We carried out a review of the data available to us about ABI Homes - Roman House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about ABI Homes - Roman House, you can give feedback on this service.
Roman House is a residential care home service registered to provide accommodation with personal care for up to six people who have a learning disability. At the time of the inspection there were six people using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Systems and process were in place to keep people safe. Staff understood their role in safeguarding and knew how to report any concerns. People received medicines as prescribed. Staff had been trained in medicine administration and had their competencies checked.
There were enough staff on duty to meet the needs of people. Staff had been recruited properly and had received training to complete their roles. Staff told us they felt well supported by management and that information was shared.
People were involved in developing their plans of care and were supported by staff who were appropriately inducted and trained. People were supported to eat and drink what they had chosen. Staff were responsive to people’s needs and people were supported to access healthcare and referral were completed as necessary.
People had comprehensive care plans in place which included information about their likes and dislikes, communication needs, routines and preferences. Care files also contained risk assessments with preventative strategies documented.
People told us staff were caring and knew them well. Staff respected people’s privacy and dignity and promoted independence. Staff supported people to have meaningful relationships and engage in activities that were important to them.
The house had a sensory room, hot tub, trampoline and sensory garden for people to use. The home was decorated and was personalised to the people who lived there.
Systems and processes were in place to ensure staff completed person centred care. Audits were completed to identify any gaps and action plans were put into place to ensure best practice was being completed.
Information was given to people in a format that suited them. For example, easy read or another language.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 22 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The inspection was carried out by one inspector.
Roman house is a service registered to provide accommodation with personal care for up to six people who have a learning disability. At the time of the inspection there were six people using the service.
There was a registered manger in post. 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.
People felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and how to report them.
People had risk assessments in place to enable them to be as independent as they could be.
There were sufficient staff, with the correct skill mix, on duty to support people with their needs. Effective recruitment processes were in place and followed by the service.
Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service.
Staff received a comprehensive induction process and ongoing training. They were well supported by the registered manager and had regular one to one time for supervisions.
Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.
Staff gained consent before supporting people.
People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were very knowledgeable of this guidance and correct processes were in place to protect people.
People were able to make choices about the food and drink they had, and staff gave support when required.
People were supported to access a variety of health professional when required, including dentist, opticians and doctors.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well.
People and relatives where appropriate, were involved in the planning of their care and support.
People’s privacy and dignity was maintained at all times.
People were supported to follow their interests.
A complaints procedure was in place and accessible to all. People knew how to complain.
Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.