Archived: Ravenscroft

Updated 4 January 2016

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.

We undertook a focused inspection of Ravenscroft Care Home on the 24 November 2015. This inspection was completed to ensure improvements to meet legal requirements planned by the provider after our comprehensive inspection 10, 11 and 14 September 2015 had been completed. We inspected the service against one of the five questions we ask about the services: is the service safe. This was because the service was not meeting legal requirements in relation to that question and we had issues d warning notices following the comprehensive inspection.

The inspection was carried out by one inspector. Before our inspection we reviewed the information we held about the home. This included the provider's action plan, which set out the action they would take to meet the legal requirements.

During our inspection we spoke with two people who lived there, one visitor, the manager, five staff members, including housekeeping and laundry staff. We reviewed a range of records which included quality monitoring documents, cleaning schedules and correspondence with contractors regarding refurbishment requirements. We looked around the premises to review the refurbishment work that had been completed.

Updated 4 January 2016

At the comprehensive inspection at this service in September 2015 we identified eleven breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We issued the provider with two warning notices nine requirements stating that they must take action to address these breaches. We shared our concerns with the local authority safeguarding and commissioning teams.

This focused inspection was carried out to assess whether the provider had taken the necessary actions to meet the two warning notices we had issued. We will carry out a further unannounced comprehensive inspection to assess whether the actions taken in relation to the warning notices have been sustained, to assess whether action has been taken in relation to the nine requirement notices and to provide an overall quality rating for the service.

This report only covers our findings in relation to the warning notices we issued and we have not changed the ratings since the inspection in September 2015. The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. You can read the report from our last comprehensive inspection by selecting 'all reports' links for Ravenscroft on our website at www.cqc.org.uk.

At this inspection we found the provider had taken action to address the issues highlighted in the warning notices. The home manager had developed a comprehensive action plan to address the warning notices and other requirements in the inspection report where they were found to be in breach of regulations. The plan was being updated to reflect the progress being made with improving the service. Meetings had been held with people using the service, their relatives and staff. The meetings were used to explain the actions they were taking, the improvements they wanted achieve and to seek feedback.  

As the home is currently not fully occupied those rooms that required attention had been decommissioned pending a programme of refurbishment. People and their relatives had been consulted with and had been moved to other rooms within the home.

At our last inspection we found that not all people using the service had their own slings with which they could hoisted. We also found there was no information to indicate if or when slings had been cleaned. This meant people were at risk of cross contamination because the slings were shared and no cleaning schedule was in place. At this inspection people had all been allocated their own slings. Their were schedules in place which identified which slings were to be cleaned on each day.

Schedules were also in place to ensure that equipment was cleaned each week, which included hoists and wheelchairs. There were also resources made available to ensure that hoists were cleaned in-between each use.

New cleaning schedules were in place and the home had recruited additional housekeeping staff.

Some chairs and flooring had been replaced and the home had a programme of refurbishment in place. The landlord had dedicated money to support bringing the home up to standard. Quotes for work still outstanding were being sought.