We carried out a review of the data available to us about Mulier Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Mulier Care, you can give feedback on this service.
Mulier Care is a domiciliary care agency. It provides personal care to people living in their own houses or flats. It provides a service to older adults and younger disabled adults. At the time of this inspection one person was using the service.
People’s experience of using this service
Relatives told us people were safe, and the care and support met their loved one’s needs. They had regular staff who understood their care needs and worked as a team to support and to deliver an effective service. People were protected from the risk of avoidable harm and were supported to safely receive their medicines. Enough staff were deployed to support people's needs and the service followed safe recruitment practices. Staff followed appropriate infection control practices to prevent the spread of diseases.
People’s needs were assessed to ensure these would be met. Staff were supported through an induction, training and supervision to ensure they had the knowledge and skills to perform their role. People were supported to maintain a healthy weight and to access healthcare services. The service worked in partnership with health and social care professionals to plan and deliver an effective service. People were 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 were supported by staff who were kind, caring and respected their privacy and dignity. Staff understood people’s health conditions, cultural backgrounds and diverse needs and supported them in a caring way. People and their relatives were involved in making decisions about their care and support needs and knew how to make a complaint if they were unhappy; however, they had not needed to complain about anything at the time of our inspection. There were systems in place to assess and monitor the quality and safety of the service and records were accurate, complete and up-to-date. Feedback from people and staff was used to improve the quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was requires improvement (published 25 October 2018).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
This is the first inspection of the service since registering with CQC on 25 October 2016.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
At this inspection we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. There were breaches of legal requirement in relation to fit and proper persons employed and good governance. We found that the provider did not have safe recruitment practices in place and had not acquired references for staff before employing them. The systems used in assessing and monitoring the quality of the service were not effective in identifying issues and driving improvement and records were not always complete and presented promptly when required. Medicines were not always managed safely; medicines administrations were not always recorded and staff medicines competencies had not been assessed, although they had completed training.
You can see what action we told the provider to take at the back of the full version of the report.
People were protected from avoidable harm as risks to people had been identified, assessed and had appropriate management plans in place. People and their relative’s views were sought to develop and improve on the service. The provider had safeguarding policies and procedures in place and staff knew how to protect people in their care from abuse. Appropriate numbers of staff were deployed to support people’s needs. Staff followed safe infection control practices to prevent the spread of diseases. The provider had an accident and incident policy and procedure in place and staff knew of the importance of reporting and recording accidents and incidents.
Before people started using the service the provider carried out an assessment of their needs to ensure they would be met. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Peoples were supported to maintain good health and their nutritional needs were met. Where required people were supported to have access to healthcare services including attending GP and hospital appointments. The provider worked in partnership with key organisations to deliver joined-up care and support. Staff were supported through induction, training and supervision to ensure they had the knowledge and skills required to perform their role effectively.
People were supported by staff that were caring and kind to them. People and their relatives had been consulted about the care and support in place and their views were taken into consideration when planning the care. People’s privacy and dignity was respected and their independence promoted. People’s communication needs had been assessed and were supported with various technology to live their lives as independently as possible.
People received support from staff that met their needs and each person had a care plan in place which provided staff with guidance on how their needs should be met. Staff understood people’s diversity and supported them in a caring way. People were supported to access activities that interest them. The provider had a complaint policy in place and relatives knew how to make a complaint; however, they did not have anything to complain about at the time of this inspection. Where required people were supported with end of life care needs.
The registered manager understood their responsibility to notify CQC of significant events that occurred at the service. Staff knew of the provider’s values and adhered to them when undertaking their duties. All staff said they were happy working at the service because they felt supported in their role.