Source · CQC inspection
Leopold Muller Home
Type Social Care Org
Region South West
Last inspected 9 Aug 2022
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Inadequate
Well-led
Inadequate
Earlier inspection findings
Must-do actions (10)
Must-do action 1 of 10
Must do
Safe
Systems in place to safeguard people were not effectively being used so placed them at risk of potential abuse and restrictive practices. This was a breach of regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 2 of 10
Must do
Safe
Systems were not effective to assess, monitor and mitigate risks to the health, safety and welfare of people using the service This placed people at risk of harm. This was a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 3 of 10
Must do
Safe
Systems were not in place to ensure sufficient numbers of suitably qualified, competent, skilled and experienced staff were working at the home. This placed people at risk of harm and poor care. This was a breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 4 of 10
Must do
Safe
Systems were not effective to always safely manage people's medicine. This placed people at risk of harm or inconsistent medicine administration. This was a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 5 of 10
Must do
Safe
Systems were not effective to ensure people were protected from infections spreading through cross contamination. This placed people at risk of harm. This was a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 6 of 10
Must do
Effective
Systems were not in place to ensure sufficient numbers of suitably qualified, competent, skilled and experienced staff were working at the home. This placed people at risk of harm and poor care. This was a breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 7 of 10
Must do
Effective
Care and treatment of service users was not always providing consent or following current legislation. This is a breach of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 8 of 10
Must do
Caring
Care and treatment of service users were not always treated with dignity and respect that considered their protected characteristics. This is a breach of Regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 9 of 10
Must do
Responsive
The provider had failed to ensure care and treatment of people was person-centred based on the needs and wishes of them. This is a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 10 of 10
Must do
Well-led
Systems had not been established or were not working to assess, monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at risk of harm. This was a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Should-do actions (1)
Should-do action 1 of 1
Should do
Safe
We recommend the provider considers current guidance on safe recruitment in health and social care and take action to update their practice accordingly.