• Care Home
  • Care home

Archived: Mulberry House

Overall: Good read more about inspection ratings

98 Tower Road North, Warmley, Bristol, BS30 8XN (0117) 961 4657

Provided and run by:
Milestones Trust

Important: This service is now registered at a different address - see new profile

All Inspections

5 August 2015

During a routine inspection

Mulberry House provides accommodation and personal care for six people. People who live at the home have a learning disability. There were four men living at Mulberry House at the time of the visit. This was an unannounced inspection, which meant the staff and provider did not know we would be visiting.

There was a registered manager in post. 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.

We observed how care was being delivered and saw positive interactions between staff and the people living in Mulberry House. We saw that staff were caring, kind and showed compassion.

People were protected from the risk of abuse because there were clear procedures in place to recognise and respond to abuse. Staff had been trained to follow these procedures. Systems were in place to ensure people were safe, which included risk management and routine checks on the environment. People received their medicines safely. Safe recruitment processes were in place. People were involved in the recruitment of staff.

There was sufficient staff working to support the people living at Mulberry House. Staffing was planned to ensure people were supported both in the home and the community. People participated in regular social activities and went on an annual holiday. These were organised taking into consideration people’s interests and hobbies. Good links had been built with the local community and people were supported to attend church if they wanted to.

People had a care plan that described how they wanted to be supported in an individualised way. These had been kept under review involving the person. Care was effective and responsive to people’s changing needs. Positive strategies were in place to support people when they became upset or angry using diversional techniques. Staff used different forms of communication to enable them to build effective relationships with people.

People had access to health and social care professionals when required. People were supported to make day to day decisions. Where people lacked capacity to make complex decisions these were made in their best interest showing staff had a good understanding of the Mental Capacity Act 2005. The registered manager had submitted applications to the appropriate authorities to ensure people were not deprived of their liberty without authorisation.

Staff were caring and supportive and demonstrated a good understanding of their roles in supporting people. Staff received training and support relevant to their roles. Systems were in place to ensure open communication which included team meetings and daily handovers. A handover is where important information is shared between the staff during shift changeovers. This ensured important information was shared between staff enabling them to provide care that was effective and consistent.

People’s views were sought through care reviews, monthly one to one meetings with their key worker and surveys and these were acted upon. Systems were in place to ensure complaints were responded to.

The service was well led. There was a team that was supported by a registered manager. Staff confirmed they received support and guidance from the management of the service.

People were provided with a safe, effective, caring and responsive service that was well led. The organisation’s values and philosophy were clearly explained to staff and there was a positive culture where people felt included and their views were sought. Systems were in place for monitoring the quality of the service to drive improvements.

24 October 2013

During a routine inspection

Three of the people living at the home mostly communicated non verbally and the fourth person did not wish to speak with us. We saw that staff were friendly and polite to people and always asked before engaging them in any activity or carrying out a care task. Where people did not have capacity to consent the provider acted legally.

People's care needs were assessed and their care was delivered in line with their care plans. Staff knew people and their personalities well and were able to describe what people liked as well as their care needs. The provider ensured people's health care needs were met. People's medicines were managed appropriately.

The premises were safe and well maintained and there was sufficient equipment in the home for people's needs.

Staff were recruited safely and there were sufficient staff on each shift to meet people's social and emotional needs as well as their physical care needs.

The provider operated an effective quality assurance system; problems or shortfalls were identified and actions put in place to remedy these.

19 February 2013

During a routine inspection

People living at the home were treated respectfully and kindly by staff. People were given choice and staff were aware that their preferences might change. People's care records clearly documented their likes and dislikes and guided staff how each person communicated choice.

Care plans were person-centred and in easy read format. They contained appropriate information to guide staff how to meet the people's needs. People had regular health checks and staff understood their medical needs.

The home acted on any concerns for people's safety and well being and staff understood how to protect people from the risk of abuse. Staff received appropriate training and were regularly supervised.

The provider monitored the quality of the service. Where shortfalls were identified action was taken.