Care Home: Ravensworth Lodge

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What the care home does well People say they like living at Ravensworth Lodge. We received comments like `You couldn`t better this home. The staff are darlings`, `I like it, I love it`, and `It`s lovely here. We do very well. Staff come and ask about the menu`. People surveyed said they got enough information about the home before they were admitted there, and they were generally satisfied that they received the care and support they need. The home is kept fresh and clean. Everyone who returned their surveys agreed this was `always` the case. One person we spoke with said how much they liked their room, which contained their own belongings, so it was more personal to them. Major equipment is kept maintained. This helps to keep the home safe for those who live there. The home has a bank of staff, which are used to provide cover when regular staff are on holidays, or off sick. The manager said the people at the home know these staff. This helps to maintain continuity, and less disruption in people`s care. All staff providing care are now over the age of eighteen, which means they have some experience of life before they begin to work in this role. What the care home could do better: The care plans could give clearer, more consistent instructions about what action staff must take to reduce risk to people, and could reflect the findings of the risk assessment. more accurately. For instance, where people are at risk from recurrent falls. Staff could follow the advice given by other professionals, for instance the person`s care manager, when deciding on how best to keep risk to a minimum. They could also ask for advice from professionals in the community, when the actions they have already taken have not been successful. The manager could carry out an audit, to see whether there is any pattern with regards to when people fall, so she has better evidence when considering how well the service responds to the needs of the people living there at the time. The activities programme could be reviewed, to check whether everyone is getting the individual attention and support they need to meet their social needs in the afternoon. Staff could be offered training in dementia awareness, so they are more aware of the support people are likely to need should they become more disorientated, and need more individual support and supervision. And care plans could say more about how the person likes to spend their time. The complaints record could be more organised, so there is a clear record about what has been done when concerns have been raised about the home. Staff could be better at identifying concerns brought to their attention, which need to be referred to the local authority for investigation under their safeguarding responsibilities, so that the right people are making decisions about whether further action needs to be taken to protect those living at the home. Random inspection report Care homes for older people Name: Address: Ravensworth Lodge 3 Belgrave Crescent Scarborough North Yorkshire YO11 1UB three star excellent service 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: Anne Prankitt Date: 1 5 0 4 2 0 1 0 Information about the care home Name of care home: Address: Ravensworth Lodge 3 Belgrave Crescent Scarborough North Yorkshire YO11 1UB 01723362361 01723375867 ravens1@gotadsl.co.uk www.ravensworth.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Suzanne Elizabeth Sellers Type of registration: Number of places registered: Conditions of registration: Category(ies) : Yorkshire Friends Housing Society Limited care home 24 Number of places (if applicable): Under 65 Over 65 24 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Ravensworth Lodge is registered to accommodate up to twenty four older people and is situated in the Falsgrave area of Scarborough, North Yorkshire. It is a short distance from all local shops and amenities and a short walk away from the town centre. Accommodation is arranged over four floors from the basement to the second upper floor. The home has been operating as a care home since 1947. It is maintained by the Yorkshire Friends Housing Society Ltd. There are twenty four single rooms, sixteen of which are ensuite. There is a passenger lift to all floors. However five bedrooms are Care Homes for Older People Page 2 of 9 Brief description of the care home 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. However staff are provided with parking permits and visitors can request a scratch card that enables them to park all day. Whilst the home adheres to Quaker principles, admissions are not restricted to any religious denomination. Information about what services are available at Ravensworth Lodge is provided to people in the form of a brochure. The most recent Commission for Social Care key inspection report is also made available. We were told on 15 April 2010 that the weekly fees range from £348 to £409. People pay extra for hairdressing, chiropody, newspapers, toiletries and clothing. Care Homes for Older People Page 3 of 9 What we found: The last key inspection of Ravensworth Lodge took place on 18 April 2007. This is a report of the findings of a random unannounced inspection, which took place on 15 April 2010. For this inspection, we used the following evidence: Information received about the home since the last inspection from other organisations, or any concerns we have been told about, and how they have been addressed. Previous reviews completed by the commission. Completed surveys returned by three people who live at the home, and five staff who work there. The Annual Quality Assurance Assessment (AQAA). This is a self assessment, completed by the manager, which gives us some information about how they think outcomes are being met for the people who live at Ravensworth Lodge. During our visit to the home, we: Looked around some of the environment, including some peoples bedrooms where this was appropriate, and communal space they share with others, such as the sitting room and bathrooms. Talked to four staff, a visitor and the manager. We also spent time watching the general activity, to get a feel about what it is like to live there. We asked people their views about the home. Looked at how the home monitors their own performance. There were surveys completed by people, their relatives and visiting professionals. Checked with the registered manager to make sure that the two requirements made at the last key inspection had been met. The manager was in a meeting for part of our visit, which lasted from 13:30hrs until 17:30hrs, but she was available for feedback at the end, when we told her about our findings. Overall, the inspection showed that people are generally happy with the way the service is run, and about the care that they receive. This opinion was echoed in the quality assurance surveys sent out by the home last year. However, there were some matters we thought could be improved, to make sure people were free from avoidable risk, and to make sure that the right people are informed about potential safeguarding matters. More could also be done to take into account peoples personal preferences about how they spend their time. This, and a better understanding about the needs of people who may be becoming more disorientated, could be given more attention, so they have access to activities at the time they need them most. Care Homes for Older People Page 4 of 9 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 £ No R 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 Care Homes for Older People Page 6 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 1 7 13 Risk assessments and care 31/05/2010 plans relating to falls need to properly reflect the support the person needs to help maintain their safety. This is so the action required by staff is clear, and so they act in a consistent way in order to keep risk to a minimum. 2 18 13 Staff must have sufficient 30/04/2010 training to understand when concerns brought to their attention need to be referred to the local authority, to be considered under their safeguarding responsibilities. This is so the right people are informed quickly, about matters which affect peoples vulnerability, so they can be thoroughly investigated. Care Homes for Older People Page 7 of 9 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 7 The home should consider requesting the input of a falls assessor where people fall regularly, to see whether they have any advice which would help reduce the risk to the individual. The prevelance of falls should be monitored by regular audit, to establish whether any adjustments to the care, staffing, routine or environment are needed. 2 12 Peoples social care plans should be reviewed with them, to make sure that there are systems in place to make sure they are achievable, that they reflect what individuals like to do, where they may need more support to maintain their social well being, and when. 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. 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