Inspection on 04/10/07 for Ravenscroft

This inspection was carried out on 4th October 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Blenheim House

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

CARE HOME ADULTS 18-65 Ravenscroft West View Wrekenton Gateshead Tyne and Wear NE9 7UY Lead Inspector Mr Lee Bennett Key Unannounced Inspection 4 and 8th October 2007 11:00 th Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 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 DS0000070141.V350482.R01.S.doc Version 5.2 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 DS0000070141.V350482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ravenscroft Address West View Wrekenton Gateshead Tyne and Wear NE9 7UY 0191 4875085 01661 824458 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) Ashdown Care Homes Limited Glynis Hutchinson Care Home 5 Category(ies) of Learning disability (5), Old age, not falling registration, with number within any other category (3), Physical disability of places (4) Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categries: Learning disability - Code LD, maximum number of places: 5 Old age, not falling within any other category - Code OP, maximum number of places: 3 2. Physical disability - Code PD, maximum number of places: 4 The maximum number of service users who can be accommodated is: 5 7th and 20th July 2006 Date of last inspection Brief Description of the Service: Ravenscroft is care home, providing personal care for up to 5 people with a learning disability. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is a purpose built bungalow with level access to all of the accommodation. The home is suitable for people with a physical disability or frailty. There is an enclosed garden and a car parking to the rear of the home. The home is situated within walking distance of Wrekenton, and is near to local public transport links and a wide range of local facilities, including a doctors surgery, shops, pubs and places of worship. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit in July 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 4th October. An announced visit was made on 8th May 2007. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. We told the manager what we had found. What the service does well: Before moving here people have the opportunity to visit, stay over and get to know other service users and staff. Staff are good at identifying what people need and in meeting these needs. They get on well with the people who live here. Staff make sure that service users have access to health care and community services and facilities, such as shops, libraries, cafes, and so on. Staff will also speak up for service users where necessary Care planning arrangements are comprehensive and service users’ needs are clearly documented. The practice of testing staffs’ knowledge of each service users’ care plans and needs, by a questionnaire, is an area of continuing good practice. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 6 A high standard of accommodation is provided, and the home is accessible for people who are physically frail or disabled. Recruitment checks include the taking up of references and Criminal Records checks. These help to ensure safe recruitment practices are in place. Staff also receive regular training to keep them up to date with current good practice. This also means their work is focused on service users’ needs. 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. The summary of this inspection report can be made available in other formats on request. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 7 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 DS0000070141.V350482.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users needs have not been fully assessed prior to their admission to the home. Existing service users needs are periodically reassessed to a good standard. Detailed assessments can help ensure that the service can be planned in a way that meets service users needs and wishes. The home is able to meet the diverse range of people’s needs to a good standard. Before moving here people have the chance to visit and stop over in the home. This can make sure that they get to know the people who live and work here, and feel comfortable about their move. EVIDENCE: Before moving here, people can have short visits and longer, overnight stays. This is so they have a chance to see if the service suits them, and for the manager to assess if their needs can be met here. The manager will also speak to other people involved in a person’s care. Although there have been no new service users admitted to Ravenscroft recently, someone is planning to move here soon. The home’s manager has sought information about them Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 9 from the staff in the home where he currently lives, however, the social workers assessment has yet to be provided. This person has had the opportunity to visit and stay over at Ravenscroft. The manager has also met with this man where he is currently living, so that she can they can get to know one another. For the other people living here, their needs are subject to periodic review and re-assessment. Following such an assessment plans of care and / or risk assessments are developed by ‘key workers’. These mirror the needs observed by the inspector. The needs of each service user are detailed within their personal case files, and they also detail the action taken to meet these needs and progress made. To assist them in providing effective care, the staff have received training and guidance relevant to service users specific, diverse and specialist needs, such as those relating to epilepsy, dementia care and medication. Further advice is available from specialists within the Social Services function (currently Community Based Services) of the local council and the Community Learning Disability Team. This is a team of medical professionals, such as nurses, psychologists, occupational and speech therapists. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are in place, and reflect their observed needs to a good level, but contain too much information. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Service users are, as far as is practicable, consulted on and participate in the life of the home to a good level. This can help in the development of an inclusive service for those living there. Service users are supported to take risks in a planned way, irrespective of their age, gender or disability. This can help ensure their independence is promoted, balanced against a judgement about any risks involved. This can also help promote an awareness of safety to a good level and ensure equality of access to community facilities and activities. