Working at St Martins Residential Home

Managers missed big issues like poor risk records, consent checks, and care plans, leading to regulator breaches.

We found 4 breaches of regulation relating to person centred care, consent, risk management and governance.

Risk plans miss key dangers like dehydration tracking, repositioning for bedsores, and catheter care.

Not all risks to people’s safety and wellbeing were identified or provided enough detail as to how these should be mitigated... records demonstrated their fluid targets were not always maintained... records showed these were not routinely completed.

Staff get basic training but don't apply it well in practice, and supervisions are irregular or incomplete.

observations of staff’s practice did not provide assurance staff were skilled and competent... Not all staff had received regular formal supervision, and this included the registered manager.