Background to this inspection
Updated
3 July 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 10 February 2015 and was unannounced.
The inspection team consisted of two inspectors and one Expert-by-Experience. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Prior to our inspection, we reviewed the information we held about the service, which included notifications. Notifications are changes, events or incidents that the registered provider must inform CQC about. We contacted the local authority’s contract monitoring team and asked them for their views about the service.
We spoke with 10 people using the service and two relatives regarding their experience of the service provided. We also spoke with the registered manager, manager and deputy manager and two support staff.
We looked at four people’s care records and medicines administration records. We looked at staff recruitment, staff rosters and training records. We looked at records in relation to the maintenance of the environment and equipment, complaints and the quality monitoring and assurance
Updated
3 July 2015
This inspection took place on 10 February 2015 and was unannounced.
Mulberry Court Residential Home is a care home without nursing for up to 14 younger adults with mental health needs. The service is located in the Littleover area of Derby which has amenities and good transport links. At the time of our inspection there were 14 people in residence.
At our previous inspection in July 2013, the service was meeting the regulations that we checked.
A registered manager was 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.
People who used the service told us they felt safe. Discussions with staff demonstrated that they understood how to look after people safely.
Staff felt there were sufficient available at the service. Some people felt that the staffing levels were not always adequate. The current staffing levels at the service were the same as when the service was not at full occupancy, the provider had not reviewed the staffing levels. Recruitment procedures ensured suitable staff were employed.
People received their medication as prescribed and their medication was stored safely.
Staff told us that they received training and regular updates which related to their roles
People were protected under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff understood their role in supporting people to maintain control and make decisions which affected their daily lives.
Most people were positive about the staff and felt they were caring. People’s privacy and dignity was respected.
People had access to health care support to meet their individual needs.
People were supported to ensure links with community facilities were maintained that helped people who were preparing for independent living. Some people felt there was not enough for them to do within the service.
People were confident to raise any issues, concerns or to make complaints. The provider did not have a system to record complaints, to ensure that they were appropriately addressed.
Staff told us that they received supervision and support from the management team. They felt the manager was approachable and listened to concerns. Systems were in place to obtain feedback from people using the service. However some people felt that suggestions made by them were not always followed up.