CQC report explained · a residential care home
What the CQC found at Roman Park
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe, and inspectors found suitable risk assessments, enough staff and safe recruitment checks. Medicines, infection control, equipment and accidents were managed appropriately.
- Effective?
- Good
- Care plans reflected people's needs and were reviewed. Staff were trained and experienced, people received suitable food and drinks, and health referrals were made promptly.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions, encouraged to be independent and supported to express their views.
- Responsive?
- Good
- Support was tailored to people's preferences and staff knew people well. People had choices about daily activities, community involvement, communication and personal goals.
- Well-led?
- Good
- The registered manager was approachable and had effective quality checks. The stable management and staff teams supported a positive culture and ongoing improvements.
What inspectors found, October 2019
Rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
This was an unannounced inspection by two inspectors on 3 and 4 September 2019. They spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment, accident and quality records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, current care plans, kind support and good links with health professionals.
People were supported to make choices, develop skills and take part in activities in the home and community. Families and professionals gave positive feedback, and the management team had systems to monitor quality.
The home was registered for 14 people and 12 people were using it. Inspectors noted that it was larger than current best practice guidance, but said the design and location reduced any negative impact.
Consistent staff team
Staff turnover was very low, so people were supported by staff who knew them well. Inspectors found there were enough staff to meet people's needs.
“There was very low staff turnover at the service. People were supported by a consistent staff team that knew them well” from the report
Kind and respectful care
Inspectors saw staff working patiently and respectfully. People were supported to maintain their dignity and do as much as possible for themselves.
“Staff were kind and compassionate. People were treated with dignity and respect.” from the report
Personalised support
Staff understood people's histories, preferences and communication needs. People could choose activities and work towards goals such as education, volunteering or employment.
“The care people received was tailored to their individual needs. Staff had in-depth knowledge of the history and preferences of people that used the service” from the report
Good leadership
The manager was described as approachable, and quality checks were carried out. Families and staff said the management team responded to issues and feedback.
“The registered manager had effective systems in place to monitor the quality of the service.” from the report
Larger than current guidance
minorThe home was registered for 14 people and was larger than current best practice guidance. Inspectors said the building design and setting reduced the negative impact, but families may still want to see how this affects daily life.
“This is larger than current best practice guidance.” from the report
- 01How does the home make sure its larger size does not reduce people's privacy, choice or sense of home?
- 02How would you support my relative's particular communication needs, including the use of easy-read information, signs or pictures if needed?
- 03What activities, education, volunteering or work opportunities could my relative take part in?
- 04How are relatives involved in care planning and decisions about changing needs?
- 05How do you check that medicines and individual risk assessments remain safe and up to date?
This was an unannounced inspection covering the home, the care provided and all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 22 October 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, February 2017
Rated Good; inspectors found safe, kind and personalised care, with only minor gaps in formal staff meetings and one developing care plan.
This was an unannounced inspection on 17 January 2017. Inspectors spoke with five people living at the home, three relatives and staff. They observed care and reviewed care plans, risk assessments, medicine records, recruitment and training files, meeting records and quality checks.
The home supported 12 people, with space for up to 14. Inspectors found people were safe, medicines were managed properly, staffing levels met people's needs and staff had suitable training. People received support with food, health appointments, daily choices, activities and maintaining their independence.
People and relatives described staff as kind, caring and respectful. Care plans contained personal information and were reviewed, although one plan was still being developed because the person had recently moved in. The home had systems for complaints, feedback and monitoring quality.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the service met the relevant standards at the time of this inspection.
Safe medicines
Inspectors found medicines were stored correctly, records were accurate and trained staff administered them. Audits and competency checks were also in place.
“Medicines were being appropriately stored; the stocks we checked were correct and medicine administration records (MAR's) had been accurately completed.” from the report
Kind and respectful staff
Staff supported people gently and patiently. Inspectors saw people being treated with dignity and encouraged to remain as independent as possible.
“The staff team were caring and kind and treated people with respect.” from the report
Personalised care
Care plans included people's histories, preferences, likes and dislikes. Staff used this information to provide individual support.
“The plans of care were detailed and had personalised information about the people in them.” from the report
Meaningful activities
People were supported to attend day services, college, work and social activities. Those staying at the home could choose from activities such as exercise, karaoke and crafts.
“People were supported to follow their interests and take part in social activities.” from the report
People have a voice
Monthly meetings gave people a say in how the home was run. Meetings were chaired by a resident and changes were made following people's requests.
“This showed that the people using the service were fully involved in the life of the home.” from the report
Formal staff meetings were not regular
minorThe last recorded formal staff meeting was in March 2016, several months before this inspection. The manager said staff also met informally, but these discussions were not formally recorded.
“Staff meetings had been held though not for some time, with the last meeting being held on 1 March 2016.” from the report
One care plan was still developing
minorOne of the two care plans inspected was not yet fully developed because the person had recently moved in. The report says the other plans reviewed reflected people's needs.
“We noted that they did, though one was in the early stages of development.” from the report
- 01How quickly are care plans completed and reviewed when someone first moves in?
- 02How are staff updates, decisions and concerns recorded when formal staff meetings are not held?
- 03How will you make sure staffing levels continue to meet each resident's changing needs?
- 04How are residents and relatives involved in reviews, menus, activities and changes to the home?
- 05How do you check that medicines, including 'as and when' medicines, continue to be given and recorded safely?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 24 February 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 Roman Park
2 rated inspections over 3 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015
Registered with the Care Quality Commission on 1 May 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 Leicestershire
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. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.