Roundham Court provides accommodation and personal care for up to 35 older people who may be living with a dementia or physical disability. At the time of the inspection there were 34 people living at the home. The home offers both long stay and short stay respite care. Roundham Court does not provide nursing care. Where needed this is provided by the community nursing team. This inspection took place on the 16 & 17 November 2016; the first day of the inspection was unannounced. One adult social care inspector carried out this inspection. Roundham Court was previously inspected in April 2014, when it was found to be compliant with the regulations relevant at that time.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.
People said they felt safe and well cared for at Roundham Court, their comments included "I do feel safe,” "I’m very happy here” and “I would recommend it to anyone.” Relatives told us they did not have any concerns about people's safety.
People were protected from abuse and harm. Staff received training in safeguarding vulnerable adults and demonstrated a good understanding of how to keep people safe. There was a comprehensive staff-training programme in place. These included safeguarding, first aid, pressure area care, infection control, and moving handling. Some staff had received additional training in the Mental Capacity Act and Deprivation of Liberty Safeguards.
The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People told us they were involved in their care and support, attended regular reviews, and had access to their records. We saw staff sought people’s consent and made every effort to help people make choices and decisions.
People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. The application procedure for this in care homes and hospitals are called the Deprivation of Liberty Safeguards (DoLS). The home had a keypad system in operation to keep safe those people who would be at risk should they leave the home unaccompanied. Those people who were safe to leave without staff support were given the keypad number to the front door, ensuring that their legal rights were protected and they were not deprived of their liberty.
People told us they were happy living at Roundham Court, staff treated them with respect and maintained their dignity. Throughout our inspection, there was a relaxed and friendly atmosphere within the home. Staff spoke affectionately about people with kindness and compassion. People and relatives told us they were involved in identifying their needs and developing the care provided. People's care plans were informative, detailed, and designed to help ensure people received personalised care. Care plans were reviewed regularly and updated as people's needs and wishes changed. Risks to people's health and safety had been assessed and regularly reviewed. Each person had a number of detailed risk assessments, which covered a range of issues in relation to their needs, which included personal emergency evacuation plan (PEEP).
People received their prescribed medicines when they needed them and in a safe way. There was a safe system in place to monitor the receipt and stock of medicines held by the home. Medicines were disposed of safely when they were no longer required. Staff had received training in the safe administration of medicines.
People spoke positively about activities at the home and told us they had the opportunity to join in if they wanted. We saw a range of activities were available including music therapy, arts and crafts, arm chair exercises, film afternoons, card games and quizzes.
People told us they enjoyed the meals provided by the home. Comments included, “the food is excellent”, “well cooked,” and “very nice.” One person said, “There is always plenty of choice and if I don’t fancy something I just pop into the kitchen and tell the chef, their very good.”
People, relatives, and staff spoke highly of the registered manager, and told us the home was well managed. Staff described a culture of openness and transparency where people, relatives and staff, were able to provide feedback and raise concerns.
The provider used a variety of quality management systems to monitor the services provided at Roundham Court, which included a range of audits and spot checks. These included checks of; environment, medicines management, care records, incidents, weights, pressure care and people’s wellbeing. These checks were regularly completed and monitored to help ensure and maintain the effectiveness and quality of the care provided.
The home had notified the Care Quality Commission of all significant events, which had occurred in line with their legal responsibilities.