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 11 EVIDENCE: The communications skills and needs of the people living here means that staff often have to interpret their choices, and need to understand the meaning of their behaviour, gestures and noises. This is the case when developing care plans and in responding to day to day situations. Staff can clearly demonstrate their ability by assisting service users to communicate, and were also observed to discuss and explain routines and activities with service users, irrespective of their communication needs. Service users are asked and allowed to make decisions affecting day to day choices and about the activities they participate in. They are also encouraged to undertake, help, or to participate as observers with chores in the home. Staff are mindful of how service users feel from day to day, and will also tailor what is offered on this basis. For example, as service users are becoming older, they will offer more gentle activities, and allow people time to recover where they have had periods of active epilepsy. To help guide the care offered to the people living here, a care plan file is compiled. Each service user here has had one developed. These are all written up, evaluated and reviewed by a ‘key worker’; a member of staff who works with a named service user and takes a lead on the planning and delivery of care. The care files contain detailed information on each person’s needs, and how these are met, but need to be pruned, as information has been built up over several years. Closely linked to care planning arrangements are risk assessments. Again, these have been developed by a key worker. Areas of risk are therefore documented within each service users’ care file, including assessments relating to activities out of the home, behaviours that may challenge the service, and the use of equipment. This can contribute to staff having guidance to enable service users to access community facilities without being placed at undue risk of harm. A model is used, whereby each risk area is identified, who or what may be harmed is noted, current and additional control measures are documented, and this is then reviewed. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are assisted to lead active and fulfilling lifestyles by having a regular community presence and by accessing a range of community facilities. This will assist in them leading a full and enjoyable life. Each person living here is supported to maintain their personal relationships and friendships, which helps them to keep in touch, and be involved in family life. The rights of service users are respected, and routines in the home are flexible to a good level. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. The food provided is varied, wholesome, nutritious and well-presented. It meets each person’s needs and preferences. This can contribute to the general health and wellbeing of the people who live here. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 13 EVIDENCE: On the day of the inspection, the majority of service users were supported, by staff, to access local shops and other community facilities. Service users are also assisted to have trips out, to use a sensory room, and to go on holiday at least once a year. One person living here needs a more predictable and gentle routine as they are now getting older. For all service users, their individual preferences are recorded, and the activities undertaken reflect these preferences, their needs and associated risks. A minibus, with a qualified driver, is available to assist in accessing community facilities. Service users have also participated in periodic holidays, and have been to the Lake District and Blackpool on several occasions. A recent trip to the Calvert Trust (specialist chalet accommodation in the Lake District) was undertaken this summer. Each service users’ choices and preferences regarding activities and occupation are outlined within their care plan file. Those activities participated in, but judged unsuccessful are also documented. As well as going out and about, contact with friends and relatives can affect the quality of life enjoyed by people. Although contact with relatives varies for the people living here, due to their individual circumstances, staff in the home will assist service users to ‘keep in touch’ by sending cards and making phone calls. Service users also attend a range of activities, such as a women’s group, that allows them to interact with people outside of their immediate home environment. The kitchen area also acts as a hub of many activities and a meeting place in the home. Meals are normally taken within the kitchen / dining room, which is often a lively centre of activity. Service users have a range of dietary needs, which are outlined within their care plans. There is a record kept of the meals planned and provided. Some people living here need help with eating their meals. Staffs’ practice reflects the guidance and risk assessments provided, for example to prevent service users from choking and eating too fast. Some staff have attending training directly relevant to this, on dysphagia (difficulty in swallowing) and the good practice taught has been reflected in the care plans and guidance offered to other staff. Staff have not attended or attained accredited training in food hygiene. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and support is offered flexibly, discreetly and with sensitivity. This can help to ensure each person’s privacy and dignity is respected. The health care needs of the people living here are clearly identified and promoted. Staff will also advocate, or seek additional advocacy support, to ensure that each service users’ rights of access to health care services and treatment are met. Medication arrangements are appropriate for the needs of service users, and are managed in a safe manner. EVIDENCE: The service users living at Ravenscroft have their personal and healthcare needs outlined within their case files. Their needs are supported and met, where appropriate, in private, and they are encouraged to cater for their own needs where possible. Specialist support and aids (such as manual handling hoists, ceiling tracking and adapted baths) have been sought and maintained Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 15 where necessary, and multi-disciplinary input (for example from the Occupational Therapist and Speech and Language Therapist) are made available. An Occupational Therapist was visiting the home on the day of the inspection to plan for the admission of a man in the coming weeks, and to ensure all the necessary equipment is in place before he moves here. As well as making sure appropriate equipment is in place, the registered manager has, in the past, sought help to assist service user’s equal rights in accessing health care treatment, and to overcome disability discrimination within some health care settings. The outcome of health care input and routine monitoring is recorded within each service users’ care file. Linked to health and personal care arrangements, is the support given with medication. Due to their levels of need, service users are not able to administer their own medicines, and designated staff therefore assist in this area. Several staff at the home have undergone training in relation to medication administration (the safer handling of medication course). This has been supplemented by in house training on this topic. Locked storage has been installed for service users’ medications, with internal and external medicines stored separately from one another to ensure good hygiene practice. Printed administration records are kept, and a sample signature list is maintained to identify which staff were responsible for each medication administration. An audit of the medications used by service users who were ‘case tracked’ was concluded successfully for one person. For another this was difficult, because the stock audit did not indicate if this was done before or after the administration conducted that day. This needs to be born in mind when staff undertake audits so that the records remain clear and accurate. