Working at St Marks Residential Care Home

Management relies on outside consultants to spot risks instead of finding them themselves through checks.

The service was supported in risk management by a consultant who carried out their own quality checks of the service. Reports showed the consultant was identifying potential risks, which had not been identified independently by the management team.

Safety risks like cold bedrooms, poor moving and handling guidance, and gaps in when to use spare medicines keep happening.

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.

Training lacks a proper plan for refreshers or matching courses to people's specific needs and staff roles.

There was no system in place to alert management when refresher training was due, to support effective planning... no specific plan to monitor the range of training, in line with all the people's specific needs, staff's additional responsibilities or known areas of development.