Inspection on 28/12/05 for Ravensworth Lodge

This inspection was carried out on 28th December 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

Ravensworth Lodge 18/04/07

Ravensworth Lodge 03/05/05

Ravensworth Lodge 02/02/05

Ravensworth Lodge 18/08/04

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

CARE HOMES FOR OLDER PEOPLE Ravensworth Lodge 3 Belgrave Crescent Scarborough North Yorkshire YO11 1UB Lead Inspector Mavis Pickard Unannounced Inspection 28th December 2005 13:30p 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 Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ravensworth Lodge Address 3 Belgrave Crescent Scarborough North Yorkshire YO11 1UB 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) 01723 362361 01723 375867 Yorkshire Friends Housing Society Limited Mrs Suzanne Elizabeth Sellers Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: The home, which registered to accommodate up to 24 older people, is situated in the Falsgrave area of Scarborough, North Yorkshire. Resident accommodation is arranged over 4 floors from the basement to the 2nd upper floor and has been operating as a care home since 1950. During the intervening years the owners, Yorkshire Friends Housing Association Ltd has update and maintained the premises appropriately. All the equipment and systems required of a modern care home are made available for residents and staff. Whilst the home adheres to Quaker principles, admissions are not restricted to any religious denomination. The home has 24 single rooms, 16 of which are ensuite. There is a passenger lift to all floors. However 2 bedrooms are accessible from the lift via a few stairs. A paved garden area and garden summerhouse to the rear of the property affords level access to people accommodated and visitors to the home. Disc parking is available near the home and is restricted to 2 hours. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over a 3-hour period on a weekday between Christmas and New Year. The registered manager was on duty and assisted along with other staff to the inspection process. The home was running well and residents spoken with said that they could not praise the home too highly for the care they provide. The premises presented as being warm, cosy, clean and well maintained. Christmas decorations were noted to be bright and appropriate. Staff were observed to be going about their role in a pleasant and respectful way. No concerns were raised during this visit. What the service does well: What has improved since the last inspection? As the home is well maintained and its systems regularly updated it is difficult to detail improvements. However presently the home is being re-pointed. The manager ensures that all staff training is evidenced in the home’s records and where possible and when certificates are made available through the maintenance of certificates. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 6 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. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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 Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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): 1,2,4 and 5 The home encourages prospective and /or their representatives to visit the home, provides appropriate and detailed information about the services it provides and advises people if their needs can be met. All residents have a contract. EVIDENCE: From evidence provided in pre-admission documentation and in assessment documents it is clear that people are provided with comprehensive information about the home’s services to help them make an informed decision to move in. The manager said that prior to admission, people interested in moving into the home are encouraged to visit if at all possible. All residents are provided on the day they are admitted with a contract of residence that sets out in detail what they can expect the home to provide and what the home can expect of them. The home admits people for respite care but does not provide an intermediate care service. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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 The home has a dying and death policy. EVIDENCE: The home maintains a policy and staff follow set procedures should a resident be close to death or die whilst resident at the home. The manager said that as far as is possible and with the help and support of local community health services, any resident would be cared for during their final days in the home by staff who they know and trust and with their family and/or friends by them. The home, the manager said would do all it can to accommodate relatives/ friends who wish to be close to their loved one during this period. Only where the community health services showed concern that the best care could not be achieved by them and/or by the home, might a resident be transferred to a more appropriate service, either a care home providing nursing services and/or specialist care or a hospital. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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): 12 The home provides leisure and recreational opportunities for residents. EVIDENCE: This standard is not inspected in detail at this visit however the manager said that the home employs a paid activities organiser for 3 hours over 5 days and a volunteer who undertakes a quiz 1 day each week. The activities are resident led and include games, crafts, keep fit, trips out and a weekly film club. This is a good service and to be commended. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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 Resident’s legal rights are protected. EVIDENCE: The manager confirmed that where necessary the resident’s care manager would be involved if there were any concerns raised about issues that fall into ‘legal rights’ and that in the absence of a care manager a solicitor or advocacy service would be approached. The manager said that presently there are no concerns that any resident is not receiving the amount prescribed by law as their personal allowance. This amount must be available weekly to any resident after all care fees have been paid. It is usual that the resident either has the prescribed amount made available to them as a weekly allowance or that their family or representative ensures that the resident has use of that amount of money cummutively, over time. All residents can vote either by postal voting or by visiting the polling station personally. Staff at the home will facilitate either of these choices. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 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): 20,22,23,24 and 25 Residents live in a safe, well-maintained and comfortable environment, are provided with bedrooms suitable for their needs and have their personal belongings around them. EVIDENCE: From direct observation the home is safe, well maintained and clean. Residents have access to communal indoor and outdoor space that is comfortable and pleasant. A tour of the home evidenced that specialist equipment is provided where necessary and that this does not compromise the domesticity of the home. A few bedrooms were visited which showed that people are provided with good quality furniture and furnishings and can have if they wish their own possessions about them. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 13 Residents spoken with said that they love living at the home and feel cared for and comfortable. The home provides suitable storage for the purpose of the home and all substances that may be harmful to residents are locked away when not in use. Throughout the home all radiators are covered and hot water regulators are fitted. Monthly checks are undertaken of hot water regulators the records of which were examined. An outside contractor who notes the date of his visit on the appliance, checks fire extinguishers annually. During the tour of the home it was noted that whilst some appliances gave a date of 7/05 some were dated as 5/04. This indicates that either the contractor did not date each appliance on his visit in July 05 or that he did not check all the appliances. The manager is to contact the contractor and about this issue and advise the Commission accordingly of the plans to complete the job. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 14 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): Not inspected at this visit. EVIDENCE: Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 15 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): 3132, 33 and 37 A person fit to undertake the role and who ensures that the ethos of the home is open and positive, manages the home. The home is run in the best interests of the people accommodated. Appropriate records are maintained. EVIDENCE: The registered manager who is competent and experienced to run the home has achieved the Registered Managers Award [RMA] and is presently completing the final training that will ensure her qualifications are those recommended by current standards. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 16 The atmosphere in the home is open and positive, people spoken with during this visit said that the home is well managed and that they feel confident about the way the manager discharges her duties. The organisation uses a quality assurance system to seek the views of residents/ relatives and other interested people about the services it provides. The results of the surveys are published, made available to anyone who wishes to access them, are given as part of the pre-admission information to people looking for a placement at the home and are made available for the purpose of regulation. All records examined during this visit were noted to be detailed, up to date and accurate. Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 17 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 3 3 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X 3 X 3 3 3 3 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X X 3 X Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The manager should be qualified to NVQ level 4 in care by 2005 [recommended by the previous inspection undertaken 3/5/05] Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Extracts may not be used or reproduced without the express permission of CSCI Ravensworth Lodge DS0000007668.V270785.R01.S.doc Version 5.0 Page 20 - 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. 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