Dimensions The Mulberries

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

People's needs were assessed and planned for. The provider found ways to offer people choices and to understand these. Where people did not have the mental capacity to make decisions, the provider had assessed this, worked with people's representatives to make decisions in their best interests and obtained authorisations for any restrictions. We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

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.

Relatives told us they were involved in assessing and reviewing people's needs.

Staff told us they met with people before they moved to the service and spent time with them to get to know them and assess their needs.

The registered manager and staff recorded people's assessed needs in care plans. These were personalised. People, their families, and relevant professionals were consulted during assessments. Care plans were regularly reviewed and updated.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). People's relatives told us they were involved in making decisions in people's best interests.

Staff understood how people communicated. They tried to provide as much choice as possible and took note of people's decisions. They explained about the care they were providing so people understood this. Staff undertook training about the MCA.

The provider had followed the MCA. They had assessed people's capacity and applied for DoLS when needed. The provider monitored when DoLS needed renewing and made sure conditions with these were monitored and met.