Source · CQC inspection

St Marks Residential Care Home

Type Social Care Org Region East Last inspected 6 Mar 2023

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 6 March 2023. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Inspection report
Date: 6 March 2023
Rating extracted from this report: Requires Improvement
Actions indexed: 2 must-do 4 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 2 must-do 4 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2
Must do
Safe
Systems had not been fully established to monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at potential risk of harm.
Regulation: Regulation 12 (Safe care and treatment)
⚠ Systems had not been fully established to monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at potential risk of harm.
Must-do action 2 of 2
Must do
Well-led
The provider' governance systems were not strong enough to demonstrate how the management of the service, are able to sustain and drive improvements. Or to independently identify and act on risk which places people at risk of harm and not receiving a quality service. This is a continued breach.
Regulation: Regulation 17 (Good governance)
⚠ The provider' governance systems were not strong enough to demonstrate how the management of the service, are able to sustain and drive improvements. Or to independently identify and act on risk which places people at risk of harm and not receiving a quality service. This is a continued breach.

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4
Should do
Effective
We recommend the provider consider current guidance on putting in place an effective training plan and monitoring tool to support them in this area.
Should-do action 2 of 4
Should do
Caring
We recommend the provider seek advice and guidance from a reputable source on how they can make their meetings more inclusive.
Should-do action 3 of 4
Should do
Responsive
We recommend the provider seek advice and guidance from a reputable source such as 'The Dementia Engagement and Empowerment Project' guide on writing dementia friendly information.
Should-do action 4 of 4
Should do
Well-led
We recommend the provider reviews reports from other care providers who have been rated outstanding, to support them in this area.