Archived: Ravenswood

Updated 21 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 23 October 2018 and was unannounced.

The inspection team consisted of two CQC inspectors and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Some people at the service were not able to tell us about their experiences. We used a number of different methods such as undertaking observations to help us understand people’s experiences of the home.

During the inspection we spoke with four people living at the home, three relatives and seven staff members, this included senior staff, and the registered manager. We reviewed 11 people’s care and support records and four staff files. We also looked at records relating to the management of the service such as incident and accident records, meeting minutes, recruitment and training records, policies, audits and complaints.

Updated 21 November 2018

This inspection took place on 23 October 2018 and was unannounced. At the last inspection we found the provider had met the previous breaches of regulation.

Ravenswood is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Ravenswood provides accommodation and personal care for up to 36 older people, some of whom are living with dementia. At the time of our inspection, the service was providing accommodation and personal care to 28 people.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are registered persons. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they were safe and happy living at Ravenswood. Relatives told us they felt their relatives received good care from staff who were competent and caring. Throughout our inspection we observed positive interactions between people living at the service and care staff. Staff spoke kindly to people and responded quickly to care needs. Staff knew people well and were able to describe their needs and preferences.

Medicines were managed safely and people received them at the appropriate times.

People were positive about the food and told us they enjoyed their meals. The dining room was busy and noisy during meal times but people could choose to eat in their rooms. Staff supported people to eat independently or assisted if needed. Staff checked that people had enough to eat and drink.

The environment had been adapted where possible to the needs of people living with dementia and people with compromised mobility. People had a choice of two lounges and there was lift access to all floors of the home.

The service provided a range of activities. Some of these took place outside of the service, such as trips to the garden centre or out for coffee. Some people chose not to participate in these activities and preferred to spend most of their time in their room.

People received person-centred care, however this was not always reflected in care plans. Some people’s plans lacked information about how staff should support them if they became distressed. Staff did not always record capacity and best interests decisions in a clear manner.

The provider had a comprehensive governance system which was operated effectively. Shortfalls in the service were mostly identified and rectified. However, the audits for care plans and best interests decisions had not picked up these shortfalls.