Updated 16 May 2025
Date of Assessment: 9 to 15 April 2025.
This assessment was completed in response to information of concern identified by the local authority during their quality assurance processes.
We assessed all quality statements under the 5 key questions; Safe, Effective, Caring, Responsive and Well-led. The service is a nursing home providing support to up to 32 older people. At the time of our inspection 29 people were living at St Margarets Nursing Home.
We identified 4 breaches of the regulations relating to, person centred care, need for consent, safe care and treatment, and governance.
Governance systems had failed to identify and rectify the significant concerns found at this assessment. People were not receiving person-centred care, significant risks in relation to people’s care needs and the environment of the service had not been identified and mitigated. Medications were not managed safely, and people’s care plans were inaccurate. Systems for assessing people’s capacity in relation to specific decisions were ineffective and organised records had not been maintained of Deprivation of Liberty Safeguards applications.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.