CQC Inspection carried out on 21 June 2016

During a routine inspection

The inspection took place on 21, 22, 23 June 2016 and was announced. This was to make sure that the registered managers, staff and people who used the service would be available to speak with us as part of our inspection. When we last inspected the service in October 2013 the service was found to have met the essential standards we looked at.

Mayfield Homecare Services Limited is registered to carry out the regulated activity of personal care. The agency's office is located in the centre of Warrington. The service provides personal care to people living in their own homes in Warrington and the surrounding area. The service currently provides personal care to 98 people.

There were two registered managers in place who shared the overall management role. 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 told us that they felt happy, safe and well cared for by the service. They told us they trusted the staff, who were kind and reliable. Staff told us and records showed that staff received training in how to safeguard people from abuse and report any concerns they may have.

Staff were aware of the procedures to follow to ensure that medicines were managed safely. Risks to people and the environment were regularly assessed in order to protect people from avoidable harm.

We found that there were robust recruitment checks to ensure people were suitable to work in the health and social care environment and records showed that the staff turnover was low. This assisted the service to provide consistency and continuity of care.

The service ensured that there were enough staff available to cover for emergencies, absences or other leave in order to ensure that there were no missed calls.

Staff demonstrated an understanding of how they would obtain consent to care. They had an awareness of how the Mental Capacity Act 2005 and Deprivation of Liberty Standards applied in practice.

The registered managers and staff had developed caring relationships with the people they supported and clearly knew them and their needs and choices very well. People who used the service and their family, where appropriate, were involved in the planning and reviews of the care and support provided. The confidentiality of information held about people's medical and personal histories was maintained.

Support was provided in a way that promoted people's dignity and respected their privacy. People received care that met their needs and took account of their preferences.

People felt that the registered managers and staff listened to them and responded to any concerns in a positive way. People knew how to complain should the need arise.

All the comments received about the service were most positive and complimentary about the way the service was operated and the reliability and professionalism of the staff.