Random inspection report
Care homes for older people
Name: Address: Ravenstone Nursing and Residential Home 7 St Andrews Road Droitwich Worcestershire WR9 8DJ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christine Potter Date: 1 1 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Ravenstone Nursing and Residential Home 7 St Andrews Road Droitwich Worcestershire WR9 8DJ 01905773265 01905778890 ravenstone@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Michael Peter Hirst Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 46 Number of places (if applicable): Under 65 Over 65 46 46 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 46 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 46 Physical disability - over 65 years of age (PD(E)) 46 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Ravenstone Nursing and Residential Home is registered to accommodate 46 older people who require 24 hour personal or nursing care. The home is conveniently situated within central Droitwich Spa, close to local amenities and resources. Limited parking is available outside the home, but car parks are within a short walking distance from the home. Ravenstone is a large detached Victorian building providing accommodation for residents in predominantly single bedrooms. Some double bedrooms are available for married couples. The home provides communal lounges, a communal dining room and specialist bathing facilities. A passenger lift assists residents to access all areas of the home. Information regarding the home can be obtained from the Statement of Purpose and the Service Users Guide which are available from the home. The home belongs to Southern Cross Healthcare, which is a large organisation that owns homes all over the country. The registered manager is Mick Hirst, who is a registered nurse and holds additional professional qualifications. Information about the fees is not included in the Service User Guide, for up to date information about the fees please contact the home direct as the fees are based on individual needs and assessments. Care Homes for Older People Page 3 of 10 What we found:
This unannounced random inspection of Ravenstone Nursing Home was carried out on the 11th June 2010. The reason for the inspection was to monitor the homes progress following the last random inspection on the 1st October 2009. This was undertaken following comments received from people using the service, which told us that there were shortfalls in the service provision in the home. The last key inspection to Ravenstone was in 2008 and this inspection rated the home as good. The home have had a change of registered manager since the last key inspection. There were 38 people being accommodated on the day of the inspection. We met with the manager, deputy manager, and care staff. We reviewed care records, staff records, maintenance records and the homes internal auditing systems. Surveys from people using the service, provided positive comments about the service and the quality of care provided. We found the home to be well organised and all records requested were available and up to date. These were the findings of our inspection. Choice of Home (standards 1 to 6) Ravenstone keep a copy of the homes Statement of Purpose and Service User Guide in the reception area of the home and in residents bedrooms. The manager or deputy manager assesses people prior to accepting them into the home. This is to ensure that the service can meet the individuals health and personal care needs fully. We looked at the completed assessment for two people recently admitted to the home. These showed that the pre admission assessment provides sufficient information for the staff to use to develop a basic care plan of the persons health and personal care needs. The other standards from this section were not assessed at this inspection. Comments from people using the home included: very pleased in the way that the home is run. and I think the home makes people feel at home like it is their own to do what they want. No other standards from this section were reviewed at this inspection. Health and Personal Care (standards 7 to 11) The last random inspection in October 2009 recommended that the service review the care plans to ensure that they provide clear guidance for the staff delivering the care. We found that a plan of care was in place for all people living in the home. We looked in detail at two care records. These showed that the care plans and risk assessments were being reviewed and updated frequently. The care documentation had improved from the last random inspection. It was recommended that the home continue with the developments with the care records to present them in a more person centred way. The home is completing reviews with the residents and their families where possible. Each resident has a named nurse and key worker so residents and relatives can identify familiar staff to discuss their care with. Care Homes for Older People Page 4 of 10 Residents have access to health and remedial services and a record of all visits is recorded in the residents care plan for reference. The residents are registered with four local Doctors practices who visit when requested to review individuals and their medication. Following the last random inspection the home has replaced equipment to assist staff with moving residents around the home. Specialist scales have been purchased to weigh people who are more dependant, to assist in monitoring their nutritional health needs. The management of medication was not reviewed at this inspection. We have not received any notifications from the home reporting