About the service
Mulberry House is a residential care home providing personal care to 8 people at the time of the inspection. The service can support up to a maximum of 8 people.
People’s experience of using this service and what we found
People did not always receive safe care and support, and the environment was not always safe or clean. People’s needs and preferences were not always met.
Risk assessments were not always in place to assess known risks.
People were not always supported to pursue their hobbies and interests. We did not see evidence that people were engaged with regular in activities of their choice
Staffing levels within the service were safe, and medicines were managed safely
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff supported people to access health and social care services.
People did not always receive care that was person-centred, and people’s goals and activities were not always well documented. Staff were not always proactive in engaging with people in activity.
Staff understood safeguarding procedures. Staff had training on how to recognise and report abuse and they knew how to apply it.
People's care plans reflected their needs and wishes and promoted their wellbeing.
The ethos and values within the service did not always promote good standards for people.
Systems and processes were not effective in picking up and responding to any problems within the service.
There was a poor morale within the staff team who told us that issues were not addressed, and communication was not good.
People and those important to them, including social care professionals, were involved in planning their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update.
The last rating for this service was requires improvement (published 27 June 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found the provider remained in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mulberry House on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, person centred care, and good governance.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.