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Inspection Summary


Overall summary & rating

Good

Updated 6 April 2018

The inspection took place on 30 and 31 January 2018 and was unannounced on the first day. This was a comprehensive inspection, carried out by one inspector.

Mulberry Care Limited is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It provides personal care support for up to 35 people living with dementia within an adapted building consisting of two ‘wings’. There were 32 people receiving support at the time of this inspection.

At the last inspection on 29 and 30 November 2016 the service was rated as good. (The domain of well-led was rated as requires improvement. Improvements have been made and all domains are now rated as good.) At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service was now well led and the manager had effective systems to monitor its performance and effectiveness. The service worked effectively and positively with external agencies in meeting people’s needs. Staff felt involved, consulted and well supported by management.

People and relatives were happy with the care and support people received from the service and its staff. People felt safe and well cared for. They were safeguarded because the service had a robust recruitment procedure to help ensure staff employed had appropriate skills and staff were provided with the necessary training and support. Risks were assessed and action was taken to reduce them. People’s medicines were safely managed on their behalf. Safety checks and regular servicing helped ensure the environment and equipment were safe. Additional staffing had been provided to help ensure people’s needs were met in a timely way. Staff understood the signs of potential abuse and knew their responsibility to report any concerns about people’s wellbeing.

People continued to be supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People had positive relationships with staff and staff were alert to their needs and any changes in wellbeing.

People received good healthcare support through effective consultation with external healthcare specialists and were provided with an appropriate diet and sufficient fluids. The service positively promoted dietary and fluid intake.

Some work had been done to make the environment suitable for people living with dementia, there remained potential for further development.

People’s diverse needs and individual preferences were well catered for and where necessary, external support had been sought to meet them. eople felt staff were caring and treated them with kindness. They said staff respected their dignity and privacy. People were encouraged to do what they could for themselves and involved in day-to-day decisions making. Staff were familiar with how people communicated their needs and showed patience when responding to them.

People and relatives were happy the service was responsive to people’s changing needs. They felt a good range of activities and entertainment were provided. People and relatives knew how to complain if they had any concerns. Any issues raised had been resolved. The service complied with the accessible information standard and provided various documents in accessible formats.

Inspection areas

Safe

Good

Updated 6 April 2018

The service remains Good

Effective

Good

Updated 6 April 2018

The service remains Good

Caring

Good

Updated 6 April 2018

The service remains Good

Responsive

Good

Updated 6 April 2018

The service remains Good

Well-led

Good

Updated 6 April 2018

The service was now rated Good.

The registered manager had improved the effectiveness of systems to monitor the performance and effectiveness of the service.

The registered manager had taken a more proactive approach to addressing issues within the service.

Management had made good use of the support available from external agencies which had resulted in some new initiatives.

Staff felt involved, consulted and well supported by management.