The Care Quality Commission (CQC) has rated Roman Wharf Care Home in Lincoln, inadequate, and it remains in special measures following an inspection in January.
Roman Wharf Care Home is a residential home that provides accommodation and personal care for up to 50 people, some of whom are living with dementia.
The inspection was carried out to check on areas of concern that were highlighted at the last inspection when a warning notice was issued telling the provider to make improvements to risk management, incident reporting and governance systems.
Following the inspection, the overall rating for the home remains as inadequate overall. Safe and well led remain as inadequate, and effective, caring and responsive remain requires improvement.
The service remains in special measures which means it will be kept under review and, if we do not propose to cancel the provider's registration, we will re-inspect within six months to check for significant improvements.
Greg Rielly, CQC deputy director of operations in the midlands, said:
“When we inspected Roman Wharf Care Home, it was concerning to see that areas we told leaders to improve last year still hadn’t been done which continued to place people at risk of harm.
“There had been no improvement regarding the safeguarding of people living at the home to keep them safe. Incidents of alleged self-neglect, physical and verbal abuse had not been recorded, investigated, or reported to the local authority, and minimal support was given to people following an incident.
“In addition, medical advice from professionals was not always followed which placed people at risk. For example, one person who was at risk of falls and had sustained an injury at the home from falling needed hourly checks, but this was not being done.
“However, we did also see some positive areas of care. People told us they felt engaged about their care and when they raised concerns to the manager, actions were taken to resolve these.
“Staff told us they felt the manager was supportive and honest about what was expected of them, and they felt comfortable approaching them with any concerns.
“We will continue to monitor the service closely to ensure significant and urgent improvements are made. If we are not assured people are receiving safe care, we will not hesitate to take enforcement action to ensure people are receiving the high standard of care they deserve.”
Inspectors found:
- Actions were not taken to mitigate risks because incidents, such as falls, had not always been recorded in incident forms and raised to the manager for review
- Systems and processes in place were not effective in protecting people from the risk of abuse
- Lessons learned were limited as incidents were not always reported and records did not always include key information about the incident
- Medicines administration, storage and documentation was not always safe
- There was not an effective induction programme for new staff to ensure staff had the skills to meet people's needs.
However:
- There had been some improvement to the service design and decoration following concerns being raised at the last inspection
- People said staff were kind and caring and got to know them well.