Inspection on 29/03/06 for Ravenscroft

This inspection was carried out on 29th March 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.

Other inspections for this house

Ravenscroft 17/01/08

Ravenscroft 30/01/07

Ravenscroft 23/11/05

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 29th March 2006 4.35 Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 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.V290194.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 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.V290194.R01.S.doc Version 5.1 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.V290194.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of MD (Mental disorder, under 65 years of age) up to 3 service users in the category of LD (Learning disability, under 65 years of age) up to 3 service users in the category of DE(E) (Dementia over 65 years of age) 23rd November 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. Mr and Mrs Paterson are always in residence so that they can fulfil their roles as heads of the household and they have a bedroom on the second floor. There are front and rear gardens and a patio area at the rear of the property that are all easily accessible. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Once again 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 all parts of the home were seen. 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.V290194.R01.S.doc Version 5.1 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.V290194.R01.S.doc Version 5.1 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): 1 and 5 The residents and their families or representatives had been given adequate information to help them to make informed decisions about moving there. EVIDENCE: The home has a brochure that is well presented to give a realistic impression of what the home has to offer. There are concise descriptions of the accommodation and the range of services provided by the staff. A contract of residency that states the home’s terms and conditions has been set up with social services who act on behalf of each resident. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 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): 10 Residents are confident that personal and private information is held securely and will not be disclosed to a third party without their expressed permission. EVIDENCE: Personal information about each resident is held on file and kept securely. The home has a policy on confidentiality and all records are handled in a way that respects privacy. Permission is gained from the residents if it becomes necessary to share personal information with anyone else, in line with the home’s policy. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 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): 11, 12, 15, 16 and 17 The residents in this home have benefited from guidance and encouragement to develop their independence and social skills. EVIDENCE: All of the residents have been encouraged by the registered owners to take up opportunities to help them to enjoy a good and fulfilling work and social life where they meet with friends of their choice. Two residents said they were looking forward to going on holiday in the near future to Cuba with Mr and Mrs Paterson that they had planned together. Arrangements had been made for the third resident to enjoy a holiday with friends nearer to home when the others were away. The residents said they enjoyed visiting their families at home as often as possible. Everyone in this home behaved in a courteous manner, knocking on doors to private bedrooms and asking permission before entering. Each of the residents had been asked about their preferences for daily routines and conversations were seen to be natural and comfortable. The main meals of the day were usually eaten together as a family unit and each resident had been able to influence the daily choices. Two of the residents spent their weekdays in a work setting and they took a packed lunch to work Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 10 with them each day and then joined the other members of the family group for a cooked evening meal. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 11 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): 20 and 21 This home provides a stable environment for all its residents in which they are encouraged to maintain their independence for as long as possible. EVIDENCE: The residents who need medication are able to take it themselves under the registered owner/manager’s supervision. Currently only minor ailments were being treated with over the counter medications and creams. The home has policies and procedures in place regarding the safe storage, handling and administration of medication in line with the national Minimum Standards. The registered manager said that all residents who had a critical illness would be supported at home for as long as possible. She spoke about her previous experiences with elderly people who also had learning difficulties and of the way in which she had helped them to remain at home until they died. She said that it was important to know about the wishes of each resident before they reached the later stages of their life and that she would “take medical advice but wherever possible, and with the support from the district nurses, would look after someone at home if this is what they wanted.” Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 12 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): 22 The residents said they are happy with the way their opinions are taken seriously and acted upon. EVIDENCE: The residents are happy with way in which Mr and Mrs Paterson run the home as a family group, where they were provided with a parental type of support and encouraged to have consideration for each other. Mrs Paterson said “we discuss things informally, for example over a meal, and encourage everyone to put their opinions forward.” She said that some residents are more assertive and confident than others and find it easier to communicate. However Mr and Mrs Paterson take these differences into account and have developed ways to encourage everyone to take part in the group or individual conversations, and if needed they will mediate to ensure fair play. Mrs Paterson said, “we deal with problems as they happen and if necessary, we make sure that we provide feedback so that everyone knows what has been decided.” The residents are encouraged to suggest menu choices and have been involved in choosing the colour schemes and furniture for their rooms. The holiday in Cuba has been arranged as a result of a suggestion by one of the residents who said he “had always wanted to go to the Caribbean.” Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 13 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): 27, 28, 29 This home has adequate private and communal spaces to suit the needs of its residents. EVIDENCE: Each of the residents has a bedroom with en-suite facilities for their own use that have been designed and decorated to provide a homely environment. There is also a communal bathroom that has recently been redecorated to a high domestic standard. All shared rooms are homely and comfortable and there are two lounges so that the residents can choose to be on their own or join the others. The home has a short ramp and a handrail at the front entrance to help anyone with a mobility problem or for a wheelchair to be used easily when necessary. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 14 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, 34 and 35 The home continues to be run by people who are competent and suitably qualified to provide high quality care for the residents. EVIDENCE: The registered manager has long experience in residential care and has completed NVQ level 3 in promoting independence, a qualification that is highly relevant for her work. The home has recruitment policies in place to protect the residents although no other staff members are currently employed in the home because Mr and Mrs Paterson continue to provide all necessary care. Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 15 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): 37, 38, 39, and 42 This home is run in the best interests of the people who live and work there. EVIDENCE: The registered manager is experienced and competent to successfully run this home for the benefit of its residents although she has been prevented from completing NVQ level 4 in management because she does not employ any staff. The views and opinions of the residents and their families/ representatives are taken seriously and serve to influence the way in which this home operates. Mr and Mrs Paterson continue to work to maintain high standards and to ensure that policies and procedures are followed diligently so that they can protect the health and safety and welfare of all who live and work in the home. Ravenscroft DS0000022605.V290194.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 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 Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 3 3 3 3 X X 3 x Ravenscroft DS0000022605.V290194.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. Refer to Standard Good Practice Recommendations Ravenscroft DS0000022605.V290194.R01.S.doc Version 5.1 Page 18 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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