Care Home: Ravenstone Care and Rehabilitation Home

What the care home does well This home is good at making sure they only take on new residents who will fit in with the existing group of people who live in the home. They also make sure they only take people who the staff team can care for. The staff treat people with dignity and respect, they look after their personal and psychological care very well. Residents have choices about how they spend their time. They have a choice of activities and individual needs are catered for. Residents told us they were happy with the food provided in the home. We judged that the manager and staff listen to residents concerns and act upon them appropriately. We thought that the staff had a common sense approach to keeping people safe and free from harm. Residents thought the home was clean, safe and comfortable. There are enough staff on duty to give residents the kind of care they need. Staff receive a good level of training and most people have qualifications in care or are working towards them. The manager has good systems in place to make sure that everything runs smoothly in the home. We were pleased to see that she intends to keep on reviewing these systems so that the way the home runs will continue to meet the needs of the residents. What has improved since the last inspection? The home has improved the systems in place for looking after resident`s medicines. The home is now smoke free and residents who wish to smoke can use the new conservatory. A number of bedrooms have been redecorated, new patio doors have been installed, a new security door has been fitted to the back and improvements made to infection control and laundry systems. CARE HOMES FOR OLDER PEOPLE Ravenstone Care and Rehabilitation Home 72 Victoria Place Carlisle Cumbria CA1 1LR Lead Inspector Nancy Saich Key Unannounced Inspection 28th April 2008 10:00 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 Ravenstone Care and Rehabilitation Home DS0000070521.V360696.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 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. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ravenstone Care and Rehabilitation Home Address 72 Victoria Place Carlisle Cumbria CA1 1LR 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) 01228 535450 Caresure Ltd Mrs Christine Bell Care Home 12 Category(ies) of Dementia (12), Mental disorder, excluding registration, with number learning disability or dementia (12) of places Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD Dementia - Code DE The maximum number of people who can be accommodated is: 12 Date of last inspection N/A Ravenstone is an older property that has been extended and adapted to provide accommodation for up to 12 people. It is situated near the centre of Carlisle and is close to local amenities and is within easy travelling distance of the city centre. This home has been running for a number of years but has recently changed hands. The new owner has retained the staff group and Christine Bell is still the registered manager. Accommodation for residents is on two floors. People have single bedrooms and around half of these have an ensuite toilet. The house has a passenger lift, a large lounge and a dining room with a small kitchenette where people can make their own drinks. Outside there is a small walled garden with a large conservatory that is used by people who wish to smoke. The home takes people who have, or have had mental illness. They care for people who have recovered from acute illness but who need ongoing care and support. They take people of any age but most people are older and the staff team feel that their expertise is in caring for people in the upper age ranges. The weekly charge is £361to £449. Further information may be obtained from the home. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This was the main or key inspection for the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly with plenty of detail. We then sent out postal surveys to people who live in the home and their relatives and friends and to the staff group. We had a good response to these surveys and we quote from them in the report. The responses were positive and gave us a good picture of what its like to live and work in the home. We toured the building and shared a meal with residents. We also looked at files and documents that backed up what was said and what was seen. What the service does well: This home is good at making sure they only take on new residents who will fit in with the existing group of people who live in the home. They also make sure they only take people who the staff team can care for. The staff treat people with dignity and respect, they look after their personal and psychological care very well. Residents have choices about how they spend their time. They have a choice of activities and individual needs are catered for. Residents told us they were happy with the food provided in the home. We judged that the manager and staff listen to residents concerns and act upon them appropriately. We thought that the staff had a common sense approach to keeping people safe and free from harm. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 6 Residents thought the home was clean, safe and comfortable. There are enough staff on duty to give residents the kind of care they need. Staff receive a good level of training and most people have qualifications in care or are working towards them. The manager has good systems in place to make sure that everything runs smoothly in the home. We were pleased to see that she intends to keep on reviewing these systems so that the way the home runs will continue to meet the needs of the residents. What has improved since the last inspection? What they could do better: There was nothing of serious concern seen on the day. We asked the manager to make minor adjustments to how she records money received on behalf of residents. We also want her to look at how she plans and records details of residents care. We would like to see a little more structure in her planning and more Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 7 details of how to help individuals if they were to have difficulties with their mental health. The residents also felt that it would be good if they could go out more as well as having activities in the house. 