Mulbury Care Services Limited was rated Good overall at its first inspection, with people receiving safe, effective, caring and responsive support from a small consistent team. Well-led was rated Requires Improvement because governance systems, supervision records, medicines competency assessments and care plan updates needed to be formalised.
Concerns (5)
moderate
Governance
: “Some systems were in place to monitor the service provided but these needed to be formalised and implemented.”
moderateSupervision / appraisal: “Although observations and spot checks of the staff performance had been undertaken records to support this, and of supervisions had not been completed.”
minorCare planning: “There had been some changes to the support provided to the person, but the care plan had not been updated to reflect this.”
minorStaff competency: “staff had not had a competency assessment completed following this training to ensure they administered medicines safely.”
minorRecord keeping: “they have learnt lessons to ensure formal records were completed to demonstrate how they maintained oversight of the service.”
Strengths
· Staff trained in safeguarding and understood how to protect people from abuse
· People received their medicines as prescribed by trained staff
· Consistent and reliable service from staff described as kind, friendly and caring
· Care plans reflected individual needs and protected characteristics under the Equality Act 2010
· Staff sought consent and had completed MCA training
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candourRequires improvement
well-led: Engaging and involving people using the service, the public and staffRequires improvement
well-led: Working in partnership with othersRequires improvement