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St Martins Care Home Ltd Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 March 2020

About the service

St Martin’s Care Home is a residential care home providing personal care and accommodation to 15 people aged 65 and over at the time of the inspection. The service can support up to 15 people in one house and is situated in a residential area. Some people living at St Martin’s Care Home were living with dementia and others had high dependency needs due to reduced mobility.

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

People did not always feel there were enough staff working at St Martins Care Home Ltd. Staffing levels in the evening meant people were left unsupervised or supervised by visitors to the home whilst staff attended to other people’s needs. Daily checks of the premises and oversight of the building’s maintenance to ensure its safety were not routinely carried out, which exposed people to unnecessary risk. There were missed opportunities to interact and staffing levels meant care workers did not always have time to spend with people engaged in meaningful activity or conversation. Although staff could tell us how to respect people’s dignity and privacy, care practices did not always support this.

Referrals to healthcare agencies to improve people’s outcomes was inconsistent. People were referred to some health professionals including district nurses, their G.P, and speech and language therapists. However, the provider had not always referred people for assessments following declines in their mobility which meant them needing to be cared for in bed. There were not enough activities for people to help stimulate, engage and minimise isolation. Activities were not planned in partnership with people to make them responsive to people’s enjoyment.

Systems to monitor and improve the safety and quality of the service were not effective. Tools were used to calculate staffing numbers, but lack of oversight meant staffing levels did not always safely meet the needs of people. Maintenance of the building and its safety was not monitored effectively which meant people were exposed to unnecessary risks. There was no system to safely store people’s confidential information. Audits were carried out but not always recorded and failed to identify the issues discovered during the inspection.

People felt safe living at St Martins Care Home Ltd, and risks to people’s health were assessed with risk management plans for staff to follow. Accidents and incidents were recorded and monitored by management to learn from them. Staff were confident reporting safeguarding concerns and contact information for reporting concerns was located on people’s bedroom doors. Medicines were administered and stored safely.

Staff had access to online training relevant to their roles and some had completed vocational qualifications in health and social care. People were supported by regular care workers who knew them, because staff had worked at St Martins Care Home Ltd for a long time. People enjoyed the food and were given options and choices. Staff understood people’s needs relating to their eating and drinking and provided appropriate support and encouragement for those who needed it. Overall, 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. However, staff did not always respond to the needs of one person living with dementia in a positive way. This person liked to explore their environment but was sometimes told to sit down rather than being encouraged to interact or engage. However, people said staff were kind and caring and the atmosphere at St Martins Care Home Ltd was homely and friendly. There were friendly and warm interactions between staff and people.

Staff were fully engaged in a game of ‘bingo’ and supported people to take part. Internet access was installed throughout the home so people could maintain contact with others throu

Inspection areas

Safe

Requires improvement

Updated 26 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 26 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 26 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 March 2020

The service was not always well led.

Details are in our well led findings below.