Archived: Mulberry Manor Care Home

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with the staff supporting them and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

We found that the provider had arrangements in place to care for people safely. The provider utilised advice and guidance from external healthcare professionals to ensure people's care was delivered safely.

Is the service effective?

People received care in accordance with their care plans, and the provider had arrangements in place for monitoring their progress and wellbeing.

Is the service caring?

We observed staff engaging with people in a warm, caring manner.

Is the service responsive?

Risks were assessed and managed, and where people's needs changed, the provider made appropriate changes to the way they were cared for.

Is the service well-led?

The provider had arrangements in place for auditing the service people received, and for gaining feedback from people using the service and their relatives.

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with the staff supporting them and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

We observed that, at times, people were cared for in a way that put them at risk of harm, as staff did not follow appropriate procedures.

Is the service effective?

People did not always receive care in the way that they had been assessed as needing.

Is the service caring?

At times, interaction between staff and people using the service was not good. We observed that staff didn't always speak with people, or conversation was not meaningful.

Is the service responsive?

Where areas for improvement were identified, this was not always acted upon. The provider's own action plan for improvement had not been adhered to.

Is the service well-led?

Quality assurance systems were not sufficiently embedded to be effective. We identified that systems in place for communicating vital information relating to the provision of regulated activities within the home had not been effective

Below is a summary of what we found. The summary is based on our observations during the inspection and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Appropriate staff checks had been undertaken. Each staff member had been subject to reference checks and identity checks. Disclosure and Barring Service (DBS) had been carried out for each staff member.

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with the staff supporting them and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

We identified concerns in relation to care tasks not being carried out in accordance with people's care plans, and risks not being appropriately assessed.

We found that the provider had appropriate arrangements in place for managing people's medication.

We found that the arrangements for ensuring that the premises were cleaned to an appropriate standard could be improved, and we also had serious concerns in relation to the recruitment arrangements in place.

We have asked the provider to tell us how they will make improvements and meet the requirements of law in relation to people's care and welfare. We have told the provider they must make improvements in relation to recruitment and the background checks carried out to ensure staff's suitability to work with vulnerable adults.

Is the service effective?

We identified that people did not always receive the care they were assessed as needing. We have asked the provider to tell us how they will make improvements and meet the requirements of law in relation to people's care and welfare

Is the service caring?

Our observations showed that staff were caring and respectful towards people, however, people did not always receive the care they were assessed as requiring. We have asked the provider to tell us how they will make improvements and meet the requirements of law in relation to people's care and welfare

Is the service responsive?

Our checks showed that the provider had carried out assessments of people's needs, but these had not always been correctly completed. There were arrangements in place for making complaints, however, the complaints details contained incorrect information. We have asked the provider to tell us how they will make improvements and meet the requirements of law in relation to people's care and welfare

Is the service well-led?

We found that the provider did not have an effective system to regularly assess and monitor the quality of service that people receive. We identified a number of concerns throughout the inspection that had not been identified and addressed via audit and monitoring systems. The provider had failed to notify CQC of a change to their statement of purpose, as required by regulation. We have asked the provider to tell us how they will make improvements and meet the requirements of law in relation to assessing and monitoring the quality of service provision.