Archived: Roman Wharf Nursing Home

Updated 18 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was 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.

This inspection took place on 28 March 2017 and was unannounced. The inspection team consisted of one inspector and an inspection manager.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made our judgements in this report.

We looked at the information we held about the home such as notifications, which are events that happened in the home that the provider is required to tell us about, and information that had been sent to us by other agencies such as service commissioners.

We spoke with six people who lived in the home and two relatives who were visiting. We looked at seven people’s care records. We also spent time observing how staff provided care for people to help us better understand their experiences of care.

We spoke with the manager, the deputy manager, a registered nurse and two members of the care staff. We also spoke with the activity co-ordinator, the housekeeper and the cook. We looked at three staff personnel files, supervision and appraisal arrangements and staff duty rotas. We also looked at records and arrangements for managing complaints and monitoring and assessing the quality of the service provided within the home.

Updated 18 October 2017

We inspected Roman Wharf Nursing Home on 28 March 2017. The inspection was unannounced.

Roman Wharf Nursing Home provides accommodation for up to 24 people who need personal or nursing care. There were 22 people living in the home at the time of our inspection, most of whom required nursing care.

The registered provider’s area manager was acting as the home manager and had applied to be registered with the Care Quality Commission (CQC). Throughout this report we refer to this person as ‘the manager’. A registered manager is a person who has registered with the 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.

At our comprehensive inspection on 26 and 28 November 2015 there were breaches of legal requirements related to staffing levels, the management of risk to people’s health, safety and welfare, nutrition and hydration arrangements and the monitoring the quality of the services provided. At our focused inspection on 8 June 2016 we found that the registered provider had taken appropriate actions to ensure they met the legal requirements. At this inspection we found they had maintained the improvements they had made.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered

necessary to restrict their freedom in some way, usually to protect themselves.

In most cases the manager and staff were following the guidelines of the MCA and DoLS. However we noted that a small number of best interests decisions had not been recorded in the right way. In addition, we found that recent quality assurance checks had not identified these shortfalls. We also found that a small number of healthcare records were not up to date and again recent quality assurance checks had failed to identify this.

Other quality checks had been carried out regularly and had clearly recorded any shortfalls. They had also recorded the action taken to address any shortfalls identified.

Staff knew how to keep people safe. The registered provider had systems and policies in place to help people stay safe from the risk of abuse. Risk assessments were carried out and regularly reviewed in order to avoid preventable accidents.

Medicines were managed in a safe way. There were enough staff on duty to provide the assistance and care that people needed. Appropriate checks had been completed before new care staff had been appointed.

People were supported in the right way. They had enough to eat and drink and could access appropriate healthcare professionals when they had need. They had choice and control over the way they lived their lives and they were treated with respect and dignity.

People were encouraged to pursue their hobbies and interests and there were a range of social activities available for people. The manager agreed to act upon comments we received about access to the community and the amount of social activity available for people at busy times of the day.

People had opportunities to say how they would like the home to develop and were encouraged to say how they would like the home to be run.

People felt confident to raise any concerns they had and there was a system for resolving complaints in a timely and fair way. Staff were also supported to speak out if they had any concerns.