Archived: Roman House

Updated 15 May 2018

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.

We undertook an unannounced focused inspection of Roman House on 6 April 2018. This inspection was carried out to check that improvements to meet legal requirements planned by the provider after our inspection on 16 and 17 January 2018 had been made. One inspector inspected the service against three of the five key questions we ask about services: is the service safe, effective and well led. This is because the service was not meeting some of the regulatory requirements in these areas.

No risks, concerns or significant improvement were identified in the remaining key questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these key questions were included in calculating the overall rating in respect of this inspection

The inspection took place on 6th April 2018 and was unannounced. The inspection was completed by one adult social care inspector.

During the inspection we spoke with four people who lived in the service, three permanent staff and two agency staff. We also spoke with the registered manager, quality manager and the director of services.

Before our inspection we reviewed the information we held about the home, this included weekly updates the provider had sent us and any notifications received. Notifications are information about specific important events the service is legally required to send to us.

We also reviewed a number of records relating to people’s care and support. This included four care plans and associated records, six medicines administration records, and four 'snapshot' dietary needs documents. We also reviewed records including staff meeting minutes, service user meeting minutes, the staff training matrix, staff personal development profiles, the service improvement plan, action plans and medicines audits.

Updated 15 May 2018

We carried out an unannounced comprehensive inspection of this service on 16th and 17th January 2018. Breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

At the comprehensive inspection of this service on 16th and 17th January 2018 we identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We issued the provider with a requirement notice for three breaches. This was because records of medicines management were not always completed correctly, staff had not received the necessary supervision and training to enable them to carry out their duties and the provider had not always ensured that effective systems were in place to assess and monitor the quality of the service provided and ensure appropriate action was taken to improve the quality and safety of the care people received.

We undertook an unannounced focused inspection of Roman House on 6 April 2018 to check that the provider had followed their plan and to confirm that they now met legal requirements. We inspected the service against three of the five questions we ask about services: is the service safe, effective and well led. This is because the service was not meeting some legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Roman House on our website at www.cqc.org.uk

Roman House is a service which provides residential care for up to 26 adults with a range of needs including younger and older adults with mild to moderate learning disabilities. Care is provided to people who also live with additional health conditions such as diabetes, epilepsy, sensory loss and cerebral palsy. Roman House comprises two four bedroomed bungalows and a larger building which has additional accommodation with communal areas such as a sensory room, dining room and a lounge area. The bungalows and the main building have gardens to enable people to enjoy the outside space. The home is in a residential area of Basingstoke. At the time of the inspection 17 people were using the service.

Roman House had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Roman House was last inspected in January 2018 and was rated as requires improvement. We found breaches of three regulations of the Health and Social Care Act 2008 (Regulated Activities). Regulations 2014 related to safe care and treatment, good governance and staffing. Following the last inspection, we asked the provider to complete an action plan to show what they would do to become compliant with the regulations. We received the action plan on 16 March 2018. The provider stated that they would meet the relevant legal requirements by 30 April 2018. Due to a change in registration CQC decided to inspect this service before the provider’s proposed deadline so that we could explore compliance issues relevant to that change in registration. We needed to confirm that the provider would be able to meet the regulatory requirements prior to the change in registration. This was discussed with the provider prior to the inspection commencing.

At this inspection we found that the provider had met the requirements for safe care and treatment, staffing and good governance.

People who lived at the home said that they felt safe. Staff showed a good understanding of safeguarding procedures and actions to take to protect people from the risk of avoidable harm or abuse. People’s safety was promoted as care plans contained specific guidance for staff about how to manage health risks for people.

Staff sought consent to care and treatment whilst supporting people. The provider had complied with the requirements of the Mental Capacity Act 2005.

We observed people living in the home being treated with dignity and respect. People felt that they received care from staff who were kind and compassionate. We observed staff talking to people in a friendly and personable manner during the inspection.

People were supported to eat and drink enough to maintain a balanced diet. Staff supported people’s individual food and drink preferences. People’s dietary needs were catered for.

People received support from healthcare professionals in order to help them lead healthier lives. There was evidence in people’s care plans that they had received visits from professionals such as district nurses and speech and language therapists. Since the last inspection the provider had made improvements to records in people’s care plans. Consistent records were available for those people who had received visits from healthcare professionals.

The building had been adapted to meet the needs of people living in the home. Since the last inspection required repairs had been completed to make the environment more suitable for people. The communal areas had also been redecorated.

The service worked in partnership with other agencies such as the local authority.

At this inspection we rated the home as Requires Improvement.