Latest Inspection
This is the latest available inspection report for this service, carried out on 19th August 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Ravenscroft Nursing Home.
What the care home does well The home is a calmer, more relaxed place. Call bells were heard only occasionally and promptly answered by staff. People who use the service, their family and staff are very eager to comment on how much the home has improved recently. We were told: "There is low staff turnover. The nursing staff are excellent. They take very good care of him and keep us well informed"; "No concerns about xxx`s care. Xxxx is having some excellent care"; "Recent times there`s been a nice feeling around the building. Sue`s worked very hard here" and "We`re all behind Sue 100%". Three health care professionals wrote for the home`s surveys: "Staff always professional"; "The home has done well with some very complex patients" and "I rate Ravenscroft very highly". What the care home could do better: There should be detailed and accurate record of all money with connection to the home. This protects all the people who have dealing with it. Random inspection report
Care homes for older people
Name: Address: Ravenscroft Nursing Home Old Crapstone Road Yelverton Devon PL20 6BT two star good service 30/10/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anita Sutcliffe Date: 1 9 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Ravenscroft Nursing Home Old Crapstone Road Yelverton Devon PL20 6BT 01822853491 01822853444 enquiries@ravenscroftcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Mason Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ravenscroft Homes Ltd care home 54 Number of places (if applicable): Under 65 Over 65 54 0 old age, not falling within any other category physical disability Conditions of registration: 0 54 The maximum number of service users who can be accommodated is 54 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Physical disability (Code PD) Date of last inspection Brief description of the care home Ravenscroft is a care home providing nursing and/or personal care for a maximum of 54 residents of either gender with physical frailty, illness or disability. It is situated
Care Homes for Older People Page 2 of 9 3 0 1 0 2 0 0 9 Brief description of the care home near Yelverton, West Devon, on the edge of Dartmoor National Park. The home is arranged on 3 floors within an older `Victorian house, plus a more modern extension and purpose built wing opened in September 2005. All rooms in the wing have en-suite toilets. Currently the top floors of the home are not in use. Level access is achieved via 3 passenger lifts. There are 2 lounges and 2 dining rooms. There are large grounds, with grass and paved areas, with level access from the house. Information about the home was found in the entrance hall and people can request a copy of the latest inspection reports from the administration office. Grant Thornton UK LLP were appointed joint Administrators of Ravenscroft Homes Limited on 8th March 2010. The day to day running of the home continues under the management of Sue Mason, registered manager. The nursing home is for sale. Information given to the Commission indicates the current range of fees is from 306 to 650 pounds per week. The actual fee is dependant on the needs of the person and the room occupied. Additional fees are for hairdressing, chiropody, privately funded eye care, outings (with the cost informed in advance) transport for hospital appointments, visitors meals and catering for birthday celebrations with family or friends. Care Homes for Older People Page 3 of 9 What we found:
We did an unannounced inspection visit to Ravenscroft Nursing Home following anonymous information, which if true, could mean that people associated with the running of the home are putting the welfare of people who use the service at risk. We spent three hours at the home during which time we spoke with three people who use the service, one persons visiting family, the registered manager Sue Mason, the administrator, the nurse on duty, two care assistants, the cook, two domestic staff and the maintenance worker. We toured the building and the garden and looked at records which the home keeps on money and valuables belonging to people or collected for charities the home supports. During the visit we were given the results of recent quality assurance questionnaires the home has collected from residents, their family, health and social care professionals and staff, toward reviewing the service it provides. Following the inspection visit we took advice from Devon and Cornwall police about our findings. We found nothing relating to the building to indicate that any statutory regulations were being breached. Currently the upper floors are unused and some belongings are stored there but this does not impact, in any way, on people using the service. We found nothing to suggest that staff have been acting inappropriately. In fact, people were very praiseworthy of the staff and happy that staff turnover is now low. All but one staff we spoke with was positive about recent changes at the home. There was much mention of the newly built duck pond, which people visit when the weather permits and is an attractive addition to the garden. We had been told that staff watch a particular television program and do not answer call bells when it is on. When we arrived that program was being viewed by one person who uses the service. She turned it off to speak with us, confirmed it is her choice to watch it and named other people living at Ravenscroft who enjoy it. Whilst we could not find evidence to confirm that staff never ignore call bells to watch it neither people who use the service, or staff, believed this to be the case. Staff told us: If call bells go they are answered; Staff might want to know what the results are (in the program) but would not purposely not answer bells and Residents love the show but staff would not refuse to answer a call bell because of the show. We looked at money and valuables which are kept by the home on peoples behalf. There were clear and detailed records of transactions and a running balance of money kept. One seperate envelope contained unnamed items which relate to people who had lived at the home before 2002. These had not been claimed by family; no records had been kept. We were told that they were to be disposed of but this had not yet been done. We saw receipts from the money spent on the new duck pond. The money spent was accounted for. We saw evidence that charity money had been received by the relevant charity. However, there were no records for money collected by people for charity. We
Care Homes for Older People Page 4 of 9 recommend that records are kept of all financial transactions relating to the home as this protects the people who handle the money (or valuables). We were told of two instances where money may not have been handled appropriately. These do not relate to any current member of staff or management. We sought advice from Devon and Cornwall police. We then found that the organisation appointed as Administrator of Ravenscroft Homes Ltd. are investigating whether a criminal offence has occured. We conclude from this inspection that the accusations made against the home cannot be substantiated or are unfounded. We did not, on this occasion, look at whether previous requirements have been met but an improvement plan was in place. We found happier residents and an optimistic staff. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13 (2) All medicines received into the home must be recorded. To ensure a full audit is possible so as to protect people. 30/11/2008 2 9 13 (2) All medicines received into the home must be recorded. So that a full audit is possible so as to protect people. 04/11/2009 3 26 13 There must be liquid soap available in the laundry and sluice areas. So that hand hygiene can be maintained and the possibility of cross contamination reduced. 31/10/2009 4 38 13 Where people have 20/11/2009 consented to the use of bed sides any risk from this must be assessed. So that any risk can be removed or reduced. 5 38 13 All risk, either from the environment or staff practice, must be assessed. So that any risk can be 31/12/2009 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action removed or reduced. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 34 There should be detailed and accurate records of any financial transaction at the home, including money collected for the residents or charity. This protects all the people who have dealings with it. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!
