St Marys Care Centre

Social Care Org · Yorkshire & Humberside

Overall Rating
Requires Improvement Last inspected 30 March 2022
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Requires Improvement

View Full CQC Report

3 must-do actions
3 should-do actions

Must-Do Actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Responsive
The provider must ensure people have access to choice regarding aspects of their care and treatment.
Regulation 9 HSCA RA Regulations 2014 Person-centred care
The provider was in breach of Regulation 9 (1) (a) (b) (c) (3) (a) (b) (c) (i) person centred care. People did not have access to choice regarding aspects of their care and treatment.
Must Do
Safe
The provider must ensure effective infection and prevention control measures are in place and individual risks to people are effectively identified or mitigated.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
The provider was in breach of Regulation 12 (2) (a) (b) (c) (d) (h) safe care and treatment. The provider had failed to ensure effective infection and prevention control measures were in place. Individual risks to people had not been effectively identified or mitigated. This placed people at risk of …
Must Do
Well-led
The provider must establish systems to monitor and improve the safety and quality of people's care and ensure effective oversight and governance.
Regulation 17 HSCA RA Regulations 2014 Good governance
The provider was in breach of Regulation 17 (1) (2) (a) (b) (c) (d) (e) good governance. Systems had not been established to monitor and improve the safety and quality of people's care. There was a lack of oversight and governance.

Should-Do Actions (3)

Recommended improvements to enhance service quality.

Should Do
Effective
The provider reviews mealtime experiences to ensure people are consistently happy that their dietary needs are met.
Should Do
Effective
The provider reviews their DoLS application process to ensure referrals are identified and completed in a timely manner.
Should Do
Responsive
The provider reviews their complaints policy and process.
Location Details
CQC ID: 1-111140985
Local Authority: East Riding of Yorkshire
Region: Yorkshire & Humberside
Inspection Report
Type: Comprehensive inspection
Date: 30 March 2022
Rating: Requires Improvement
Actions: 3 must-do , 3 should-do
AI-extracted 17 Feb 2026