This comprehensive inspection took place on 13 November 2018 and was unannounced. The last inspection of the service was on 18 April 2016 when we rated it good for each of the five questions we ask.
Dimensions The Mulberries is a ‘care home’. People in care homes receive accommodation and nursing or 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. The service provides care and accommodation for seven people with complex needs, including physical and learning disabilities. When we inspected, four men and three women were using the service.
The service was a purpose built building with seven single rooms and shared communal areas, bathrooms and toilets. There was an enclosed garden area where people could spend time safely.
The service had a registered manager who was on maternity leave at the time of this inspection. 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. The provider had informed CQC of the registered manager’s maternity leave and the arrangements they had put in place to manage the service in their absence. The acting manager told us they had received their Disclosure and Barring Service check through the Care Quality Commission and planned to apply to register as the manager of the service.
The provider had systems in place to protect people from abuse. They assessed possible risks to people and acted to mitigate any risks they identified.
There were enough staff to meet people’s care needs and the provider carried out checks on new staff to make sure they were suitable to work in the service.
People received the medicines they needed safely and as prescribed.
The provider had a policy and procedures for staff on the prevention and control of infections.
The provider kept a record of accidents and incidents that affected people using the service and acted to make sure accidents did not reoccur.
The provider and staff in the service delivered support to people in line with best practice guidance and current legislation.
Support staff working in the service completed training the provider considered mandatory.
Staff knew people’s food preferences and prepared meals accordingly. Where people needed a special diet, for example pureed food, staff worked with the dietician and speech and language therapist to provide this. Our Short Observational Framework for Inspection (SOFI) observation showed people had a positive experience at lunchtime.
Dimensions The Mulberries is a purpose-built, single-storey home that is fully accessible to people who use a wheelchair.
The acting manager was aware of their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
The service’s end of life care policy was reviewed by the provider in May 2017.
Staff treated people with kindness, compassion and respect.
Staff knew people’s care and support needs well and had developed trusting relationships with people, their families, friends and other carers.
People’s individual expressions of choice were respected and their privacy and dignity were promoted.
People and their families or representatives were involved in developing and reviewing people’s care plans.
The service worked with people and their families to establish and promote how people expressed their preferences and choices.
Staff supported people to access a variety of activities at home and in the community.
The provider encouraged people’s relatives to raise concerns and responded to these appropriately.
Staff and the relatives of people using the service told us they felt the service was well managed and the provider listened and responded when they expressed their views or suggested improvements. Staff also told us they felt well supported by managers in the home and the provider.
The provider had systems in place to monitor quality in the service and make improvements.
The service engaged and involved people, their families, the public and staff in reviewing the care and support people received.