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. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 8 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 Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service is good at making sure they only take new people who will fit in with the other people in the house and who they know they can care for properly. EVIDENCE: When the home was bought by the new owner our registration team asked him to complete a document called the Statement of Purpose - this explains the aims of the home, how it is staffed and what kind of care the service provides. This was available in the home and met with the standard. The manager agreed to send any updates to the lead inspector. When we visited the home we spoke to one person who had only been in for a short spell of time. He told us that he had visited with his social worker and had been given the opportunity to meet other people and to look around. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 10 During the visit another prospective resident was visiting for the first time and was having a look round and meeting the staff and residents. We checked on a number of residents files and saw that the manager or her deputy went out to visit new residents to make sure that the staff team could give them the kind of support they needed. We judged that the manager of this home is very careful to take people who she knows will benefit from the care and services the home provides. She said that any new person has a psychiatric assessment and a risk assessment in place. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents in this home received good standards of care and this helps them to remain well and to live in the community. EVIDENCE: Every person who lives in this home has their own personal file that they may read if they so wish. We asked the residents about these files and about the written plans that help staff to understand the kind of care and support they need. They were fully aware of these and most people had seen what was in their file. When we asked about care plans people were very clear about being able to influence what was written about them. We read approximately half of the care plans and we found that each file had sufficient information for staff to understand the needs and wishes of each resident. Although these files gave all the necessary information we judged that the manager could make some improvements that would meet with current ideas Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 12 on good practice. We would like to see each plan being written in a more upto-date style and we would also like to see more strategic forward planning and a little more information for staff action if a person were to have a mental health crisis. We saw from the care plans and the daily notes that people could see their GP when necessary, that some people saw the District Nurse and other people had regular visits from the Community Psychiatric Nurse. The residents told us that they went out to other health care appointments. We checked on the medicines held on the half of the people who live in the home. We found that these were being given out correctly and that staff had qualifications in the safe handling of medicines. We found that the medicines were being stored correctly and they were properly accounted for. The new owner is a pharmacist and he plans to improve on these already satisfactory arrangements. The manager told us that a new system was being introduced next month that would be easier to use and to monitor. We looked at the medicines that people were taking and we judged that, given the nature of their illnesses, the home was very careful about medicines. We could see that with some of the more powerful drugs a psychiatrist had undertaken suitable reviews. We had evidence to show that people got medicines that would keep them well and that no one was given strong sedative medicine. The manager said they preferred to treat each person individually and they did not like to see drugs being used for any behavioural issues. All of the residents we met on the day were very positive about the way the staff treated them. This was also backed up by the evidence we had in surveys. During the visit we saw that mature and sensitive staff members treated people with kindness, patience and genuine concern. One resident said: • We can chat to the staff and it is all very easy and friendly. We enjoy a bit of banter but also know that the staff will sit and talk to us seriously about anything that is causing us worry. We judged that this is very important for people who suffer the symptoms of mental ill health and we found evidence to show that the staff are committed to helping people in a respectful and dignified way. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home helps people to have a range of options and choices about how they live their lives. EVIDENCE: When the inspection started at 10 oclock some people were still in their rooms and others had already had breakfast. Residents told us that they could get up or go to bed as they wished. Staff said that they needed to support people who found sleeping difficult but they said that they allowed people to make their own choices about how they spent the day. During the visit people went out to day centres, out with relatives and also went to the local shop for newspapers and cigarettes. Residents said that they could choose how they spent each day and that there were no formal rules. They said that staff would encourage them but no one felt restricted by this support. The residents told us that they could go out alone if they wanted to as long as they just tell staff that they were going out. We checked on residents files and Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 14 discovered that