Inspection on 22/03/06 for Ravensfield

This inspection was carried out on 22nd 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

Ravensfield 26/04/07

Ravensfield 27/07/05

Ravensfield 14/02/05

Ravensfield 30/06/04

Ravensfield 16/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ravensfield High Hill Keswick Cumbria CA12 5NX Lead Inspector Jane Strawbridge Unannounced Inspection 22nd March 2006 11:05 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ravensfield Address High Hill Keswick Cumbria CA12 5NX 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) 017687 72490 01768 80978 www.cumbriacare.org.uk Cumbria Care Mrs Linda May Coles Care Home 30 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (30) Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 30 service users to include: up to 30 service users in the category of OP (old age not falling within any other category) up to 10 service users in the category of DE(E) (Dementia over 65 years of age) The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 27th July 2005 3. 4. Date of last inspection Brief Description of the Service: Ravensfield is operated by Cumbria Care which is an internal business unit of Cumbria County Council. The home provides accommodation and care for up to 30 older adults, 10 whom may have dementia. The home is situated close to the centre of Keswick, close to all of the local services and facilities of the town. The home provides accommodation on two floors, and is divided into two units, the main part of the home is for people who are physically frail, and there is a small unit for people with dementia. There is a passenger lift, hand rails and grab rails to assist people in moving around the home. There are three bathrooms in the home, which are equipped to assist people with a disability. All of the bedrooms are for single occupancy, and three have ensuite toilet facilities. There are pleasant garden areas with seating, and a car park. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place during a late morning and early afternoon. The manager and a supervisor were present throughout the inspection. The inspector spent time talking with the residents either in small groups or individually, with visitors and with the manager and staff on duty. Records to do with the care of the residents and the day to day running of the home were looked at and the inspector 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 Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 6 contacting your local CSCI office. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 This home has procedures in place to enable potential residents and their families make important decisions about their future. EVIDENCE: The majority of admissions to this home are planned in which case potential residents have an opportunity to visit prior to moving in, which means that they can see for themselves what services are available. In some cases people who have enjoyed short term or respite care in the home, settle in well when they move in permanently because they know what to expect. New residents are offered a six weeks’ trial period after moving in so that they can make an informed decision about taking up permanent residence. A review takes place at the end of the trial period and if they wish to stay the residents sign a contract which includes the terms and conditions of residency. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 Practices within this home mean that residents and their representatives are confident that their wishes will be respected. EVIDENCE: This home has detailed personal files recording a wide range of information about health and personal care needs, daily routines and preferences, including residents’ expectations and wishes after their death. Whenever possible residents are nursed at the home during a critical illness with the support of the local doctors and community based nurses who visited frequently and whenever necessary. The home offered support to the families of seriously ill residents in their care and welcomed them to visit as often as they wished. Support and counselling is made available if necessary to help anyone who has been seriously affected by the death of a resident or colleague. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 People living in this home are encouraged to be involved in making the decisions that affect their daily lifestyle. EVIDENCE: The manager and staff value views and opinions of the residents. The residents hold a meeting, chaired by a supervisor, every month and the minutes of the meetings are distributed throughout the home. The meetings are usually well attended and the residents often invite other people to attend; for example the cook is invited to discuss meals and menus. The manager responds to issues raised by the residents and wherever possible changes are made within the home so that they become good practice and improve the quality of the services. All residents are actively involved in putting forward their preferences for menu choices, activities and locations for outings. The home also has a Friends Group that has two residents on its committee to work alongside its other members and represent the views of their fellows. The local Lions club is represented on the Friends committee and they will soon be erecting a greenhouse in the garden for the enjoyment of residents and staff. All outings are undertaken by individuals or in small groups so that people can exercise their choice and preferences using taxis or small mini buses for transport. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The home has satisfactory procedures in place to ensure that the legal rights of residents are protected. EVIDENCE: Some residents have families who look after their personal affairs and some are subject to Power of Attorney. An advocate can be arranged if necessary, for someone who is unable to speak for themselves and does not have a family member or close friend who is willing to act on their behalf. The manager said she would intervene if she thought that a resident was being treated unfairly or was being bullied. Senior staff in the home make sure the electoral register is kept up to date and usually the residents request postal votes in preparation for political elections. Staff will assist new residents to vote in person if they have been admitted too late for a postal vote. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21, 22, 23, 25, 26 This home continues to provide a safe and comfortable environment that meets the needs of the people who live there. EVIDENCE: This home has 30 single bedrooms including three that have en-suite facilities. There are three fully equipped bathrooms that provide level access showers and baths with bathing aids to enable residents to bath in safety and as independently as possible. There are ten separate toilets with hand washbasins, six of which have raised toilet seats and are accessible for wheelchair users. The communal rooms and private bedrooms were warm, homely and comfortably furnished, smelt fresh and were clean and tidy. The residents had been encouraged to bring treasured possessions to make their rooms special. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 30 Procedures in this home ensure that residents’ safety and wellbeing are protected. EVIDENCE: The manager follows a strict recruitment procedure to ensure that only people who are suitable for the job are appointed. After appointment staff are expected to undertake training courses to maintain or improve their knowledge and expertise. Over 50 of staff have achieved NVQ level 2 or above in care with three staff who have almost completed their award and two who are ready to start their training. Every member of staff has completed the minimum 21 hours of training during this financial year which more than adequately demonstrates the team’s commitment to training and professional development. One of the supervisors has just been appointed as an internal assessor for colleagues working for their NVQ awards. It is hoped that this appointment will help to improve the time it takes to complete the award. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 37 There are procedures and practices in place to protect the rights of the residents and to ensure the health and safety and wellbeing of the residents, staff and visitors. EVIDENCE: The home uses a customer satisfaction survey each year asks its residents, their families or representatives to make comments on the quality of the service they receive. The results are discussed at the residents‘ meetings and issues are addressed as soon as possible to improve the service. Comments from the survey are included in the Statement of Purpose and are used to influence the business plan. The home has a key worker system in place so that designated staff and residents work closely together. The key worker listens to what the resident says and appropriate action is taken to respond to an individual’s needs and aspirations. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 15 The manager was responsible for the monitoring and management of the home’s budget and the accounts were kept centrally. The records of residents’ personal property and personal monies were subject to scrutiny in line with Cumbria Care’s policies and procedures. Records relating to the health and safety of people who live and work in the home, including the fire log had been completed correctly. Ravensfield DS0000035388.V283533.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X 3 3 3 X 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 X X 3 X Ravensfield DS0000035388.V283533.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 Ravensfield DS0000035388.V283533.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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