This inspection was carried out on 28th February 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.
CARE HOMES FOR OLDER PEOPLE
Ravencourt Residential Care Home 60 Barrington Road Altrincham Cheshire WA14 1HY Lead Inspector
Val Bell Unannounced Inspection 28th February 2006 10:00 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 Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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.V278608.R01.S.doc Version 5.1 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.V278608.R01.S.doc Version 5.1 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 13th December 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.V278608.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted during the morning of 28th February 2006. Various records, including the resident’s care plan, were examined and conversations were held with the manager and the resident. The two requirements made at the previous inspection had been addressed. What the service does well: What has improved since the last inspection? What they could do better:
One good practice recommendation was made for the manager to develop a formal quality assurance programme that sought and recorded the views of the resident on the suitability of the service he received.
Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 Page 6 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.V278608.R01.S.doc Version 5.1 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.V278608.R01.S.doc Version 5.1 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 Regular review of the residents needs assessment ensured that any changing needs could be identified and that action could be taken to meet those needs. EVIDENCE: Although the home is registered to provide personal care and accommodation to five older people there was only one person in residence at the time of inspection. No admissions had been made into the home in the previous twelve months. The homes resident had lived at Ravencourt for a number of years and he had received a local authority needs assessment prior to admission. This was subject to annual review by Social services and was being reviewed monthly by the registered manager. The home did not offer an intermediate care service. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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): EVIDENCE: None of the Standards in this section were assessed on this occasion. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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): EVIDENCE: None of the Standards in this section were assessed on this occasion. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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 procedures for dealing with complaints and protection issues ensured that the health, safety and welfare of the resident were protected. EVIDENCE: These Standards were met as assessed at the last inspection. The manager stated that the home had not received any complaints or protection issues. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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): 20 Prompt attention to health and safety issues ensures that the safety and welfare of the resident is protected. EVIDENCE: The two requirements made at the last inspection had been addressed. COSHH (Control of Substances Hazardous to Health) risk assessments had been undertaken on cleaning materials used within the home and secure provision for their storage had been provided. The manager was now ensuring that garden paths were being maintained on a monthly basis to remove the growth of moss. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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): 27, 28, 29 and 30 The resident could be confident that a knowledgeable and trained care and management team would meet his needs. EVIDENCE: The registered manager and her mother manage the home on a day-to-day basis. The manager’s sister provides relief cover at weekends. The manager’s sister is professionally qualified as a chiropodist and has achieved the BSc in Healthcare and Welfare. Criminal Record Bureau certificates have been obtained for all three people working in the home. A full induction programme and personal development plans are available for new staff employed in the home along with refresher training and NVQ programmes. The manager has joined Trafford Training Consortium to take advantage of their training resources. The three people working in the home were suitably qualified and experienced. No staff had been recruited since the previous inspection. The manager had updated her knowledge on racial equality since the previous inspection. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 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, 33, 35 and 38 Appropriate systems are in place to protect the financial security of the resident. EVIDENCE: The manager provided certificated evidence of her professional qualification in care and management. The resident living in the home did not have any family to consult on the quality of the service although quality issues were discussed frequently on an informal basis. A recommendation was made for the manager to undertake a formal consultation with the resident to establish if he is satisfied with the level of the service received.
Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 Page 15 A discussion was held with the manager to decide how this might be achieved in line with the assessed needs of the resident. It was decided to develop a system of annual review of the National Minimum Standards in conjunction with the resident. The resident’s personal allowance was paid to the resident by the local authority. The manager produced detailed records in a spreadsheet format. This record was accurate and up to date. The resident had received support to develop confidence in paying for his own purchases. The manager had undertaken a risk assessment for the Control of Substances Hazardous to Health (COSHH) and all cleaning materials were being securely stored. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 Page 16 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP33 Good Practice Recommendations The registered person should consider undertaking a formal quality assurance survey to record the views of the resident on the service he receives. Ravencourt Residential Care Home DS0000005627.V278608.R01.S.doc Version 5.1 Page 18 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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