Inspection on 04/01/06 for Higher Ravenswing

This inspection was carried out on 4th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Higher Ravenswing 18/07/07

Higher Ravenswing 10/05/06

Higher Ravenswing 05/07/05

Higher Ravenswing 21/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Higher Ravenswing 251 Revidge Road Blackburn Lancs BB2 6DT Lead Inspector Mr Graham Oldham Unannounced Inspection 4th January 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Higher Ravenswing Address 251 Revidge Road Blackburn Lancs BB2 6DT Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01254 670115 care@ravenswinghomes.com Ravenswing Homes Ltd Mrs Valerie Dunning Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Fourteen elderly service users requiring personal care can be accommodated at the home. The home must, at all times, employ a suitably qualified and experienced manager registered with the Commission for Social Care Inspection. 5th July 2005 Date of last inspection Brief Description of the Service: Higher Ravenswing is a detached house situated on the outskirts of Blackburn. The home is located in a semi-rural position with views overlooking a golf course. Higher Ravenswing is a Ltd company with Mr George Daniels nominates as the Responsible Individual. Mrs Valerie Dunning is the registered manager although a new manager is being proposed for when she retires. The house has been converted to provide accommodation for up to 14 residents. Car parking facilities are provided at the front of the property. Gardens are accessible to residents. There are separate lounge and dining facilities for residents to choose company or privacy. There are ten single bedrooms and two shared rooms. There is a stair lift. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 3rd of January 2006. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. Five residents were spoken to during the inspection and care issues discussed. Two plans of care were examined. Residents had completed four satisfaction questionnaires. The responsible person and senior carer assisted in the inspection process and discussed care of residents. What the service does well: All five residents consulted during the inspection said they were happy at the home. Comments included, “they are looking after us all right”, “we are well looked after and treated privately”. Four comment cards returned to the Commission demonstrated all four residents liked living at the home, felt well cared for, were well treated, had their privacy respected, were provided with suitable activities, served good food, felt safe and knew who to complain to if they wished. Facilities and services provided at the home were suitable for residents. The atmosphere at the home was good. Comments included, “the carers are excellent”, the senior carer is one of the best”, “I am happy and very settled here” and “on the whole I cannot complain. One resident said, “I went home for a short while at Christmas and was glad to get back – thank God for brandy”. Residents were very forthcoming with their views and had met the inspector on previous occasions. Two comments jokingly made to the inspector were, “you are all right as long as you don’t come here too often” and “sit down you are making the place look untidy”. The open and friendly atmosphere at the home was beneficial to residents. Food was described as “excellent” and “we have a good cook. If we don’t like what is on offer we can have something else”. Residents appreciated food served at the home. The dining room and lounge were being decorated and re-carpeted to improve the living space of residents. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 6 Visiting was described as, “there are no problems with visiting”, and “my granddaughter looks after me and still visits”. Another comment, “they will bring the phone up to my room to speak to my family” demonstrated visiting and contact with families was promoted at the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 An assessment was carried out on each prospective resident to ensure their needs could be met. EVIDENCE: Two plans examined during the inspection contained assessment documentation to develop a plan of care and give staff the information to be able to care for each resident. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Plans of care had been developed for each resident; which met their health, personal and social care needs. The health care needs of residents were met. Policies and procedures for medication safeguarded residents from possible abuse. EVIDENCE: Two plans of care examined during the inspection had been developed with the aid of residents or their families. Not all aspects of care had been reviewed on a regular basis. Five residents questioned while taking their lunch were satisfied they were consulted about care issues. One said, “if you want to talk about your care you can”. Staff were aware of the plans of care and the care residents needed. Four questionnaires said residents felt well cared for. Plans of care had been developed to enable staff to care for residents. One resident said, “the chiropodist comes every ten to twelve weeks”. Another resident said, “if we need anything they refer us to our doctor or the hospital”. Further comments included, “they will call the doctor for us”, “I have seen the psychiatrist” and “I have seen the district nurse floating around”. Nutritional and pressure area assessments were ongoing and specialised equipment provided when necessary. Residents were risk assessed for the possibility of falls. Residents attended specialists to enable their health care needs to be met. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 10 Medication policies and procedures had been amended and now met the required standard. The medication administration charts had been completed satisfactorily and two staff now signed for hand written annotations. The temperature of the medication area was recorded. Information leaflets had been retained for medication issued to each resident in individual packages. Not all members of staff had completed an accredited medication course. Medication policies and procedures protected the health and safety of residents. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents maintained contact with family and friends. EVIDENCE: All five residents said visiting was unrestricted and could be taken in private to allow socialising with whom they wished. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Resident’s legal rights were protected. EVIDENCE: One resident said, “staff help me fill in the form for voting but I choose who I vote for myself”. Another resident said, “My solicitor visits the home to help me with my affairs”. Residents were able to exercise their right to vote or get legal help. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 - 25 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Suitable equipment such as hand rails or disability equipment had been provided where necessary. Toilets and bathrooms were of a type that met residents needs. Shared space was provided to give a variety of activities and uses for residents. EVIDENCE: The inspector conducted a tour of the home during the inspection process. All communal areas and several bedrooms were inspected. Rooms had been individualised to resident’s tastes. Comments from two residents such as, “I like my room”, and “the view from my room is very good across the golf course” were echoed by the five residents spoken to at lunch. Equipment was observed for residents with mobility problems such as wheelchairs, walking frames, grab rails and hoisting equipment. Bathrooms had suitable adaptations. Equipment for pressure relief was observed during the tour. All residents said the home was kept very clean. Rooms were clean, tidy and contained sufficient equipment to provide residents with a comfortable environment. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No standards within this section were inspected at this time. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 There was not a manager registered with the Commission for Social Care Inspection. Quality Assurance systems did not fully take into account the views of all those associated with the home. EVIDENCE: The responsible person had advertised and employed a person who had the qualifications and experience to manage the home. The person employed left before registration had been completed. The responsible person said, “I intend to contact several of the people who attended interview and re-advertise the post to employ someone as soon as possible”. The previous registered manager remains available for consultation and the senior carer, who has always been responsible for care issues, was still in post. A manager must be employed and registered with the CSCI to meet current legislation. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 16 There was a business plan. Meetings were held with residents on a regular basis and the responsible person was present at the home on a day-to-day basis to obtain the views of residents and their families. However, the opinions of residents, their families and stakeholders must be obtained and a summary provided to interested parties to fully obtain the views of those with interests in the home. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X X X X Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2. Standard OP7 OP33 Regulation 15(2)(b) 24 Requirement The registered person must ensure plans of care are reviewed on a regular basis. The registered person must ensure a suitably qualified and experienced manager be employed as soon as possible. The registered person must ensure quality assurance meet current guidelines. (carried forward from 31/10/06 Timescale for action 28/02/06 31/03/06 2. OP33 24 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 3. Refer to Standard OP9 Good Practice Recommendations The registered person should ensure all members of staff administering medication complete an accredited medication course. Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Higher Ravenswing DS0000061156.V267427.R01.S.doc Version 5.0 Page 20 - 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. 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