Mulholland Care Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed using a person‑centred approach. Assessments were completed before care packages began and reviewed regularly, or sooner if needs changed.

Assessments were detailed, current and reflective of each person’s history, strengths and areas where support was required. People and their relatives confirmed they were involved in the assessment process and felt listened to. People told us, “I’ve seen the care plan, it’s spot on. As things change, they do regular reviews and it’s updated” and “I was involved, they review it every so often. Someone comes here and we go through it all.”

Care plans were developed using a wide range of information, including people’s health histories and input from health and social care professionals where appropriate. Records clearly described what mattered to people, including their likes, wishes and preferences, as well as important information about their backgrounds and significant relationships. This supported staff to deliver personalised and meaningful care.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care plans were clear and included defined aims, relevant risk information and structured guidance for staff on how to provide day-to-day support. For example, for a person identified as being at risk of falls, the risk assessment contained detailed information about the person’s mobility, the equipment required and the actions staff should take to reduce and mitigate the risk.

People and relatives described staff as reliable and knowledgeable about their needs. Staff told us they had access to up‑to‑date care plans and information that enabled them to provide safe and consistent support. Regular reviews of care plans ensured care remained current and responsive to any changes.

Overall, people experienced personalised home‑care support that reflected their choices and aligned with good practice.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and their relatives told us staff worked well together as a team. When issues arose requiring input from other health professionals, staff supported people to make contact and worked closely with relatives to ensure the person received the support they needed. We also saw evidence of the registered manager corresponding with health professionals, including community nurses and safeguarding teams, to ensure people received appropriate and timely care. This collaborative approach helped ensure people’s needs were met and they remained safe and well.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Individual assessments and care plans clearly identified people’s physical health, mental health and lifestyle needs, with guidance for staff on how to support healthier choices and manage potential risks. People were supported to attend routine and specialist healthcare appointments, including GP visits, mental health services, dentistry, opticians and hospital appointments, ensuring timely access to treatment and monitoring of conditions.

Staff supported people to live healthier lives and, wherever possible, helped them to reduce their future need for care and support. They encouraged people to remain in their own homes by promoting independence and enabling people to maintain, and where appropriate, increase their daily living skills. This included people being supported to complete daily exercises set by medical practitioners, to improve and sustain their physical health.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

There were effective systems in place to monitor outcomes and ensure people experienced ongoing improvements in their health, wellbeing and independence. The management team regularly reviewed people’s care plans, risk assessments and daily notes to identify any patterns or changes which might indicate a developing need.

The feedback we received from people and their relatives was consistently positive. Relatives told us staff supported their family members to achieve good outcomes, including ensuring they had access to appropriate health professionals when needed. This helped people receive timely advice and contributed to their overall well-being

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff and leaders were aware of the principles of the Mental Capacity Act (MCA) 2005, and they knew what action to take if they saw a decline in a person’s ability to consent. People told us staff sought consent before providing care. Their comments included, “[Staff] discuss with me what they are going to do before providing any care” and “They do what I want them to do.”

Staff we spoke with demonstrated a good understanding of people’s rights and how to respond if a person refused care. This helped ensure people’s choices were respected while also promoting their safety and well-being. One staff member told us; “It's important to ensure people consent to their care because it respects their autonomy, builds trust and ensures that they're fully informed and comfortable with the decisions being made about their health and care.”

Care records included information about people’s Do Not Attempt Resuscitation (DNAR) status and lasting power of attorney.