Background to this inspection
Updated
15 March 2022
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 13 April 2021 and was announced.
Updated
15 March 2022
The inspection was unannounced, and took place on 8 January 2019. The home was last inspected in May 2018 where breaches of regulation were identified in relation to; governance; consent; dignity; safety; meeting nutritional needs; and the standard of care provided. The overall rating following that inspection was “Inadequate.” We commenced enforcement action against the provider, and also placed the service into Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.
Mulberry Manor 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 home is located in the centre of Swinton South Yorkshire. It is in its own grounds in a quiet, residential area, but close to many amenities and public transport links. The home accommodates up to 49 older people with support needs associated with ageing including dementia. At the time of the inspection 28 people were using the service.
The home comprises two discrete units, with one unit being predominantly used by people living with dementia. There are lounges and dining rooms within each unit, and additionally the home has other lounges, a tea room area and outdoor seating.
The service had registered manager. 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 and associated Regulations about how the service is run.
People received care which was tailored to their needs, and staff were warm and friendly in their approach to people.
We found that, since the last inspection, the provider had recruited a new management team who had made considerable improvements to the home, addressing the findings of the last inspection and improving the way the service was managed.
The provider acted appropriately when incidents of suspected abuse or harm occurred, and staff had received training in relation to this.
People’s medicines were safely managed, and the risk of infection was controlled within the home.
People’s rights were upheld in relation to consent, and the provider was complying with the Mental Capacity Act. People’s nutrition and hydration needs were met and people gave us positive feedback about the meals at the home.
Staff received appraisal but the supervision system required embedding.
People’s needs and preference had been taken into account to ensure that care was tailored to each person.
Complaints were well managed at the home, and people told us they would be comfortable making complaints if they needed to.
There was a comprehensive audit programme which had improved the service considerably, however, we need to see that this programme is embedded into the service.