The Care Quality Commission (CQC) has rated Roman Wharf Care Home
in Lincoln, inadequate, and it remains in special measures
following an inspection in January.
Roman Wharf Care Home is a residential home that provides
accommodation and personal care for up to 50 people, some of whom
are living with dementia.
The inspection was carried out to check on areas of concern that
were highlighted at the last inspection when a warning notice was
issued telling the provider to make improvements to risk
management, incident reporting and governance systems.
Following the inspection, the overall rating for the home remains
as inadequate overall. Safe and well led remain as inadequate,
and effective, caring and responsive remain requires improvement.
The service remains in special measures which means it will be
kept under review and, if we do not propose to cancel the
provider's registration, we will re-inspect within six months to
check for significant improvements.
Greg Rielly, CQC deputy director of
operations in the midlands, said:
“When we inspected Roman Wharf Care Home, it was concerning to
see that areas we told leaders to improve last year still hadn’t
been done which continued to place people at risk of harm.
“There had been no improvement regarding the safeguarding of
people living at the home to keep them safe. Incidents of alleged
self-neglect, physical and verbal abuse had not been recorded,
investigated, or reported to the local authority, and minimal
support was given to people following an incident.
“In addition, medical advice from professionals was not always
followed which placed people at risk. For example, one person who
was at risk of falls and had sustained an injury at the home from
falling needed hourly checks, but this was not being done.
“However, we did also see some positive areas of care. People
told us they felt engaged about their care and when they raised
concerns to the manager, actions were taken to resolve these.
“Staff told us they felt the manager was supportive and honest
about what was expected of them, and they felt comfortable
approaching them with any concerns.
“We will continue to monitor the service closely to ensure
significant and urgent improvements are made. If we are not
assured people are receiving safe care, we will not hesitate to
take enforcement action to ensure people are receiving the high
standard of care they deserve.”
Inspectors found:
- Actions were not taken to mitigate risks because incidents,
such as falls, had not always been recorded in incident forms and
raised to the manager for review.
- Systems and processes in place were not effective in
protecting people from the risk of abuse.
- Lessons learned were limited as incidents were not always
reported and records did not always include key information about
the incident.
- Medicines administration, storage and documentation was not
always safe.
- There was not an effective induction programme for new staff
to ensure staff had the skills to meet people's needs.
However:
- There had been some improvement to the service design and
decoration following concerns being raised at the last
inspection.
- People said staff were kind and caring and got to know them
well.
