- Care home
Mulberry House
Assessment report published 19 September 2025
Contents
Ratings
Our view of the service
Date of assessment 30 April 2025 to 30 May 2025. Mulberry House is a care home. This is a specialist service that is used by autistic people or people with a learning disability. There were 8 people living at the service at the time of our assessment.
We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
The provider demonstrated a reactive safety culture, failing to act on fire risk assessments and not having a proactive plan to address safety concerns, which increased the risk of harm to individuals.
Care plans were often outdated and failed to reflect the current needs of individuals, leading to insufficient management of health risks and inadequate support for those requiring mobility assistance.
Governance systems failed to identify the concerns found during this inspection. The provider had not learned lessons from previous inspection to drive improvement in the service.
The provider was previously in breach of the legal regulations in relation to governance, and person-centred care. At this inspection, the provider remained in breach of these regulations. The provider was also in breach of the legal regulations in relation to safe care and treatment.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
People's experience of this service
People did not always receive regular support to be part of their community. Relatives told us activities and outings in the community were limited. One relative said, “[Person] could do with more (activities), an improvement they could do.” Another said, (in answer to if there is enough activities) “No, goes to a club on Mondays and that’s about it, its hit and miss sometimes”.
People’s needs and preferences were not always fully assessed and met. People were not aware of their care plans and relatives told us they recalled seeing them but not in a significant amount of time. However, people were supported to maintain relationships with their families. People and relatives told us staff treated them kindly, they knew who the manager was, they told us they found them friendly and approachable. People told us they could give feedback and any concerns they had would be addressed by the manager.
Whilst the people and relatives we spoke to expressed that they were generally happy with the service, our assessment found care did not meet the expected standards.