St Margaret's Care Home Also known as Halle Healthcare Limited Care Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Inadequate

• Responsive

  Not rated

• Well-led

  Inadequate

Our view of the service

This assessment was carried out between 17 June and 9 July 2024. St Margaret’s Care Home is a residential care home providing personal care to adults, some of whom were living with dementia. This was the first assessment of this care home, which was prompted due to serious concerns. At this assessment we found 9 breaches of regulation which concerned person-centred care, dignity and respect, safe care and treatment, safeguarding people from abuse, meeting nutritional and hydration needs, premises and equipment, formal support for staff, recruitment and good governance. We could not be assured people received their medicines as prescribed. Risks to people had not been assessed, monitored and reviewed. Allegations of financial abuse had not been adequately followed up and staff lacked knowledge to safeguard people from harm. Dietary needs were not being met as people prescribed supplements were not receiving these items. A number of environmental hazards were present, including fire safety concerns. Systems to demonstrate oversight and governance were absent and leadership was inadequate. Staff did not receive sufficient training for their role and unsafe recruitment practices were evident. We asked the provider for immediate assurances about people’s safety. However, these were not provided within the specified timescales. We followed these issues up by carrying out a third site visit.

People's experience of this service

People and relatives gave us poor feedback about the quality of care provided in this home. People told us they were not always able to speak to staff or management with concerns around their safety and freedom. People did not always feel involved or supported in managing their care needs. Most people told us they did not get to make routine choices and not all staff understood their needs, views and wishes. People did not always feel staff had effective training to support people. Most people said they were not always shown kindness compassion and dignity. People told us that staff did not always treat them as individuals and make sure their care, support and treatment met their needs and preferences. People told us they did not feel engaged or stimulated and we saw how this impacted on their lives.