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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2019

About the service: St Martins provides accommodation and personal care for up to 16 adults and older people, some of whom may be living with dementia, mental health, physical or sensory disabilities. At the time of our visit 13 people lived at the home. Accommodation is provided in a single storey converted house.

People’s experience of using this service:

People felt safe and were protected from avoidable harm. Care was provided by staff who understood people’s needs and how to keep them safe. Medicines were managed in line with regulatory requirements. There were enough staff to respond to people’s requests for assistance and meet their needs. Risk associated with people’s care and environmental risks were assessed and regularly reviewed. Staff knew what they needed to do to manage and reduce risks.

People received the support they needed to meet their nutritional, physical and mental health needs. Staff were mostly recruited safely and received the support and on-going training they needed to be fulfil their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the home supported this practice.

People and relatives spoke positively about the staff who provided their care and support. Staff were caring in their practice and understood the importance of providing individualised care. People’s privacy and dignity was respected, and their independence promoted. Staff recognised the importance of supporting people to maintain relationships with family and friends. Visitors were made to feel welcome.

People’s needs were assessed prior to moving to St Martins to ensure these could be met and information about the serve was available in a way they could understand. Personalised care plans enabled staff to deliver care in line with people’s wishes and preferences. Complaints were managed in line with the provider’s procedure. Plans were in place to improve the availability and range of meaningful activities available to people.

The provider had not maintained a good level of organisational oversight of the service. This meant some previously demonstrated standards had not been sustained. However, people and relatives were positive about the quality of service they received. The management team and staff worked in partnership with other professionals to improve outcomes for people. The management team were committed to addressing areas where improvement was needed.

Rating at last inspection: Good (report published March 2017).

Why we inspected: This was a scheduled inspection based on the previous rating.

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

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

Inspection areas

Safe

Good

Updated 7 August 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 7 August 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 7 August 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 7 August 2019

The service was not always well-led

Details are in our Well-Led findings below.