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Ravenstone Care and Rehabilitation Home Good

Reports


Inspection carried out on 15 February 2017

During a routine inspection

This unannounced inspection took place on 15 February 2017. We last carried out an inspection in April 2014 and rated the service as good.

Ravenstone Care and Rehabilitation Home (Ravenstone) provides care and accommodation for up to 13 people with mental health needs. The building has three storeys that have been adapted for use as a residential care home. Each person had their own room and there are lounge and dining facilities on the ground floor.

Ravenstone was flooded in December 2015. At the time the people who lived there had to be found temporary accommodation. Ravenstone staff and the registered manager continued to provide support to people while they awaited significant rebuilding and refurbishment works to be completed. The service lost much of its paper records in the flood. When we inspected the home had just re-opened and was accommodating six of its former residents.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service managed medicines appropriately. They were correctly stored, monitored and administered in accordance with the prescription. People were supported to maintain their health and to access health services if needed. People who required support with eating and drinking received it and had their nutrition and hydration support needs regularly assessed.

There were sufficient staff to meet people’s needs. They were trained to an appropriate standard and received regular supervision and appraisal. As part of their recruitment process the service carried out background checks on new staff.

Where people were not able to make important decisions about their lives the principles of the Mental Capacity Act 2005 were followed to protect their rights. Staff were aware of how to identify and report abuse. There were also policies in place that outlined what to do if staff had concerns about the practice of a colleague.

Care plans were subject to regular review to ensure they met people’s changing needs. They were easy to read, based on assessment and reflected the needs of people. Risk assessments were carried out and plans were put in place to reduce risks to people’s safety and welfare.

Staff had developed good relationships with people and communicated in a kind and friendly manner. They were aware of how to treat people with dignity and respect. Policies were in place that outlined acceptable standards in this area.

There was a complaints procedure in place that outlined how to make a complaint and how long it would take to deal with. People were aware of how to raise a complaint and who to speak to about any concerns they had. There were no outstanding complaints in the service.

The home was well led by a registered manager who had a vision for the future of the service. A quality assurance system was in place that was utilised to improve the service.

Inspection carried out on 2 April 2014

During a routine inspection

Overall summary Ravenstone Care and Rehabilitation Home provided care and accommodation for up to 13 people with mental health needs. The building was three storeys that had been adapted for use as a residential care home. Each person had their own room and there were lounge and dining facilities on the ground floor.

People told us they were happy with the care they received and "could come and go as they pleased".

We found there was a very inclusive atmosphere in the home where people decided themselves how they spent their time.

Staff knew those that lived in the home very well as most had lived in Ravenstone for a number of years. There was a very stable staff team with a low turnover and because of this the interaction and communication throughout our visit was warm and friendly.

Each person had an up to date plan of care that gave staff sufficient information to ensure appropriate care and support was provided. Risk assessments were in place to safeguard people when they were in the home or out in the community.

Staffing levels were sufficient to meet the needs of people who used this service and they told us there was always someone around if they needed anything.

All new staff completed a full induction programme provided by an external training company. We looked at staff training records and found the training programme included all mandatory subjects and other subjects appropriate to caring for people with mental health needs.

The registered manager was on leave at the time of the inspection and as a result of this the deputy manager assisted with our inspection visit. The staff we spoke to were very appreciative of the support they received from the manager. Staff supervision was up to date and staff meetings were held monthly.

There were minor issues with the maintenance of the building and we were assured the handyman would put these right. The home was clean.

Inspection carried out on 9 November 2013

During a routine inspection

People told us they were happy living in Ravenstone Care and Rehabilitation home.

“I am very happy here and the staff are very helpful”.

"I have no complaints at all about this place. I have been here a long time”.

We saw that staff treated people with dignity and respect and that support was provided in a relaxed manner.

We found that people’s care and support needs had been assessed and kept under regular review to help ensure people received the care they needed. We saw that people had access to health and social care professionals.

We found that there was a sufficient number of staff to provide an appropriate level of care and support.

We found there was a procedure for dealing with complaints and concerns and people knew any concerns they had would be dealt with immediately.

Inspection carried out on 4 September 2012

During a routine inspection

We spoke to people used the service. They told us that they were satisfied with the support they received:

"Honestly we are well looked after".

"They're always there to listen".

"Feels like home".

"I am quite happy where I am".

We found that staff had good relationships with the residents of the home. They were well trained and understood the needs of the residents. The owner of the home and the manager supported their staff to deliver good quality care and kept up to date, relevant records.