Inspection on 23/11/05 for Ravenscroft

This inspection was carried out on 23rd November 2005.

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.

Other inspections for this house

Ravenscroft 17/01/08

Ravenscroft 30/01/07

Ravenscroft 29/03/06

Ravenscroft 30/03/05

Ravenscroft 11/08/04

Ravenscroft 19/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Ravenscroft 116 Warwick Road Carlisle Cumbria CA1 1LF Lead Inspector Jane Strawbridge Unannounced Inspection 23rd November 2005 4:25 Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 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 Ravenscroft DS0000022605.V268493.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 Adults 18-65. 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. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ravenscroft Address 116 Warwick Road Carlisle Cumbria CA1 1LF 01228 520748 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) Mrs Linda Paterson Mrs Linda Paterson Care Home 3 Category(ies) of Dementia - over 65 years of age (3), Learning registration, with number disability (3), Mental disorder, excluding of places learning disability or dementia (3) Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include older people with dementia and people over 18 years of age with a learning disability 30 March 2005 Date of last inspection Brief Description of the Service: Ravenscroft is owned and run by Mr and Mrs Paterson. Mrs Paterson is the registered person and the main carer in the home. The home is registered to provide care and support for up to three adults with learning difficulties who need support with daily living. The large Victorian property is within walking distance of Carlisle city centre and close to public transport routes for buses and trains. The shops, facilities and amenities of the city centre are all easily accessible from the home. There are no obvious signs externally that make the house appear to be different from all the other similar properties in the locality. The three residents have their own bedroom with en-suite facilities on the first floor and live as part of Mr and Mrs Paterson’s family in a homely environment. There are two sitting rooms, a dining room and large kitchen for all to use as communal space and Mr and Mrs Paterson have private accommodation on the second floor. There are front and rear gardens and a patio area at the rear of the property that are easily accessible. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during late afternoon and early evening when all the residents and Mr and Mrs Paterson were present. Time was spent talking with the residents and the owners either in small groups or individually. We looked at records to do with the care of the residents and the day-to-day running of the home, and visited all parts of the home. What the service does well: 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. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 Ravenscroft offers its residents a stable and homely environment that more than adequately meets their needs and wishes. EVIDENCE: This home operates as a warm and loving family home where the registered manager and her husband encourage family members to be involved as far as possible in the daily running of the home. Each person’s capabilities, personalities and their needs had been assessed prior to them moving in to live as part of the extended family group. Some of the residents spend their days in a work setting and are therefore occupied during weekdays. The registered manager and day services staff work together to enable each resident to achieve or exceed the needs and aspirations that they had identified as important to them personally. Parental style guidance from the manager meant that residents were able to experience ‘normal’ family life and take part in most everyday activities, such as shopping. Residents were also offered opportunities to attend concerts and go away on foreign holidays. All prospective residents were offered the opportunity to spend time getting to know the others before decisions were made about moving in. The manager said that “any new resident would have to be compatible and there would be a gradual process for introductions with visits and overnight or weekend stays.” The residents currently living in the home had been settled there for between four and twelve years and benefited from a stable home life. Everyone appeared to be very relaxed and at ease in their home and with each other. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 All residents are encouraged to take decisions about their own future and what happens in the home. EVIDENCE: Each resident had a detailed plan of care that they had been involved in drawing up. The plans were reviewed regularly and changes made when circumstances changed. The residents are respected members of the family and were consulted on a frequent basis about what they would like to eat or wear and other day-to-day matters and also on more complex decisions such as holidays and what activities to take part in. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, This home provides a stable environment for its residents and encourages them to take advantage of social activities that are available in the local community EVIDENCE: The residents are encouraged to attend concerts and regular evening events held locally and elsewhere. The registered manager and her husband are both fully aware of what are the favourite interests and pastimes of each individual resident. Evening meals are timed to enable everyone to pursue their chosen activity and when necessary, transport is provided to ensure that they arrive at their destination and return home in safety. The home has sufficient television sets and other forms of entertainment in the communal rooms to cater for individual tastes. Residents also have a variety of in-house entertainment in their own rooms. These reflect the individual’s interests and range from books, videos and music centres to television sets and board games. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 The home provides a steady and supportive environment for the people living there that enables them to develop emotionally and physically as individuals. EVIDENCE: Residents said they were comfortable and happy and had everything they needed. They said they enjoyed spending time on their own and doing some things for themselves but were reassured to know that when things got difficult there was someone there to “give them a hand.” The registered manager can call upon health care professionals when required for advice and support. Each resident has a regular case review when progress is assessed against the plan of care. Changes are agreed as necessary and a new plan is drawn up with the resident’s involvement and agreement. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 This home had policies and procedures in place to protect the people living and working there. EVIDENCE: The registered manager has a sound working knowledge of the issues relating to the protection of vulnerable people. She is very conscious of her role as someone who allows the residents to do as much as possible for themselves but at the same time she is sensitive to the varying levels of self-confidence and vulnerability of each of the residents. She understands about the different types of abuse and knows what to do if she suspected that abuse had taken place. There are policies and procedures in place and information is available for reference. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 30 Ravenscroft is a home that is warm, comfortable and homely throughout. The personal spaces for its residents have been designed to reflect their personalities and preferred lifestyle. EVIDENCE: The home is maintained and furnished to a high domestic standard. All rooms are homely and comfortable and the residents appeared to appreciate their surroundings. All bedrooms occupied by residents were furnished to a high standard and each one was different. The bedrooms had been decorated to suit individual tastes and preferences and were comfortable and pleasant to spend time pursuing hobbies or entertaining visitors. All communal areas, including bathrooms and the kitchen, and private bedrooms were clean and tidy. Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, The home is owned and run by people who are competent and suitably experienced to be able to provide the appropriate care for the residents. EVIDENCE: The registered manager had not been able to undertake NVQ level 4 in care and management because she did not employ any staff. However she had completed NVQ level 3 in promoting independence that was appropriate for her current role. In addition she had studied a budgeting module and a protection of vulnerable adults module, both taken from NVQ level 4. There were no care staff or other employees at the home at the present time. The two registered proprietors carried out all care Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The registered owners provide a home that is safe and secure for its residents. EVIDENCE: The home is very well maintained and any hazards are dealt with as soon as possible. Each resident is independently mobile and currently do not require moving and handling procedures to assist them to move around. There are procedures in place that would be applied if this became necessary. Ravenscroft DS0000022605.V268493.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ravenscroft Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000022605.V268493.R01.S.doc Version 5.0 Page 16 No 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. 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. Refer to Standard Good Practice Recommendations Ravenscroft DS0000022605.V268493.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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