This inspection took place on 2017 and was unannounced. The home provides accommodation for up to 72 older people with personal care needs. Since registration in September 2015 there has been a managed admissions process and there were 26 people living at Mayflower Court when we visited. Accommodation and communal rooms were provided over four floors, all of which were accessible via passenger lifts. At the time of the inspection people were accommodated on the lower two floors. All bedrooms were for single occupancy and had en-suite facilities. There was an accessible garden with access from the ground floor and enclosed balcony areas on the upper floors providing opportunities for people to access fresh air and the outdoors.

There was a registered manager at the home. 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.

People felt safe and staff knew how to identify, prevent and report abuse. Legislation designed to protect people's legal rights was followed correctly. Staff offered people choices and respected their decisions. People were supported and encouraged to be as independent as possible and their dignity was promoted.

People, visitors and external health care professionals were positive about the service people received. People were positive about meals and the support they received to ensure they had a nutritious diet.

Care plans provided comprehensive information about how people wished to be cared for and staff were aware of people's individual care needs and preferences. Reviews of care involving people were conducted regularly. People had access to healthcare services and were referred to doctors and specialists when needed.

Medicines were managed safely and people received these as prescribed. At the end of their life people received appropriate care to have a comfortable, dignified and pain free death.

There were enough staff to meet people's needs. The recruitment process helped ensure staff were suitable for their role. Staff received appropriate training and were supported in their work. Staff worked well together, which created a relaxed and happy atmosphere that was reflected in people's care.

Mayflower Court had been decorated and accessorised to provide a positive and suitable environment for the people living there. They were able to access a range of communal facilities and had access to gardens or enclosed balconies providing fresh air. People were offered an extensive range of activities suited to their individual needs and interests providing both mental and physical stimulation.

People and relatives were able to complain or raise issues on a formal and informal basis with the registered manager and were confident these would be resolved. This contributed to an open culture within the home. Visitors were welcomed and there were good working relationships with external professionals.

Plans were in place to deal with foreseeable emergencies and staff had received training to manage such situations safely.

The registered manager and provider were aware of key strengths and areas for development of the service. Quality assurance systems were in place using formal audits and through regular contact by the provider and registered manager with people, relatives and staff.