Working at Mulberry House

Not enough staff at times, like lone working when its risky for staff and residents, and agency staff without proper induction or supervision.

staff schedules showed female staff had lone worked with a person when the service had assessed they and the person would be at risk from this. The service used regular agency staff, but the provider had not operated a system to ensure they received regular supervision or a documented induction.

Safeguarding concerns missed and not reported, medication errors not spotted, and unsafe medicine storage.

Safeguarding concerns were not always identified and reported... Medicines were not always managed safely. The provider had not independently identified all staff medicines administration errors.

Leaders did not spot or fix big issues like risks, staffing problems, and poor incident reporting before the inspection.

Leaders had not independently identified and taken action in relation to these concerns prior to our assessment.