Background to this inspection
Updated
22 May 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: Romsey Winchester is a residential care home. People received accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a registered manager at the time of our inspection visit. The previous registered manager had left the service in December 2018. An acting manager had been appointed and were applying for their registration with CQC at the time of our visit. 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.
Notice of inspection: The inspection took place on 25 April 2019 and was unannounced.
What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as serious injury. We sought feedback from the local authority and professionals who worked with the service. We assessed the information we require providers to send us annually that gives us key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection visit: We reviewed two people’s care records, to ensure they were reflective of their needs, and other documents such as medicines records. We reviewed records relating to the management of the whole service such as quality audits, people’s feedback, and meeting minutes.
We received feedback from two people who lived at Romsey Winchester and one person’s relative. We also spoke with four care workers, the acting registered manager and the area manager.
Updated
22 May 2019
About the service: Romsey Winchester is a residential care home for up to 13 people. There were 11 people living at the home at the time of our inspection. The accommodation was established over a number of separate buildings within a housing complex. The provider's office was located in one of the buildings, which also offered people a communal area to meet with family and friends. Each separate building had a kitchen, communal lounge areas, gardens, bathrooms and bedrooms for people.
People's experience of using this service:
There was not a registered manager in place when we conducted our inspection. However, the acting registered manager was described as being approachable by people and staff.
The provider's quality assurance systems had failed to ensure CQC were always kept up to date with changes at the service.
Care records and risk assessments were being reviewed at the time of our inspection visit by the acting manager, to ensure records were brought up to date and were person centred.
People's safety had been considered and risks were managed by staff who knew people well.
Staff had received training in relation to safeguarding and knew how to protect people from harm.
Medicine was managed safely.
The buildings were clean and comfortable with plenty of room for people to live. People told us they felt safe with staff.
The risk of any infection spreading was reduced by the maintenance of good hygiene practice.
The provider delivered person-centred care. People’s needs were assessed to ensure the service could be tailored to meet their individual social, care and health needs.
People’s outcomes and long-term goals were considered, to ensure people achieved those goals.
People were supported to have choice and control of their lives, and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Health care was focussed on ensuring people's on-going wellbeing and concentrated on improving people’s health.
People enjoyed living at the home and told us staff were kind and respectful of their choices. People were treated kindly and compassionately by staff.
People were supported to express their views and make decisions about the care and treatment they received.
Staff respected people's privacy and dignity.
People were supported to take part in activities of their choice.
Information was provided in a range of formats to support people’s understanding.
People could access spiritual support to meet their religious beliefs.
The provider had a complaints policy and process in place; people told us they would feel comfortable raising complaints.
When people reached the end of their life, the provider had policies in place to meet their wishes and preferences.
People, stakeholders and staff had an opportunity to shape the service.
The provider invested in staff development to ensure people received care from experienced and caring leaders.
Rating at last inspection: Good. The last report for Romsey Winchester was published in September 2016.
Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services.
Follow up: We will continue to monitor the service to ensure it meets its regulatory requirements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.