Inspection on 27/07/05 for Ravensfield

This inspection was carried out on 27th July 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

Ravensfield 26/04/07

Ravensfield 22/03/06

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 Elaine Brayton Unannounced 27 July 2005 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 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 F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ravensfield Address High Hill Keswick Cumbria CA12 5NX 017687 72490 01768 80978 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cumbria Care Linda May Coles Care Home 30 Category(ies) of OP - Old Age (30) registration, with number DE(E) - Dementia, over 65 (10) of places DE - Dementia Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. 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) 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. 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. Date of last inspection 14 February 2005 Brief Description of the Service: Ravensfield is operated by Cumbria Care, an internal business unit of Cumbria County Council. The home provides accommodation and care for up to 30 older adults, 10 of 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 F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over one day, and the manager was present throughout. During the inspection 18 service users and some visitors were spoken with, either individually or in small groups Staff on duty were also spoken with and all parts of the home were looked at. A selection of records relating to the day to day running of the home and the care of service users were examined. What the service does well: What has improved since the last inspection? What they could do better: The home should continue with staff training and routine maintenance tasks to ensure residents continue to receive good quality care in well maintained and homely surroundings. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 Page 6 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. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 standard(s) 1,3,5 The admission procedures are thorough and include prospective service users visiting the home to ensure their needs can be met before they move into the home. EVIDENCE: The home has a statement of purpose, which provides people with important information about the home, including the care and services provided. Residents said that they were able to visit the home to look around before making a decision to move in, and some people said their relative had visited on their behalf. An assessment of need is carried out by a senior member of staff before a person moves into the home, and this information, together with information provided through the care management arrangements ensures the home can meet peoples needs before they move into the home. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 The home has a clear and consistent care planning system, which ensures residents health, and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The care plans contained information about residents care needs, including moving and handling needs, they are regularly reviewed and updated with the resident. The plans provided the care staff with the information they needed to meet resident’s needs. Records are kept about GP appointments and when district nurses visited, and people said that an appointment was made for them if they asked to see the doctor or nurse. The arrangements for storing and administering medication in the home were safe and well organised, and residents received their medication as prescribed, with records kept. The care staff spoke to residents in a courteous and polite way, knocked before entering bedrooms, and closed bedroom doors when assisting people with personal care tasks to maintain people’s privacy and dignity. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 standard(s) 12,13,15 Social activities and meals were varied and provided residents with a range of choices and opportunities on a daily basis. EVIDENCE: The care staff spoke to residents about their interests and preferences so that suitable recreational activities could be offered to people. Residents said that there was often something going on in the home that they could join in with, including religious services and trips out. Records were kept of what activities took place, and what was arranged in the future. Residents said that they decided themselves how they spent their day. The home has regular resident meetings, which are run by the residents, and this forum is used to decide on activities and events people would like to participate in as well as other day to day issues in the home. Food is also discussed during these meetings, and the cook invited to attend to discuss the menus. Special diets were catered for, and information was recorded about residents’ dietary needs and preferences. Meals could be taken in the dining room or in the person’s own private room. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 standard(s) 16,18 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff understand adult protection issues, which protect residents from abuse. EVIDENCE: Residents were given information about how to complain when moving into the home, and said that if they complained about anything it was dealt with promptly. Information about making a complaint was displayed in the entrance area of the home. Staff had completed training about the protection of vulnerable adults, and were aware of their role and responsibilities in this area. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 standard(s) 19,20,24,26 The home provides well maintained, safe and comfortable communal and private accommodation that meets the needs of the residents. EVIDENCE: Some areas of the home had been redecorated since the last inspection, including bedrooms and en-suite facilities. Dining room furniture had been replaced, as had some carpets. This work greatly enhanced the appearance of the home, making it a more pleasant place in which to live. The home consisted of two separate living areas; each with a lounge/dining room with a small kitchen area, there was also a small separate lounge that was used by people who wished to smoke. The communal areas provided enough space for the people currently living in the home. There was a garden area with seating, which people could use in warm weather, and there was level access to this area. A small number of bedrooms had en-suite toilet facilities, and there were toilets close to bedrooms and communal areas. Bathrooms were equipped with assisted baths and there was a shower with level access giving everyone a choice of facilities. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 Residents are cared for by a skilled staff group, who are appointed following a robust and thorough recruitment procedure, which ensures maximum protection for people. EVIDENCE: There were generally between four and five members of care staff and a supervisor on duty to care for 30 residents, and also a cook and a cleaner. These staff were able to attend to peoples needs in a prompt and efficient manner, keep the home clean and provide meals and snacks throughout the day. When a new member of staff is appointed an application form is completed, the person is then invited for interview, two written references are sought, and the person will not be confirmed in post until a satisfactory Criminal Record Bureau check had been completed. These measures contributed to the protection of residents. Residents said the care staff were helpful, kind and friendly, and that they didn’t have to wait too long when needing help with anything. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,35,38 There was clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. There were systems in place to safeguard people’s finances, well being and health and safety. EVIDENCE: The manager was very motivated and many of the residents said she spent time talking with them to make sure they were happy with the care and services they were receiving. The staff group found the manager supportive and approachable, which motivated them to improve their knowledge and skills and so continue providing good care to the residents. There was a system that was followed when looking after money on behalf of residents that safeguarded people’s financial affairs. Regular tests and checks were made of equipment and systems in the home, with records kept, to ensure the home is a safe place in which to live and work. Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 x x 3 Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Ravensfield F58 F10 s35388 ravensfield v238241 260705 ui stage 4.doc Version 1.40 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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