Leopold Muller Home

Social Care Org · South West

Overall Rating
Inadequate Last inspected 9 August 2022
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Inadequate
Well-led
Inadequate

View Full CQC Report

10 must-do actions
1 should-do action

Must-Do Actions (10)

Legal requirements based on regulation breaches identified during inspection.

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.
regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Systems in place to safeguard people were not effectively being used so placed them at risk of potential abuse and restrictive practices.
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.
regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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.
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.
regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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.
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.
regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Systems were not effective to always safely manage people's medicine. This placed people at risk of harm or inconsistent medicine administration.
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.
regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Systems were not effective to ensure people were protected from infections spreading through cross contamination. This placed people at risk of harm.
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.
regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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.
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.
Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Care and treatment of service users was not always providing consent or following current legislation.
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.
Regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Care and treatment of service users were not always treated with dignity and respect that considered their protected characteristics.
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.
Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The provider had failed to ensure care and treatment of people was person-centred based on the needs and wishes of them.
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.
regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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.

Should-Do Actions (1)

Recommended improvements to enhance service quality.

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.
Location Details
CQC ID: 1-10717525565
Local Authority: Bath and North East Somerset
Region: South West
Inspection Report
Type: Comprehensive inspection
Date: 9 August 2022
Rating: Inadequate
Actions: 10 must-do , 1 should-do
AI-extracted 17 Feb 2026