- Care home
Keychange Charity Romans Care Home
Report from 5 December 2023 assessment
Contents
Ratings
Our view of the service
Keychange Charity Romans Home provides accommodation and personal care for up to 30 older people with a variety of health and support needs, including some people living with dementia. At the time of the assessment, 25 people were living at the home. We undertook our on site assessment activity on 18 December 2023 and our offsite assessment was completed on 20 February 2024. We looked at 5 quality statements: Safeguarding; Involving people to manage risks; Safe and effective staffing; Independence, choice and control and Equity in experiences and outcomes. Staff had been trained in safeguarding and knew how to recognise any signs of abuse; they knew what actions to take if they suspected abuse had occurred. Processes were effective in monitoring and managing any incidents or accidents. Care plans included assessments of people’s risks with advice for staff on how to mitigate these risks, which they followed. There were sufficient staff on duty to meet people’s care and support needs. New staff were recruited safely. Staff understood how to deliver person-centred care and promoted people’s independence taking account of their preferences. Policies and processes supported people’s diverse needs and staff cared for people in line with their needs and choices.
People's experience of this service
The environment of the home provided a safe setting for people. One person said, “I do feel safe and happy here. The doors are always kept locked so we know people can’t get in without staff letting them in, but I can go out if I want to.” People were involved in discussing any risks relating to living at the home. One person explained they could walk independently with the aid of a walking frame. They said, “Staff keep an eye on me because I keep falling over and that isn’t very good. One day I thought I’d help and wash the cups up. I stood up and fell over, so now I listen to what staff tell me about getting help when I need to.” People felt there were sufficient staff on duty to meet their care and support needs promptly. One person told us, “Staff do come quickly if I need them.” Another person felt staff, “had a lot to do. Some people with dementia often ring the bell, and staff will always answer them.” We observed staff were attentive and responsive to people’s needs, and took time to chat with them. People were supported with their independence. One person said, “I like to be independent and I also like to help.” We observed staff supported people in the way they wished, and with dignity and respect. At Christmas, some people chose to spend time with their families, and visitors were made welcome at the home. Care plans recorded people’s choices and preferences, and staff cared for people according to their wishes. Another person told us, “I’m not strong on religion, but we do get people coming from the local church once a week and they have a service. We have Zoom that link with the other care homes, and I can choose whether or not I want to join in.”