Mulberry House

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. This is the first assessment for this service. This key question has been rated requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Although there were systems in place to assess and plan for people's needs, the provider did not always ensure these were effectively reviewed and reflective of people’s current needs. For example, we found shortfalls in meeting people's needs such as those related to emotional distress and risks to other people based on a person’s social communication and interaction. This meant the service did not always ensure people's care and support were effective.

We could not be assured the service always planned and delivered people's care effectively. The provider had not identified that people's care plans were not always consistent or reflective of how to meet their needs. For example, we found conflicting information in people’s care plans about how staff should communicate with them to support them to manage risks. However, we found the provider had good systems to support people with their daily living skills to promote independence, and people's nutritional needs were met.

The service 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. The provider liaised with external professionals and people’s relatives and had a track record of successfully supporting people from this respite service to their other longer term residential care homes. A relative told us, “I have been involved with care planning as soon as it was agreed that my [relative] was going to receive respite from Mulbury House, and I have continued to review them whenever anything changes”.

The service supported people to manage their health and wellbeing to promote their independence, choice and control. The service supported people to live healthier lives. People were able to take part in activities in line with their preferences and were supported with their health and wellbeing by being able to access activities such as trampolining, bowling and visiting the cinema.

The service did not always effectively monitor people’s care and treatment to continuously improve it. We identified concerns in ensuring safe staffing levels, medicines safety, managing risks, and learning from incidents and accidents. The provider had not independently identified these concerns before our assessment. This increased the risk of people not experiencing positive and consistent outcomes.

People's capacity to make decisions related to their care and treatment had been considered, and authorisation had been sought to deprive people of their liberty where required.