there were good risk assessments about people going out alone. They also told us that they went out regularly to a local church coffee morning and that some people went to a day centre and others went to a drop-in centre. They also said that they went shopping in the town centre and at the local super stores. On the day of the visit the television set in the home were being prepared for the switch to digital reception. There were books, newspapers and board games available. The manager told us that the new owner is going to by a computer for residents use and will have wireless broadband installed. One or two people told us on the day and some other people sent in surveys that said they felt the home would be improved by more outings. One or two people made suggestions on the day about what they would like to do. The manager was aware of this and said that the new owner hoped to improve the range of activities. We did however, see that each persons file had a weekly activities sheet and staff told us that they tried to do something in the house every day. We had evidence to show that staff organised things like dominoes and that they encouraged residents to do some household chores. Residents said that their families and friends could come and visit at any time. We met one visitor on the day who said that she was always made very welcome and could come for a meal if she wished. The survey forms we received also said that visitors were made very welcome. The residents told us that they had meetings twice a month where they could air their views, make their concerns known and make any suggestions about future plans. The people we spoke to felt that they had a lot of control over their lives. Those people who had some restrictions on their lives due to their mental health needs were aware of why they had to be supported by staff. We spoke to the manager about this and we judged that she was very committed to giving people their rights and that she encouraged the staff team to keep people as independent as possible. We also judged that meeting this standard could be quite difficult when people had mental health needs. We were pleased to see that the manager and her deputy had done some training on the Mental Capacity Act and had started to apply the requirements of this act to the way people were cared for. The residents were happy for the inspector to join them for lunch. They told us they preferred a snack lunch, as some people didnt get up until quite late. They have a full dinner in the early evening. They told us that the quality of the food was good and that they had plenty of choice and could have snacks and drinks as they pleased. The staff were quite confident about their understanding of nutritional needs. Residents’ files showed evidence of staff supporting people who had problems with their diet and people were weighed regularly if there was a problem. We made some suggestions about updating the way this was recorded but generally we were happy with the way peoples diets were managed. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 15 Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team in this home know how to support people who want to complain and they are also aware of how to protect people from abuse of any kind. EVIDENCE: We had not received any formal complaints about this service. There had been no major concern’s reported to the manager. The people who lived in the house told us that they would go directly to the manager if anything were not to their liking. They also said that the new owner came to the home at least once a month and sat with them. They felt he was easy to talk to and they could speak to him about anything that was worrying them. They said that their first port of call would be the staff and they were confident that the staff would listen to any complaints and try and put them right. We checked on the records kept about residents and there was nothing of concern shown in the daily reports that we read. We talked to people who live in the home about this and they said that there was nothing abusive going on in the home. They said that it would be noticed in such a small home and that the manager was aware of everything that happened. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 17 We spoke to staff and they were able to tell us how they would report an abusive situation. Staff had received training in this and there was plenty of documentation that would help and guide them if they had to report an incident. We felt confident that the staff team were vigilant and that they could speak up on behalf of the residents if something was wrong. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This house is clean, warm and comfortable and the new owner is upgrading all areas of the property to make sure that residents have as nice a home as possible. EVIDENCE: Ravenstone is an older property that is situated just on the outskirts of Carlisle. It is a short bus journey to the centre of the city but some residents said they managed to walk to town. There are local shops and other community resources that residents can use. The home is very close to Carlisle United football ground and to large superstores and to pubs and restaurants. Accommodation is in single rooms; about half of them have their own ensuite toilet and wash hand basin. The residents told us that the new owner had Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 19 redecorated their rooms and that the bathroom and shower room were going to be completely refurbished. Residents were happy to show us their rooms where they felt they could keep all their personal possessions safely. We thought that the bedrooms where bright, clean and tidy. One of the residents told us that he felt the staff really cared about him because they cared about his room and his clothes and his possessions. This person had spent a lot of years in other homes and hospitals and felt that this was the best care hed ever had. There is a large lounge that looks out onto the main road and a smaller dining room with its own kitchenette where residents may make themselves drinks. The new owner has built a new conservatory in the small walled garden at the back of the property. This is where people are able to smoke and the home has become a smoke-free zone. The house has a passenger lift to the first-floor and some equipment that helps people who may have mobility problems. The manager told us that they did not take people with severe physical disabilities but could manage to care for people if their mobility slowed up due to ageing. The home was clean, fresh and tidy in all areas. The staff told us that they had been trained in infection control and in food hygiene. The household linens and residents clothing were clean and well pressed. The new owner gave us a copy of his plan that shows all his intentions for improving the environment. The residents were fully aware of these and in agreement with the changes. