate and sensitive manner. They spoke with people who used the service explaining what they were going to do such as supporting them to go for breakfast. Overall the staff team were attentive to peoples needs and supported them to engage with each other.

People spoken with told us they were happy with the care and supported offered and felt the staff cared about them. Some comments made were;

“The staff are very busy but are very kind.”

“Nothing is too much trouble.”

We spoke with two relatives; one said they thought the nursing and workers were very professional and responded to the needs of their relative quickly and professionally. Another said their relative was content at the home and they had no concerns about how they were cared for.

People spoken with during our visit to Mayfield Nursing Home said they were satisfied with the care and support they received.

29th June 2011 - During an inspection in response to concerns pdf icon

A visiting relative said their realtive, " was very well looked after and was happy living in the home"and "the care staff are fantastic, work really hard , they deserve medals".

Relatives spoken with said, They thought the staff were fabulous, absolutely caring and kind to the service users. People said they were confident that careworkers maintained the confidentiality of people living in the home.

Some of the staff comments,"things have really improved, we didn't have the support of the last manager" " when the last manager started, things started to deteriorate"" there is a general relief that the manager has left" and "once we get a new manager and if good and checks that things are working correctly, then things will be better". One other member of staff said, the manager had disempowered her and she had started to lose confidence in her skills.

Staff supervisions have been infrequent, with one person saying,"I have not had a supervison for nine months".

1st January 1970 - During a routine inspection pdf icon

During our visit to Mayfield Nursing Home we observed some of the care and support provided to people who were using the service. We saw some positive interactions between members of staff and the people living at Mayfield.

People living in the home told us, “its lovely here,” “the food is very nice it's beautiful” and “we don't have any complaints. The girls are great”.

We spoke to some relatives, the comments were, “the care plan has been completed and I have seen it,” “it’s pretty alright here,” “I have seen different activities taking place. My relative was playing cards when I arrived” and “She (named person) has been given the opportunity to leave, but she has made friends here, so wants to stay”.

One other relative told us that they were very happy with the care and that the standard of care was always good whenever they visited. They felt that the home had a good atmosphere and was always clean and tidy and never had any unpleasant smells.

We spoke to support workers providing additional support from outside agencies. The St Helens enablement team offering, specialist support to people to promote independence to the person receiving the support to move back into the community. Another support worker was also providing additional support to a person living in the home. Some of the comments received from these support workers were. “It’s working great, we have managed to get (named person) walking again” and “the staff are very friendly and really helpful”.

 

 

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