CARE HOMES FOR OLDER PEOPLE
Ravencourt Residential Care Home 60 Barrington Road Altrincham Cheshire WA14 1HY Lead Inspector
Val Bell Unannounced Inspection 12:30 13 December 2005
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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 Ravencourt Residential Care Home DS0000005627.V262982.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. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ravencourt Residential Care Home Address 60 Barrington Road Altrincham Cheshire WA14 1HY 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) 0161 928 8648 Miss Barbara Richardson Mrs J Richardson Miss Barbara Richardson Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (5) of places Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. All service users will fall within the category of old age but may additionally have learning disability 8th March 2005 Date of last inspection Brief Description of the Service: Ravencourt is registered to provide personal care and accommodation for up to five people in the category of old age who may additionally have a learning disability. Two registered providers, who are mother and daughter and who live on the premises, provide 24-hour support. One of the service providers is also the registered manager. Ravencourt is situated on a main road near to the centre of Altrincham and close to shops, public houses, a theatre, post office, public transport routes and parks and gardens. There is a small parking area at the front and a garden with a seating area at the rear of the property. There was one resident living in the home at the time of inspection. Ravencourt Residential Care Home DS0000005627.V262982.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 during the afternoon of 13th December 2005. During the inspection various records were examined, including the resident’s care plan and conversations were held with the resident and home manager. The homes communal areas and the resident’s bedroom were also inspected. One of the two requirements made at the previous inspection was outstanding as the manager was awaiting confirmation that she had achieved the Diploma in Health and Welfare. What the service does well: What has improved since the last inspection? What they could do better:
Two issues of concern relating to the health, safety and welfare of the resident were identified during the inspection. The garden paths showed signs of moss growth and this constituted a potential slipping and/or tripping hazard. A requirement was made for the registered person to ensure that the garden paths are regularly maintained to inhibit the growth of moss. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 6 Secondly, cleaning materials were being openly stored in the kitchen area. It is required that this is risk assessed under the Control of Substances Hazardous to Health (COSHH) Regulations 1988. Finally, a good practice recommendation was made for the registered person to regularly record the outcome of activities engaged in by the resident. 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. Ravencourt Residential Care Home DS0000005627.V262982.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 Ravencourt Residential Care Home DS0000005627.V262982.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 and 6 Continual assessment ensured that the changing needs of the person living in the home would continue to be identified and met. EVIDENCE: There had been no admissions to the home since the last inspection. The resident who had lived at the home for a number of years had his needs assessed on an ongoing basis. The home did not provide an intermediate care service. Ravencourt Residential Care Home DS0000005627.V262982.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 The resident’s health and personal care needs were being met and his choice of daily living routines, were being respected. EVIDENCE: Examination of the resident’s care plan provided evidence that his personal and healthcare needs were being met and that his needs were reviewed on a monthly basis. Copies of care manager annual reviews were also held; the most recent one being on 12th November 2004. The resident had received regular eye tests and chiropody. The resident did not take any prescribed or ‘over the counter’ medication. The resident told the inspector that he was happy living in the home and observations of interaction between the manager and resident provided evidence that he was being treated with respect. The resident’s privacy was respected as he enjoyed spending time in his room watching TV. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 10 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): 12, 13, 14 and 15 A varied programme of social activities provided a stimulating and interesting lifestyle for the resident. EVIDENCE: The resident told the inspector that he could choose when to spend time on his own and that this was respected. He particularly enjoyed watching football and comedy programmes on the TV in his room. It was noted that he had a TV magazine so that he could plan his viewing. The resident also confirmed that he was able to make choices in terms of what to wear and the food that he ate. His diet was recorded daily in a diary and this demonstrated that he had been offered a wholesome and varied diet. The resident enjoyed frequent trips out of the home with the owners, such as shopping trips, visiting the barber and trips out to parks and National trust properties, of which he was a member. A recommendation was made for the outcome of the resident’s activities to be recorded. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 11 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): 16 and 18 Robust systems relating to complaints and the protection of vulnerable adults from abuse safeguarded the welfare of the resident living in the home. EVIDENCE: The home had the appropriate complaints procedures in place. No complaint had been received by the home in the previous 12 months. Policies and procedures for the protection of vulnerable adults from abuse had been implemented at the home. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 12 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, 20 and 26 Environmental hazards that were identified potentially placed the resident at risk of harm. EVIDENCE: The inspector undertook a tour of the communal areas and the resident’s bedroom. The home was clean and hygienic and no offensive odours were present. The resident said that he had all the facilities that he needed in his bedroom. He particularly liked the fibre optic Christmas tree that was in his bedroom. It was noted that cleaning materials were openly stored in the kitchen area to which the resident had access. A requirement was made for the registered person to risk assess the storage of all cleaning materials under the Control of Substances Hazardous to Health Regulations 1988. A second requirement was made to maintain the garden paths regularly to remove moss growth, as this constituted a slipping and/or tripping hazard. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 13 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: None of the Standards in this section were assessed on this occasion. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 14 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 38 EVIDENCE: The manager stated that she had achieved a post-graduate Diploma in Management in November 2005. The manager had also completed the Diploma in Health and Welfare and the work was awaiting marking at the time of inspection. The manager’s qualifications will be verified at the next inspection. No further health and safety issues were identified during this inspection (see Standard 20) Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 15 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 3 8 3 9 3 10 N/A 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X X X X X 3 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 X X X X X 3 Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 Standard OP20 Regulation 13 (4) Requirement The registered person must undertake a risk assessment of the safe storage of cleaning materials under the Control of Substances Hazardous to Health (COSHH) regulations 1988. The garden area must be regularly maintained to keep paths free from moss growth. Timescale for action 13/02/06 2 OP20 13 (4) 13/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The registered person should ensure that the outcome of resident’s leisure activities are recorded. Ravencourt Residential Care Home DS0000005627.V262982.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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