Inspection on 26/08/08 for Ravenscourt

This inspection was carried out on 26th August 2008.

CSCI found this care home to be providing an Good service.

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

Ravenscourt 22/08/06

Ravenscourt 28/01/06

Ravenscourt 08/08/05

Ravenscourt 12/11/04

Ravenscourt 06/05/04

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Prinsted

Elizabeth House

Kenward House

Boons Park

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Life Works Community Ltd

Turning Point

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ravenscourt 15 Ellasdale Road Bognor Regis West Sussex PO21 2SG     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Palmer     Date: 2 6 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 23 Information about the care home Name of care home: Address: Ravenscourt 15 Ellasdale Road Bognor Regis West Sussex PO21 2SG 01243862157 01243867126 robin@ravenscourt.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Robin John Woznicki Type of registration: Number of places registered: Ravenscourt Trust care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: Date of last inspection Brief description of the care home Ravenscourt is a care home registered to provide personal care (PC) for up to seventeen service users in the categories A (Past or present Alcohol Dependency) and D (Past or present Drug dependency). The property is a converted and extended premises located on the outskirts of Bognor Regis. Accommodation is provided over three floors. The home offers both single and double rooms. The service is a voluntary organisation named Ravenscourt Trust and the registered manager is Mr R Wozniciki. The responsible person on behalf of the company is Mr J Harman. 17 17 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection included a visit to the home which took four hours. During that time we spoke to three of the current residents, three staff and were assisted by the registered manager and responsible individual for the service. As part of our pre-inspection analysis we looked at the homes last inspection report, their Annual Quality Assurance Assessment (AQAA), which they completed and returned to us when we asked for it and one residents survey returned to us. Care Homes for Adults (18-65 years) Page 5 of 23 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 23 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service can feel assured that their needs will be assessed and that the service has an understanding of their needs using the assessment process. Evidence: We sampled three files and they all contained pre admission assessments. The home liaises with social services, probation and prisons if that is appropriate. The assessment process includes gathering information by interviewing the potential residents, they also complete a self-assessment and where relevant the care manager is involved. Some residents told us the the programme at Ravenscourt was not explained to them fully prior to admission, this was discussed with the registered manager and responsible individual, and evidence of a service user guide and rules of the home being provided and agreed upon was seen. The management stated that residents come on a voluntary basis and the rules are agreed prior to admission. Care Homes for Adults (18-65 years) Page 8 of 23 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are fully involved and have agreed the daily running of the home, although this occurs within the tight boundaries of the home’s daily structure. Individual goals and aspirations are strived for within the therapeutic framework of the home. Evidence: We looked at three files and we were able to speak with three residents who were at different stages of the care programme and the experience had been individual for them all. All felt that the programme was hard but they understood the reasons why it needed to be and felt it to be positive. They were aware of their care plans and any restrictions upon them. The care plans were seen to be a working tool, with records of group sessions and weekly evaluations of progress by the key worker and the residents. There was evidence that there is full participation by the residents in formulating their care plan, it is referred to daily with a record of sessions and groups that the individuals attend as part of their treatment at the service. This file contains Care Homes for Adults (18-65 years) Page 9 of 23 Evidence: the views of the individual, their life story, what they hope to achieve, goals and ambitions and the assessment of their key worker. Risk assessments were seen to be undertaken and work alongside care plans. Both are kept under regular review. Residents are encouraged and supported to be involved in the running of the home. They are assigned tasks within the home and share the responsibilities of cooking and cleaning. Decisions are made as a group and regular meetings of the group ensure that all residents have an opportunity to air their views and be involved in the decision making process. Care Homes for Adults (18-65 years) Page 10 of 23 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported within the structured therapeutic framework with the provision of recreational and occupational activities to aid them in their recovery. Rights are restricted, which is part of the home’s therapeutic regime however people who use the service participate in all choices and areas of the home and this includes the kitchen and provision of meals where a nutritious and healthy diet is provided. Evidence: Ravenscourt offers a 12 week structured programme which includes some free time and a range of planned group activities. Residents go on weekly outings each Friday and attend leisure activities in line with their social care needs and agreed risk assessments. Some residents said they would like more variety in the Friday outings but understood why they were restricted. Care Homes for Adults (18-65 years) Page 11 of 23 Evidence: Other activities include visits to the gym, trips to the beach, spiritual walks, swimming, attendance at local Alocholics Anonymous and Narcotics Anonymous meetings. Weekly community groups for the residents provide the opportunity for individuals to air issues and contribute towards decision making in the home. There is a visiting policy in operation and restrictions on this are agreed and recorded in line with the indiviuals therapuetic programme. The programme at Ravenscourt includes work with family members to resolve on going issues and provide support where needed. Information seen on care plans and discussion with the therapists confirmed family contact is promoted where appropriate. The inspector spent time with the house keeper and examined menus for the home. Residents are expected to prepare and cook meals in order to promote independent living skills. Residents confirmed they are