Source · CQC inspection
St Marks Residential Care Home
Type Social Care Org
Region East
Last inspected 6 Mar 2023
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (2)
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.
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.
Should-do actions (4)
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.