# Mulholland Care Limited

*Operated by Mulholland Care Ltd.*

Mulholland Care Limited is a CQC-regulated home-care agency in Bideford.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 31/01/2018

## Practical info

- Postcode: EX39 3BT
- Registered manager: Turner, Koren
- Local authority: Devon
- Region: South West
- City: Bideford
- Last CQC check: 31/Jan/2018 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in care decisions
  - Published: 2021-01-26
- Finding
  - Kindness, dignity and respect
  - Published: 2021-01-26

### effective

- Finding
  - Nutrition and hydration support
  - Published: 2021-01-26
- Finding
  - Mental Capacity Act compliance
  - Published: 2021-01-26
- Finding
  - Supervision and appraisal
  - Published: 2021-01-26
- Finding
  - Staff training and induction
  - Published: 2021-01-26

### Other

- Finding
  - Evidence: People received rotas in advance and were contacted if care workers were more than 20 minutes late
  - Published: 2021-10-30
- Finding
  - Evidence: Contingency arrangements in place for emergencies including poor weather and flooding
  - Published: 2021-10-30
- Finding
  - Evidence: Strong partnership working with external organisations including fire service, ambulance service and local authority quality teams
  - Published: 2021-10-30
- Finding
  - Evidence: Effective audit systems implemented covering medicines, care plans, staff files and complaints
  - Published: 2021-10-30
- Finding
  - Evidence: Management restructure resulted in clear roles and responsibilities across the team
  - Published: 2021-10-30
- Finding
  - Evidence: Staff well trained with induction, Care Certificate, regular competency and spot checks
  - Published: 2021-10-30
- Finding
  - Evidence: Safe recruitment practices in place with comprehensive checks before staff were employed
  - Published: 2021-10-30
- Finding
  - Evidence: People felt safe and spoke positively about care workers, with meaningful relationships developed between staff, people and relatives
  - Published: 2021-10-30
- **complaints_handling** _(minor)_
  - Evidence: The service had a complaints policy and procedure. This did not include the up to date contact details for all the alternative organisations to contact.
  - Published: 2021-10-30
- **supervision_appraisal** _(minor)_
  - Evidence: the registered manager was aware these were behind schedule... 'I think I have only ever had one appraisal in four years'
  - Published: 2021-10-30
- **consent_capacity** _(minor)_
  - Evidence: Whilst staff were aware which people did not have capacity to make specific decisions for themselves, mental capacity assessments were not recorded
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: this information was not always kept together which made it difficult to follow... made it difficult for staff to follow the care plan to seek guidance to ensure consistency in care
  - Published: 2021-10-30
- **infection_control** _(minor)_
  - Evidence: we saw two staff who had very long pointed false nails and a selection of varied rings on their fingers... both an infection control concern and an unnecessary risk of skin damage
  - Published: 2021-10-30
- **medication_management** _(moderate)_
  - Evidence: 10 medicine errors had been made in the last 12 months... the system in use was not safe or robust, particularly for people with a dementia related illness
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: not all of these had been recorded in people's care plans and we identified these needed improvement
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints handling
  - Published: 2021-01-26
- Finding
  - Person-centred care planning
  - Published: 2021-01-26

### safe

- Finding
  - Medicines management
  - Published: 2021-01-26
- Finding
  - Recruitment practices
  - Published: 2021-01-26
- Finding
  - Staffing levels and deployment
  - Published: 2021-01-26

### well_led

- Finding
  - Vision and values
  - Published: 2021-01-26
- Finding
  - Staff culture and communication
  - Published: 2021-01-26
- Finding
  - Record keeping governance
  - Published: 2021-01-26
- Finding
  - Quality assurance and audit systems
  - Published: 2021-01-26

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-464439092

HomeCare Compass is an independent guide and is not affiliated with the CQC.
