Background to this inspection
Updated
23 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Ravensknowle Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Ravensknowle Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The first day of the inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spent time in communal areas observing the care and support provided by staff. We spoke with 8 people who used the service, 5 relatives and 5 members of staff including the registered manager.
We reviewed a range of records. This included 2 people's care records and 8 people’s medicine records. We reviewed a variety of records relating to the management of the service.
Updated
23 December 2023
About the service
Ravensknowle Road is a residential care home providing accommodation and personal care to up to 8 people. The service provides support to people with a learning disability and autistic people. At the time of our inspection there were 8 people using the service.
People’s experience of the service and what we found:
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance Care Quality Commission (CQC) follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
The provider assessed risks to people and demonstrated safety was always effectively managed. People were involved in planning their care, making decisions about what they wanted to do and had recently attended reviews.
People were supported to receive their medicines safely. Records were well completed and showed medicines were administered as prescribed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care
People were very happy living at Ravensknowle Road. On both days of the inspection there was a nice atmosphere and people were comfortable in their surroundings.
The provider ensured there were sufficient numbers of suitable staff. Staff knew people well and provided a consistent and reliable service. People told us there was always enough staff available to support them and staff were good at their job.
People’s support plans had detailed personalised information and easy read supporting documentation to ensure they had accessibility to their records.
The service worked effectively with external stakeholders.
Right Culture
Staff had a good awareness of safeguarding processes and knew how to take action if they had concerns. People felt safe living at Ravensknowle Road. Relatives provided consistently positive feedback.
The service had clear visions and values which were shaped by the registered manager and provider. Staff told us they were proud to work at Ravensknowle Road and received good support.
The provider had a range of effective systems and processes to monitor the quality of the service and drive improvements.
Everyone had opportunities to share their views. Regular meetings were held where people discussed the service. One person said, “We have meetings and talk about going on holiday and the fire alarm and people's birthday. We write down what we like. We sit round in the living room and look at books to choose what we can cook.”
During the inspection we identified a small number of areas to improve such as consistency in daily records and staff to complete a recommended training course. The registered manager was very responsive and took immediate action to address these issues.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (19 January 2018).
Why we inspected
We inspected due to the length of time since the last inspection.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Ravensknowle Road on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.