Archived: Roman Wharf Nursing Home

Updated 28 April 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 7 February 2017 and was unannounced. The inspection team consisted of one inspector.

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 five people who lived in the home and four relatives who were visiting. We looked at five 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 nurse in charge and four members of the care staff. We looked at three staff recruitment 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 28 April 2017

We inspected Harvest House on 7 February 2017. The inspection was unannounced.

Harvest House provides accommodation for up to 22 older people who need personal or nursing care. Some people who live in the home experience memory loss associated with conditions such as dementia. At the time of the inspection 22 people were living in the home.

At our comprehensive inspection on 22 and 23 December 2015 there were three breaches of legal requirements related to the deployment of staff within the home, management of medicines and 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 relation to this the manager and staff had ensured people’s rights were respected by helping them to make decisions for themselves. They had also taken necessary steps to ensure people only received lawful care that protected their rights.

People were safe living in the home and staff knew how to respond to any concerns that may arise so that people were kept safe from abuse. Risk assessments were in place and regularly reviewed.

There were enough staff on duty to provide people with the support they needed and background checks had been carried out before new staff were appointed.

Staff were trained and supported to understand people’s needs and provide their care in the right way. People received a varied diet that took account of their nutritional needs and preferences. People were provided with all of the assistance they needed to access appropriate healthcare services.

People were treated in a kind and caring way. Their rights to privacy were upheld and their dignity was promoted.

Care plans reflected people’s needs and preferences and staff followed the care plans when providing practical assistance. People who became distressed were provided with individual reassurance and support.

People were encouraged to engage in meaningful activities and social events. There was a system in place to manage and resolve complaints.

The home was run in an open and inclusive manner and there were systems in place to monitor and improve the quality of the services people received. A registered manager was not in place at the time of the inspection. The registered provider’s area manager was acting as the home manager. Throughout this report we refer to this person as ‘the manager’. 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.