consulted about what they liked to eat prior to menus being drawn up. They said the quality of food varied depending on who was cooking. Residents are supported in the cooking by the housekeeper. The resident who returned a survey said they enjoyed the food and the home provided a good variety of meals. Care Homes for Adults (18-65 years) Page 12 of 23 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to services that support their health and personal support needs. The records for the administration of medication are not consistently maintained and staff may need further training. Evidence: Care plans and daily records show that people get the emotional and therapeutic support they need and that staff respond to any indication that the person’s health or well being is effected. The home has good links with other professionals who can offer advice and support. People spoken to said there privacy is respected within the boundaries of the therapeutic framework. Each person is supported to maintain their health and well being by being registered as a temporary patient with a local General Practitioner (GP). The local surgery also provides chiropody and diabetic care, for example. Medication procedures were sampled. Medication is safely stored and administered. Care Homes for Adults (18-65 years) Page 13 of 23 Evidence: Procedures and records for this were sampled and found to be secure. One omission was noted on the records from the previous evening and it was noted that a resident was not always receiving a steroid inhaler as prescribed. This was due to staff being guided by the resident on whether he felt it was needed but was contrary to the prescription. The registered manager agreed to contact the persons GP and take advice on administering the inhaler and getting the prescription changed if necessary. All medicines must be administered as per the doctors prescription. The home has guidelines in place and has been updating staff training on a regular basis and taking advice from a local pharmacist. Evidence of regular in house training was seen. The manager concluded that further external training needed to be provided to staff and agreed to arrange this. Care Homes for Adults (18-65 years) Page 14 of 23 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to complain and expect to have their views listened to and addressed. The home has satisfactory systems in place to protect the residents from abuse, neglect and self-harm. Evidence: The home has a complaints policy and procedure, which is included in the Service Users Guide. Residents also have a weekly group meeting where they can challange each other and the service about any aspects they are not happy with. The home has a copy of the local authority safe guarding adult policy as well as its own procedures. Staff confirmed that adult protection is included in their training. There has been no complaints or allegations received by the home or us since the last visit. Care Homes for Adults (18-65 years) Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from an environment that is clean and well maintained. Evidence: Communal areas seen on the day were clean and suitable for their purpose. Bedrooms were not looked at on this occasion. The AQAA states bedrooms are redecorated as needed and when they are vacant. Residents said the accommodation was satisfactory. The home employs a maintenance person who completes jobs around the home as required. Care Homes for Adults (18-65 years) Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from having their needs met by staff that are trained, supportive and sufficient in numbers. There is a thorough recruitment process to protect people who use the service. Evidence: During the inspection there were suitable numbers of staff on duty. Many staff have worked in the home for a number of years. They say its a good place to work and they work well as a team. The staff spoken to during the inspection were confident and competent at their jobs. They said they are well supported and receive regular supervision. They spoke confidently about the needs of residents. They said there is an on going training provided including mandatory courses such as, first aid, food hygiene, infection control, health and safety, safeguarding adults and fire training which are provided to all staff. Counselling staff all have a suitable qualification. Staff turnover is low and moral is high at this home. The home is currently working toward having 50 of its staff trained in NVQ level 2, or above. The home operates a robust recruitment procedure. The recruitment files of one new staff member and one in the process of being recruited were looked at. These contained the records required to meet the standards. For example; an application form two suitable references, a criminal record check and a protection of vulnerable adults check. The home does not Care Homes for Adults (18-65 years) Page 17 of 23 Evidence: use agency staff. The staff spoken to during the inspection were confident and competent at their jobs. They spoke confidently about the needs and preferences of service users. They said there is on going training and support provided. Care Homes for Adults (18-65 years) Page 18 of 23 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from the home being well managed. Evidence: The registered manager is a qualified mental health nurse and has acheived the Registered Managers Award and NVQ level 4. Staff and residents say the home is well run and they have confidence in the management. Residents are encouraged to influence the running of the home through weekly group meetings, one to one sessions and quarterly anonymous feedback sheets. The responsible individual carries out monthly regulation 26 visits and meets with the trustees on a quaterly basis. There is an ongoing maintenance prgramme for the home and the AQAA states that all safety checks are undertaken including those relating to fire safety. West Sussex Fire and Rescue service inspectced the home in April this year and made a few minor recommendations which the home are attending to. Each resident has a folder containing their valuables, including cash held for safekeeping on their behalf. A record is kept of all items and a cash balance is Care Homes for Adults (18-65 years) Page 19 of 23 Evidence: recorded. Withdrawals and deposits are clearly noted and signed for by the resident. One balance was checked and found to be accurate. Care Homes for Adults (18-65 years) Page 20 of 23 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 21 of 23 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, Care Homes 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 Care Homes for Adults (18-65 years) Page 22 of 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 23 of 23 - 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. 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