CQC report explained · a residential care home
What the CQC found at ABI Homes - Roman House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2019
ABI Homes - Roman House was rated Good; inspectors found safe, kind and personalised care with strong support for choice and independence.
This was a planned inspection on 7 and 14 August 2019. One inspector spoke with three people living at the home, two relatives and four staff. They also checked care records, medicines records, staff files and management records.
The home supported six people with learning disabilities. Inspectors found systems to keep people safe, enough suitably recruited staff, safe medicines practices and appropriate training. People were supported to make choices, develop skills, access healthcare and take part in activities.
Inspectors found that staff knew people well and treated them with kindness, dignity and respect. Care plans recorded people's communication needs, preferences, routines and risks. The home had systems for checking quality and dealing with complaints.
All five areas were rated Good: safe, effective, caring, responsive and well-led. This was the same overall rating and the same rating in every area as at the previous inspection, published on 22 March 2017.
Choice and independence
People were supported to make decisions, gain skills and become more independent. Staff used the least restrictive approach and involved people in their care.
“People were supported to have maximum choice and control of their lives” from the report
Safe care
Inspectors found up-to-date risk assessments, enough staff and safe recruitment. Medicines were given as prescribed and checked regularly.
“People's risks had been assessed and risk management plans provided staff with the information they needed to manage any identified risks.” from the report
Kind and respectful staff
People and relatives described staff as caring and supportive. Staff knew people's preferences and respected privacy, dignity and confidentiality.
“People and their relatives told us that staff were caring and supportive.” from the report
Personalised activities and surroundings
Bedrooms were personalised and people could use a range of activity spaces. Staff supported people to take part in activities they chose and to maintain relationships.
“There were different areas within the service for people to use for activities, such as a sensory room, hot tub and sensory garden.” from the report
Quality monitoring
The home used audits, spot checks and action plans to check care and records. Staff were supported through training and regular supervision.
“Audits were completed to identify any gaps and action plans were put into place to ensure best practice was being completed.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you keep my relative's care plan and risk assessments updated as their needs change?
- 02How will you support my relative to build skills and become more independent?
- 03How do you check that medicines continue to be administered and recorded safely?
- 04How will you make sure staff understand my relative's communication needs, routines and preferences?
- 05Which activities and community opportunities would be suitable for my relative?
This was a planned inspection covering all five CQC questions, including the premises and care provided; no one was receiving end of life care at the time. This explanation was written from the published report of 4 September 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, March 2017
Rated Good; inspectors found safe, kind and personalised care, with a minor gap in following up the staff survey.
This was an announced, comprehensive inspection on 16 February 2017. One inspector observed care, spoke with three people, two relatives and seven support workers, and reviewed care, medicine, staff and management records. It was the first inspection since registration.
The inspectors found that people felt safe and that there were enough trained staff. Medicines were managed safely. Staff received induction, training and supervision. People were supported with food, drink, health appointments and decisions about their care.
Inspectors saw kind and respectful support. Care plans were personalised and people and their relatives were involved in reviews. Activities reflected people's interests, complaints information was accessible, and quality checks were in place.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service met the expected standards in each area at the time of the inspection.
Personalised and respectful care
Staff knew people's needs and preferences well. People were supported with privacy, dignity, choices and independence.
“Staff demonstrated that they knew people's needs and preferences very well.” from the report
Involvement in care
People and their families or representatives helped write and review support plans. People were supported to make decisions about everyday life.
“There was evidence in the support plans we reviewed that people and their families or representatives had been involved in writing them and had been involved in their reviews.” from the report
Training and support
Staff completed induction and a wide range of training. They also received regular one-to-one supervision and support from the manager.
“Staff received a comprehensive induction process and ongoing training.” from the report
Quality monitoring
The home used regular audits, meetings and action plans to identify and complete improvements.
“Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.” from the report
Staff survey follow-up
minorThe January 2017 staff survey had been completed, but no actions had yet been developed from its results.
“The results for Jan 2017 were available and seen, although no actions had yet been developed.” from the report
- 01What actions were eventually taken in response to the January 2017 staff survey?
- 02How do you make sure support plans are reviewed when a person's needs or circumstances change?
- 03How do you make sure agency staff know the needs and preferences of the people living here?
- 04How are medicines checked, audited and updated when prescriptions change?
- 05How are people supported to choose their activities, meals and health appointments?
This was a comprehensive, announced inspection covering all five ratings and was the first inspection since registration. This explanation was written from the published report of 22 March 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of ABI Homes - Roman House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- September 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015
Registered with the Care Quality Commission on 5 October 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Milton Keynes
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 90 can care for a couple. 11 years' experience on average.
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