Background to this inspection
Updated
4 September 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
Roman House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection-
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the provider and care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
4 September 2019
About the 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.