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are listened to and acted upon to a good level. This can help contribute to a service user centred service. Steps are taken to help ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: A clear complaints procedure exists within the home. There have been no complaints reported within the past twelve months. As noted above, service users have varying communication needs, which make it difficult for them to directly express their views and opinions on the service they receive. Staff therefore have to be mindful of service users’ behaviours as a means to gauge their feelings. Staff have, in the past, received training from the local Adult Protection Coordinator, which will help to explain the role of adult protection, and to offer guidance to staff. The registered manager has also provided guidance material to staff for use within the home. Both the home’s own and the local authorities adult protection procedures are available in the home, should staff need guidance in this area. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 26, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ravenscroft is well maintained, homely, safe and clean. Bedrooms are furnished to a good standard, with aids and adaptations provided to promote each persons’ independence and safety. This can help promote a positive image for service users, and ensure they remain comfortable and safe here. EVIDENCE: Ravenscroft is a purpose built bungalow, and provides level access throughout. Communal areas consist of a lounge and a separate kitchen diner. Domestic style furnishings and fittings are provided, and adaptations, such as ceiling tracking, a hoist, grab rails and an adapted bath, have been installed in communal areas and service users’ own bedrooms. Bedrooms have been decorated and furnished in line with each service users’ personal tastes. One of the five bedrooms has an en-suite bath and toilet. There is a separate bathroom with toilet, and additional toilet facility. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 18 A regular, planned cycle of cleaning is implemented. The home is clean and well decorated throughout. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team here are competent and have received training relevant to the need of the people living here, their roles and the purpose of the home. This can ensure that service users are supported in a safe manner by staff who have an understanding of their needs. Service users are protected by the home’s recruitment policy and practices, which can help ensure unsuitable candidates do not gain employment in the home. These are implemented to a good standard. EVIDENCE: Staffing levels are maintained to a level where there is never less than two care staff working at any one time during both the day and night. The examination of a sample of staff records and confirmation by the manager indicated that staff are only employed in the home after the receipt of sufficient background checks having been carried out, which help determine their suitability to carry out their role. These checks include the receipt of a Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 20 Criminal Records Bureau ‘disclosure’, two written references, and confirmation of physical fitness. Where the manager obtains verbal confirmation regarding references received this is now documented, as recommendation in the last inspection report. Once recruited to the home, staff receive a range of training, relevant to the needs of service users, health and safety, and to care in general. Specialist support to help a service user with specific dietary needs has been provided, with ongoing support available as necessary. The manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. Half the staff team have undertaken and achieved an NVQ in care, at level 2 or higher. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home, where the quality is regularly checked. This can help ensure the service remains focused on their needs and aspirations. The home is free from hazards to service users. This can contribute to the health, welfare and security of service users. EVIDENCE: The registered manager is qualified to NVQ level 4 in management, and to level 4 in care. Since the last inspection she has also attended training relevant to her post and the needs of service users. Courses attended include: Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 22 • • • • • • • ‘delegation and time management’, ‘health and safety / risk assessment’, ‘infection control’, ‘palliative care’, ‘moving and handling’, none abusive physical and psychological interventions (nappi)’ and ‘emotional freedom techniques’. As well as ensuring her own knowledge and practice remains up to date, the registered manager undertakes a number of quality checks and audits to ensure the standard of care is up to current good practice levels. An annual questionnaire survey is also conducted to gain the views of service users’ relatives and independent representatives. However, due to the communication needs of most of the service users living at the home, it is not always easy to gain a clear understanding of service users’ views. Service users’ observed preferences are therefore documented, and staff use their gestures, expressions and behaviour to judge what it is they are communicating and whether they are happy or not with various aspects of the service. Just as the quality of the care provided is checked, so are matters affecting health and safety. Therefore regular checks on the building are carried out, water and fridge / freezer temperatures are monitored, and working practices that could present a risk are looked at, and safe ways of working (for instance by the use of lifting aids) introduced. At the time of the inspection there were no observed hazards in the home. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 23 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 X 2 2 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 24 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. 1 Standard YA2 Regulation 14(1)(a & b) Requirement Timescale for action 02/11/07 2 YA17 18(c)(i) The manager must obtain a social workers assessment in respect of prospective service users before they move to the home. This is so she is clear that the home can meet people’s needs and develop appropriate plans of care. All staff who handle food must 02/04/08 attain certificates in food hygiene (accredited by the Royal Institute of Public Health), at foundation level or higher. This is to make sure they are aware of good food hygiene practice. 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 2 Refer to Standard YA6 YA20 Good Practice Recommendations Working care plan files should be reviewed to ensure they do not contain out of date or duplicated information. This is so they remain concise and easy to use. Medication audit records should indicate the time the audit DS0000070141.V350482.R01.S.doc Version 5.2 Page 25 Ravenscroft was conducted and whether this was before of after any administration/s conducted on that day. This is so the audit record clearly and accurately reflects the stocks held. Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © 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 Ravenscroft DS0000070141.V350482.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!