medication errors. The manager completes a monthly audit on their medication system. All the nurses have completed a medication training course. New medication trolleys have been provided to assist in keeping the medication stored safely. The temperature of the treatment room is being monitored, as this room becomes really warm in the hot weather due to poor ventilation. All staff spoken to were aware of the residents health and personal care needs. No other standards from this section were reviewed at this inspection. Daily Life and Social Activities (standards 12 to 15) These standards were not fully assessed at this inspection. We observed the activities organiser doing a group activity with some residents and relatives in one lounge. The activities organiser holds some group work and one to one sessions for the more dependant people. At the time of walking round the home many people were in their bedrooms having a rest. The activities board is displayed in the home and shows the weekly program of activities. Photographs of residents taking part in the activities are displayed in the home. There is advocacy information on display in the home. Details for the next relatives meeting were displayed for the 14th July 2010. The manager confirmed that these are being well attended, and people are enthusiastic in helping to promote the home. The home has a pleasant area with garden furniture for people to use when the weather permits. The home operates a catering system which shows the nutritional value of all food served in the home. The kitchen was awarded a five star excellent rating. Comments received about the food were excellent. Relatives were seen visiting during the inspection, some in bedrooms and others in the lounge areas. Complaints (standards 16 to 18) Following the last random inspection we received an anonymous complaint about a staff member which was referred to safeguarding (the multi agency authorities). This was fully investigated and not upheld. We looked at the complaints records for the last six months. Four complaints had been made directly to the home and clear records were in place about the complaint. They showed the investigation and the outcome of the investigation with timescales. One complaint was open and being investigated by an external manager from the company. In addition the service has received some wonderful complements which were shared with us.
Care Homes for Older People Page 5 of 10 Environment (standards 19 to 26) We walked around parts of the home with the manager. The manager told us that they have introduced a policy as a room is vacated it is redecorated before the next resident moves into the home. Some bedrooms seen were personalised by the resident which gives them some familiarity. Generally the home was seen to be clean and tidy. Some work is required to improve the homes appearance with decoration and floor coverings. The need to ensure that any potential risks around the home are minimised an example on the day was the open pipe work seen in one of the bedrooms. The manager confirmed that risk assessments were in place. Comments received about the laundry were that people experience this to be an excellent service. Staffing (standards 27 to 30) The random inspection report raised concerns about the number of staff being rostered on duty. A requirement was made for the home to ensure that allocated staff are in proportion to the number and dependency levels of the residents living in the home. This takes into consideration the size and layout of the home. This follow up visit found no poor outcomes for people living in the home from the staffing levels. Staff confirmed that generally there were sufficient staff over the 24 hour period. We have received no complaints from people using the service or other professionals about the staffing levels. We checked two staff files for people who had been employed in the last 12 months. The files showed that proper background checks had been carried out before their employment commenced. We looked at the staff training matrix for the home which showed the training staff have completed and have planned training for the next 12 months. This assists in ensuring peoples health and personal care needs are maintained. No other standards from this section were looked at during this inspection. Management (standards 31 to 38) Since the last Random inspection a new manager and deputy manager have commenced. They are registered nurses and have held senior positions in other nursing homes. The manager confirmed that he is up to date with all the mandatory training and completed a training course on Parkinsons Disease. He is in the process of commencing the Registered Managers Award which is a recognised qualification for managers in care homes. Staff told us that the manager is approachable. In the short time that he has been in post we found improvement in all areas. The manager confirmed that he receives good support from the owners and they have a system in place for monitoring the quality of their service provision. A maintenance person is employed who ensures that the safety checks and servicing of the equipment is up to date. Care Homes for Older People Page 6 of 10 All records requested were available and up to date at the time of the inspection. No other standards from this section were inspected at this inspection. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 19 To improve the homes appearance, a review of the decoration and furnishings should be developed taking into account any potential risks for residents living in the home. Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
