We rated Mayfield House as good because:

• The environment at Mayfield House was welcoming and homely. It was clean and well-presented and there was evidence that cleaning was undertaken regularly. Though there were ligature points identified around the unit there was justification for these and they had been mitigated with assessments and working practice. Staffing levels were in line with organisational policy and use of bank and agency staff was rare.
• Staff were aware of what assessments needed to be undertaken upon admission and during the patients stay at the unit. These were clear and easily accessible. Care plans were personalised and recovery focussed and staff understood the guidance that underpinned the delivery of care.
• We observed staff and patient interactions and staff appeared to have good knowledge of the patient group. They were able to engage them and discuss their care. They also had knowledge of the individuals and could speak about their likes and dislikes and the best way to engage patients. Patients spoke highly of the staff and organisation.
• The unit had several rooms in which staff could deliver sessions. These included a lounge area and a fully fitted kitchen. Though patients were encouraged to undertake visits from friends and relatives in a community setting, there were rooms available for visits if required. Key performance indicators were being used to monitor quality and the unit was above organisational targets.
• All staff had undergone an annual appraisal and there was regular supervision available. Staff had undertaken specialist training to enable them to take bloods and administer medication. Managers were visible in the unit and staff recognised the senior management for the organisation.

We rated Mayfield House as good because:

• Mayfield House provided a clean and well maintained environment. Staff had considered potential risks relating to this type of service and had plans in place to mitigate this. Staff completed risk assessments and updated these regularly to ensure patients safety.
• Staff completed care plans with the patients and they reflected the patient’s views in detail. Staff encouraged positive risk taking for patients so that they could be fully prepared for discharge in to the community.
• Patients spoke highly of the care and support they received from staff. Staff demonstrated a good understanding of patient’s individual needs and tailored the service provided to meet this. Patients said they could talk to staff at any time and would feel listened to.
• Mayfield House provided a range of rooms to meet the needs of the patients. Patients had their own rooms, which were large and comfortable. Patients had their own mobile phones and could make calls when they wanted. Disabled access was available with a downstairs bedroom and bathroom for patients who required this.
• Staff felt well supported by managers who were a visible presence in the unit on a daily basis. They had received a high level of training and supervision and felt well equipped to do their jobs. This meant staff displayed high levels of job satisfaction, which was reflected in their positive relationships with patients.