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CQC report explained · a residential care home, run by Carecall Services

Roman Wharf Care Home

1 Roman Wharf, Lincoln, LN1 1SR

Goodpublished 26 March 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Risks, safeguarding concerns, medicines, staffing, recruitment and infection control were managed appropriately.
Effective?
Good
People's health, nutrition and hydration needs were supported. Staff had up-to-date training and followed guidance about consent and decision-making.
Caring?
Good
Staff treated people with respect and protected their privacy and dignity. People and relatives were involved in care decisions.
Responsive?
Good
Care plans were personalised and staff understood people's needs and preferences. Activities, communication support, family contact and complaints processes were in place.
Well-led?
Requires improvement
Quality monitoring had improved, but the home had a history of inconsistent leadership and ineffective checks. Inspectors wanted to see the improvements sustained over a longer period.
The latest report, explained

What inspectors found, March 2024

Rated Good and no longer in Special Measures; inspectors found safe, kind care but said quality checks must be sustained.

This was an unannounced follow-up inspection on 25 and 26 July 2023. Inspectors spoke with people, relatives, staff, managers and a health professional. They observed care and reviewed care records, risk assessments, monitoring information and staff files.

The home was rated Good overall. Safe, effective, caring and responsive were all rated Good. Inspectors found people felt safe, received their medicines properly, had their health and nutrition needs supported, and were treated with dignity and respect.

Well-led was rated Requires Improvement. The manager had improved quality checks, care plans and medicines monitoring, but had only been in post about four months. Inspectors wanted to see these improvements continue for longer, especially as only 18 of the home's 50 places were occupied.

The home had previously been rated Inadequate and had been in Special Measures since July 2022. Inspectors found improvements and said the home was no longer in breach of regulations or in Special Measures.

What inspectors praised

  • People felt safe

    People said they felt safe and trusted the staff. Safeguarding concerns were investigated and staff understood how to raise concerns.

    “People told us they felt safe at the service.” from the report

  • Risks were managed

    Care plans and risk assessments were up to date. Inspectors found suitable measures for falls, skin damage, bedrails and emergency evacuation.

    “The risks to people's safety were well managed.” from the report

  • Kind and respectful care

    Staff supported people's dignity, privacy, independence and choices. Inspectors saw positive engagement between staff and people.

    “We saw positive engagement with people from all staff working at the service.” from the report
What inspectors were concerned about

  • Quality checks need to last

    needs fixing

    The manager had improved monitoring systems, but inspectors were not yet confident that these improvements would continue. The home had only 18 people living there at the time, compared with 50 registered places.

    “We would need to see the improvement in quality monitoring processes seen at this inspection, sustained over a longer period of time to be assured good outcomes for people would be maintained.” from the report

  • Manager not yet registered

    minor

    There was no registered manager in post during the inspection. The manager was going through the registration process.

    “At the time of our inspection there was not a registered manager in post.” from the report
Questions to ask them, based on this report
  1. 01How are you making sure the improved quality monitoring continues as the number of people living here changes?
  2. 02Has the manager completed the registration process, and who is responsible for the home until then?
  3. 03What checks are carried out on medicines, and how are any errors followed up?
  4. 04How are care plans reviewed with each person and their relatives?
  5. 05How do you make sure staffing levels remain safe when there are staff shortages?

This was an unannounced follow-up inspection covering all five key questions, including care, records, staffing, medicines, the environment and infection control. This explanation was written from the published report of 26 March 2024 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.

The story over the years

Every inspection of Roman Wharf Care Home

5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. March 2024Goodcurrent ratingup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Roman Wharf Care Home →

  2. May 2023Inadequatestayed Inadequate
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. October 2022Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. February 2021Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement
  5. October 2019Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  6. March 2021

    Registered with the Care Quality Commission on 22 March 2021.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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