We inspected this service on 28 and 30 November2018, the inspection was unannounced. The inspection was carried out by one inspector.

St Martins provides accommodation with personal care and support for up to 15 older people who may needs due to physical disabilities. Some people were living with dementia and other associated illnesses.

A requirement of the services’ registration with us is that they have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. There was a registered manager in place.

This was the first inspection under a new provider of the service. It was previously registered with us under a different provider and was registered as St Martins Care Home for the Elderly.

At this inspection, we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service requires improvement in safe, effective, caring, responsive and well led. The overall rating for the service is Requires Improvement.

The provider had systems in place to monitor the quality and safety of the service people received, but these were not always effective. Actions to mitigate risks to people had not always been taken by the provider. There were areas of the home that posed potential risks to people's safety and welfare. There were insufficient numbers of staff to ensure that people were given the appropriate support to keep safe. Medicines were not always administered in line with the person's prescriptions. Some medicine recording errors had occurred and it was not clear when rescue medicines had been given.

Some people felt that staff understood and responded to their health needs. Some aspects of diabetes care were not monitored appropriately and information for health professionals was not always accurate.

Staff felt supported by the manager and received training in their roles. Staff on shift met some people’s individual needs. People could take part in some activities, however some people were at risk of becoming isolated.

People told us they felt safe with staff. Staff understood their responsibilities in keeping people safe from abuse. There were systems and processes in place to support this. People felt staff were kind and caring and enjoyed the food that they were offered.

Further information is in the detailed findings below.