• Care Home
  • Care home

Archived: Mayfield Residential Home

99 Nursteed Road, Devizes, Wiltshire, SN10 3DU (01380) 723720

Provided and run by:
Miss S A Cooper

All Inspections

24 November 2011

During an inspection in response to concerns

People did not talk to us about the staff in the home and how they were recruited.

The purpose of this visit was to check staffing records to ensure the home's recruitment processes were thorough and robust. We found that a clear recruitment process was in place yet greater preciseness would enable more detailed information to be gained about prospective staff members.

Despite various assurances, the manager has not submitted an application to become registered with us. As we have not assessed the manager's fitness to perform the role of registered manager, there is a risk that the home will not be appropriately managed.

8 July 2011

During an inspection looking at part of the service

At our last review of this service, we identified a number of shortfalls within the care provided to people. While people's physical care needs appeared to be well met, there was little stimulation to enhance their overall well being. Two people had not given their consent to some practices, which compromised their independence and restricted their rights. One person's dignity was compromised through staff not recognising the need to be discreet with aspects of their personal care. People benefited from their personal possessions around them yet some areas of the home did not promote people's safety and were in need of further refurbishment.

During this site visit, we noted that improvements had been made to all but one of the above areas. Staff had been spoken to about promoting people's dignity and the restrictive practices had been addressed. An ongoing refurbishment programme and a deep clean of the carpets and armchairs had improved the environment. Further work was planned to people's bedrooms. Attention to practices, which compromised good hygiene had been addressed. However, the effective operation of a hot water regulator, secure window restrictors and ensuring the banisters on the landing were at a recommended height, had not been addressed and these issues remained outstanding. Following our visit, information from the manager confirmed that the water regulator had been replaced and the banisters had been heightened. A review of all window restrictors on the first floor was in the process of being undertaken.

People told us they were happy at the home. They said the food was good and they always had a choice. They said the food was fresh and well cooked. People told us that they liked the staff. They said they were available when they wanted them. People looked well groomed with clean clothing, clean finger nails and freshly brushed hair.

3 March and 8 July 2011

During a routine inspection

People told us that they liked living at the home. They said they could make decisions about their daily lives such as when they got up, what and where they ate and where they spent their time. People said they could stay in their room if they wanted to or they could make use of the main lounge. We saw that certain practices restricted two people using the service. One person had a mat near their bedroom door, which activated the call bell system when they stood on it. This informed staff of the person's movements with the intention of keeping the person safe. Staff held another person's cigarettes and they were given out when asked. Whilst these practices were operating with the person's 'best interests' in mind, the deprivation of their liberty had not been formally assessed.

People told us that they were treated with dignity and respect and their privacy was promoted. We saw that staff knocked on people's doors before entering and were generally attentive with people. One incident however, whereby staff did not notice a person's catheter was visible, compromised the individual's dignity.

People told us that they liked the staff and felt they could request help when required. They said the time it took staff to respond to their call bell varied depending on the time of day and what they were doing. People said they were happy with the care they received. We saw that people were well groomed with clean hair, finger nails and clothing.

People told us that they liked their bedrooms. They had their own furniture and personal belongings around them. Whilst people's comments about the environment were positive, some aspects did not promote the control of infection. People told us they had the equipment they required to meet their needs.

Some people told us that they liked to read, watch television or listen to the radio. We saw that some people had little stimulation and spent time between drinks and meals, asleep. We were told that this was because the home did not have an activities organiser despite ongoing advertising of the post.

Overall, people told us that they liked the food. There was a choice of food at each meal time. People could also request individual preferences in addition to the main menu. This meant that a more individualised approach to food was in place.