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Inspection Summary


Overall summary & rating

Good

Updated 21 November 2019

About the service

St Martins is a residential care home providing personal care and support to up to 30 people in one large extended detached building. At the time of the inspection, there were 24 older people living at St Martins, some of whom were living with dementia.

People’s experience of using this service and what we found

People told us, and our observations confirmed, that they felt happy and safe living at the service. Potential risks to people’s health, safety and welfare had been assessed and there was guidance in place to mitigate risks.

Accidents and incidents had been recorded, analysed and action taken to reduce the risk of them happening again. When incidents had happened, the provider had been open and transparent, they had worked with external agencies to reduce the risk of them happening again.

Staff had been recruited safely and there were enough staff to meet people’s needs. Staff received training, supervision and appraisal to develop their skills and meet people’s needs. Staff monitored people’s health and referred them to healthcare professionals when required. Staff followed the guidance given to keep people as healthy as possible. Medicines were managed safely, and people received their medicines as prescribed.

People were supported to eat a balanced diet. People had access to activities they enjoyed and kept them as active as possible.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Each person had a care plan that contained details of their choices and preferences. People had been involved as much as possible in developing the plan.

People met with staff before moving into the service to check staff would be able to meet their needs. People were treated with dignity and respect. People were supported to express their opinion on the service. People’s end of life wishes were recorded. Staff worked with GP’s and district nurses to support people at the end of their lives.

Complaints had been recorded and investigated following the provider’s policy. The environment had been developed to support people living with dementia following good practice guidance. People were given information in a way they can understand.

Checks and audits had been completed on the quality of the service and action had been taken when shortfalls were found. The registered manager attended local forums to keep up to date with developments in adult social care to continuously improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 15 November 2018) and there were four breaches of regulation. The provider completed an action plan after the last inspection to show what

they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 21 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 November 2019

The service was well-led.

Details are in our well-Led findings below.