Mayfield Road

People were supported to attend health checks and access a range of healthcare professionals, including neurologists, dieticians and speech and language therapists.

“People were referred to health care professionals to support their wellbeing and help them to live healthy lives.” from the report

Staff had safeguarding training and understood how to recognise and report abuse. The home worked with other agencies to protect people.

“People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse.” from the report

People were supported to visit relatives and maintain important family relationships. Relatives confirmed they were regularly supported to visit.

“People were supported to visit their relatives at their family home and spend time with their family.” from the report

Staff understood people's capacity to make decisions. Capacity assessments, best-interest decisions and applications for liberty safeguards were recorded when required.

“For people that the service assessed as lacking mental capacity for certain decisions, staff clearly recorded assessments and any best interest decisions.” from the report

Relatives and incident records showed that seizure records were not always accurate. Information about rescue medicines was not always passed on, which could affect safety during family outings.

“Some relatives had concerns about the safety of care provided regarding people's epilepsy.” from the report

Fire exits on the first and second floors opened directly onto a fire escape without an alarm to alert staff. One window was not properly restricted, creating a risk of falls from height.

“Risks to people's safety had not been appropriately assessed and mitigated.” from the report

Mandatory training and refresher training were incomplete. Only 21% of staff were up to date with medicines training and only 24% with Buccal Midazolam training.

“Overall training compliance for the staff team was at 60%, this included non-compliance with some key training courses.” from the report

Inspectors saw limited engagement, people left in set places and meals given without choice or explanation. Meal support was not always compassionate or respectful.

“We observed very few interactions between staff and people that were not task orientated, this included at mealtimes.” from the report

Care plans were not consistently updated and did not properly describe preferences, interests or independence goals. People were at risk of boredom because there were few activities or meaningful interactions.

“People did not have a fulfilling and meaningful everyday life.” from the report

The home had damaged walls and furniture, water damage in a bathroom and bland communal areas. Audits were incomplete, and frequent management changes had affected oversight.

“There was not clear leadership and oversight of the service to ensure high quality safe care was consistently provided.” from the report