St Martha's
Ringwood, BH24
NursingDementia
Rated 11 months agocare home
CQC report explained · a nursing home, run by Oldercare (Haslemere)
St Magnus Hospital and St Magnus Nursing
Marley Lane, Marley Common, Haslemere, GU27 3PX
Goodpublished 16 January 2024, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, enough staff, safe medicines systems and good infection prevention, although some governance reports did not clearly record trends and actions.
- Effective?
- Good
- People's needs and risks were assessed, and care plans guided staff well. Staff were trained and supported, nutrition and hydration needs were met, healthcare was available and people's choices were respected under the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People and their representatives were involved in care decisions, and staff supported people in a calm and reassuring way.
- Responsive?
- Good
- Care was tailored to people's histories, preferences, communication needs and distress triggers. People could see relatives, take part in activities and raise complaints or suggestions.
- Well-led?
- Good
- Managers were visible and approachable, with regular audits, risk reviews and staff meetings. The provider had made changes to handovers, care records, staffing arrangements and the environment to improve care.
The latest report, explained
What inspectors found, January 2024
St Magnus Hospital and St Magnus Nursing was rated Good; inspectors found safe, kind and personalised care, with a minor weakness in how some quality reports recorded learning.
This was an unannounced inspection of the nursing service, covering Rosemary Park nursing and the Courtyard unit. Inspectors visited on 9 November 2023 and also reviewed records and information up to 12 December 2023. They spoke with one person, relatives and representatives, staff and visiting professionals, and reviewed care plans, medicines records, recruitment checks and management records.
The nursing service was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines support, personalised care plans and good infection control. People were treated with kindness and respect, supported to make choices, helped to access healthcare and offered activities and contact with relatives.
The inspection followed concerns about safeguarding, staffing and personal care. Inspectors found no evidence that people were at risk of harm from those concerns. They noted that quality reports did not always clearly show trends, themes and actions, although managers had taken action and staff received relevant learning.
What inspectors praised
Personalised risk support
Staff understood people's physical, mental health and behavioural needs. Care plans gave clear guidance about risks, positive risk-taking and how to respond when someone became distressed.
“People's care plans were comprehensive and tailored to individual needs and risks.” from the report
Kind and respectful care
Relatives and representatives described staff as caring. Inspectors observed staff protecting people's dignity, explaining care and responding calmly when people were distressed.
“Staff treated people with dignity, respect and kindness.” from the report
Staffing and training
Inspectors found enough suitably skilled staff, with staffing levels reviewed against people's needs. New staff were recruited with the required checks, and existing staff received training and support.
“There were enough trained and skilled staff to support people.” from the report
Activities and relationships
People could see relatives and take part in activities suited to their interests and needs. These included exercise, outings, arts and crafts, pet therapy, reminiscence and individual support.
“There was dedicated staff in the service who supported people to engage in a variety of activities.” from the report
What inspectors were concerned about
Quality reports lacked detail
minorSome reports shared with senior managers did not clearly identify trends, themes or the specific actions taken. The provider said it was reviewing its guidance, and inspectors saw evidence that required actions were still shared with staff and put into practice.
“The governance reports shared with senior management did not always clearly specify trends and themes” from the report
Questions to ask them, based on this report
- 01How will you improve the way incidents, trends and lessons are recorded in governance reports?
- 02How will you assess and support my relative's individual risks, including falls, choking, skin breakdown or distress?
- 03How many staff will normally be available in the unit, and how do you increase staffing when the unit is full or needs change?
- 04How will my relative be involved in care reviews and decisions if they cannot make a specific decision themselves?
- 05What activities and support for family contact would be suitable for my relative's interests and communication needs?
This began as a focused inspection of Safe and Well-led after concerns were received, then Effective, Caring and Responsive were also inspected; the hospital part of the service was not inspected and its Outstanding rating remains unchanged. This explanation was written from the published report of 16 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of St Magnus Hospital and St Magnus Nursing
5 rated inspections over 8 years: the service has held its Good rating throughout.
- January 2024Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at St Magnus Hospital and St Magnus Nursing →
- March 2020Outstandingup from Requires improvementSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Good
- March 2019Requires improvementdown from OutstandingSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2018Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016
Location report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 14 September 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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