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This home has an experienced and well-trained staff team who keep the needs of people who live there at the centre of everything they do. EVIDENCE: We saw the rosters for four weeks before the visit. Normally there are two members of staff on duty during the day and one person awake at night with the second person sleeping in the building. Both staff and residents told us that this allowed the staff team to give good levels of support. The manager and her deputy are also available during the week. The home has a person who does the general cleaning. We judged that this home is suitably staffed to give the right levels of care. This house has a well-established staff team and there have been no new staff taken on for some time. We did check staff files and found that recruitment was done correctly so that residents are protected. The staff on duty told us about their training and qualifications. We also saw records that gave us the evidence that all staff receiving suitable training. The manager had a training plan for this year and staff were keen to keep on learning. They have attended a range of training events that included basic skills training - things like infection control, manual handling and the safe Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 21 management of medication. Individual team members had also gone on specific training courses. For example one person told us about a training course on helping people who have had problems with drug or alcohol addiction, and another told us about a course on dementia and other mental health problems. We judged that the staff team are well trained and eager to learn more so that they can support their residents. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has good systems in place to make sure that things run smoothly and this includes plans to keep on improving the systems for the benefit of the residents. EVIDENCE: The manager of this home, Christine Bell has worked with the residents for a number of years. She has a qualification as a registered manager and also has National Vocational Qualifications in care. The staff and residents told us that they had confidence in her and trusted her judgment and ability. We judged Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 23 that she was very much in control of what went on in the home and that she had a very good understanding of the residents needs. Romey Chopra bought the home in October 2007 and this is his first residential home ownership. The residents and staff said they were very confident in him and were impressed with his get up and go -- as one person said: • I have worked here for years and he has made more changes in the last six months than in all the years before. We judged that he is discerning enough to realise that he has a manager and a staff team who know what they are doing and he is allowing them to carry on operating the home much as before, but he is also giving them support to change the things that both they and he want to change. He had prepared his proposed action plan for changes for the coming year. Residents said that they had been asked their opinion and the staff also said that he listened to their views. The manager had completed a quality review of how the home was operating and she was preparing to write an annual report about this. We checked on the money held for residents and we found that the amounts were correct. We advised the manager on some minor changes she might like to make and she agreed to do this. We saw that some residents had a lot of control over their personal finances and that other people were given a lot of support to manage their money. We also checked on staff supervision records and we saw that each member of staff was given the opportunity to talk to the manager about their personal development and about any work related issue that might cause them concern. We saw the fire logbook and this was being kept correctly. We spoke to staff about their understanding of fire safety and food hygiene. We judged that they had received good training and understood their responsibilities. We looked at other records that showed that regular maintenance and checks on the house and equipment were done. We also walked around the building and judged that staff understood what was required of them in terms of health and safety. We saw no hazards on the day. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 24 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 You For CHOICE OF HOME No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. 2. Refer to Standard OP7 OP12 Good Practice Recommendations It is recommended that the registered manager look at more up to date care planning formats and that plans are written in a more Person centred way. It is recommended that the registered manager try to provide residents with more opportunities to get out into the community. Ravenstone Care and Rehabilitation Home DS0000070521.V360696.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Ravenstone Care and Rehabilitation Home DS0000070521.V360696.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. 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