Roman House

This report details an inspection of Roman House, a care home for individuals with learning disabilities or autism. The inspection focused on key areas of care provision to assess the quality of services provided. The overall findings indicate significant improvements since the last inspection, with positive developments noted across several crucial domains of care. The report highlights areas where the home excels and areas identified for continued development to further enhance resident well-being and support.

In terms of safety, people at Roman House are protected from abuse and avoidable harm. The home is clean, and medication management is handled securely. Residents and staff feel confident reporting concerns, with assurances that issues will be taken seriously. However, a minor point for improvement was noted regarding the regular cleaning of the staff bathroom.

Regarding effectiveness, the service is well-organised to ensure residents' care, treatment, and support lead to good outcomes and a high quality of life. The environment has been adapted to better meet residents' needs, promoting independence, though further adjustments to reduce noise transmission could be beneficial. Staff receive good training, and care plans are based on best practices, but regular supervisions and appraisals for staff could be more consistent.

The caring aspect of the service is strong, with staff demonstrating compassion, kindness, and respect. Residents feel well-treated and are actively involved in decisions about their care. Staff communicate effectively, respecting privacy and promoting dignity, although care plans could more explicitly detail long-term strategies for building independence.

In terms of responsiveness, Roman House effectively meets residents' needs through good organisation. Residents are supported to pursue their interests and hobbies, and maintain relationships, with efforts made to overcome challenges posed by pandemic restrictions. While end-of-life care planning is developing, conversations around residents' wishes are starting.

However, the service requires improvement in being well-led. Some staff feel the registered manager is not always consistently approachable or available due to external responsibilities. There are instances where oversight of delegated tasks by the registered manager could be stronger, ensuring they are completed to the required standards.