St Martins

We assessed 8 quality statements in the safe key question and found areas of good practice within medicines, safeguarding, staffing, IPC and managing risks. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. The assessment of these areas indicated areas of good practice since the last inspection therefore, our rating for the key question has changed to good.

People told us they felt safe living at the home and were proud of the refurbishments that had been undertaken since the last inspection. People and staff were kept safe as the environment was refurbished, maintained and cleaned to a high standard which protected people from the risk of infection.

Staff were knowledgeable about safeguarding and knew how to identify when people were at risk of harm from neglect, harm or abuse and knew the appropriate steps to report this and keep people safe.

We assessed 6 quality statements in the effective key question and found areas of good practice within assessing people’s needs, consent to care and improving outcomes. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. The assessment of these areas indicated areas of good practice since the last inspection therefore, our rating for the key question has changed to good.

People and their relatives told us they received effective care in line with their wishes. People said they were supported by staff who were experienced and competent in assessing their needs.

The provider worked with professionals such as GPs and district nurses to ensure people received timely care and care plans contained detailed guidance for staff on how to support people with recommendations made by other professionals.

We assessed 7 quality statements in the well led key question and found areas of good practice within governance and management of the home. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires inadequate. The assessment of these areas indicated areas of good practice since the last inspection therefore, our rating for the key question has changed to good.

People and their relatives told us that the home was well led and that the registered manager was open and approachable. Staff supported this and told us the registered manager fostered a culture of openness and they were encouraged to speak up when needed.

Since our last inspection improvements had been made to the home and a range of quality monitoring tools had been developed and were used to ensure the oversight of the service.

The registered manager had good working relationships with professionals who supported the service and was developing links within the community to encourage people to be more involved and had access to the community and activities relevant to them.