25 July 2023
During a routine inspection
Roman Wharf is a residential care home providing regulated activities of personal and nursing care to up to 50 people. At the time of our inspection there were 18 people using the service.
People’s experience of using this service and what we found
The manager had been in post approximately 4 months, during this time they had worked with the provider to improve the quality monitoring processes to enhance the standard of care for people. Presently there are only 18 people living in a service registered for 50 people. Consequently, we would need to see the improvement in quality monitoring processes seen at this inspection, sustained over a longer period of time to be assured good outcomes for people would be maintained.
People told us they felt safe at the service. The manager and their deputy worked with the provider to ensure all safeguarding concerns were dealt with appropriately. There were processes in place to enable learning from events.
The environmental and personal risks to people’s safety were well managed. Assessments of people’s needs had been undertaken using nationally recognised assessment tools, and measures to reduce risks had been put in place using these risk assessments.
People were supported by adequate numbers of staff who had been recruited safely and received appropriate training for their roles
People received their medicines safely, and there were good quality monitoring systems in place to manage medicines to highlight and reduce possible errors.
The service was clean and there were good infection prevention and control processes in place to reduce the risk of infections to people.
People’s nutritional needs were well managed. People enjoyed the food served to them. They were given choice and supported with their meals by a staff group who showed good knowledge of their nutritional needs.
Peoples’ health needs were well managed and there were good working relationships with external health professionals to provide good outcomes for people.
The environment people lived in was well maintained and the provider had an ongoing improvement and refurbishment plan in place.
People were supported by a staff group who treated them with respect and maintained their dignity. They were supported to be involved with their care, which was provided in a person-centred way. Staff had good knowledge of people’s needs and used their care records to ensure people’s current needs were met.
People were supported to maintain relationships with their families and there was a clear activities programme to reduce people’s feelings of boredom or isolation.
The provider had systems to manage complaints and concerns from people or their relatives and people told us they felt listened to.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 26 May 2023). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 17 July 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from Inadequate to Good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.