Background to this inspection
Updated
19 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One inspector and one inspection manager carried out this inspection. The inspection manager was conducting an observed practice of the inspector which the inspector explained to the registered manager and staff on-site.
Service and service type:
Ravenhill Way is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Ravenhill Way accommodated nine people in one adapted building. The building has two entrances offering individual bedrooms and shared communal rooms and garden on both sides of the building for people to access as they wished.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We did not give any notice as this was an unannounced inspection.
What we did:
Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections and is called a Provider Information Return (PIR). The provider had completed and returned their PIR to us by the stated deadline. We were able to use this information to plan our inspection.
Before the inspection we:
• Reviewed information we received from the provider on the provider information return (PIR).
• Researched feedback received about the provider to CQC as well as online.
• Looked at notifications we have received since the last inspection. A notification is information about events that the registered persons are required, by law, to tell us about. We used this information to help with planning the inspection.
• Considered any complaints and compliments received since the last inspection.
• Checked the providers own website.
During the inspection we:
• Spoke with three people using the service
• Spoke with three care staff members.
• Spoke with the domestic staff.
• Spoke with the registered manager.
• Gathered information from two care files which included all aspects of care and risk.
• Looked at two staff files including all aspects of recruitment, supervisions, and training records.
• Health and safety records.
• Records of accidents, incidents and complaints.
• Audits and surveys.
• Complaints and compliments.
After the inspection, we:
• Reviewed further evidence sent to us by the provider.
• Spoke with three relatives of people who were receiving care
• Spoke with two health professionals and social workers involved with the service.
Updated
19 April 2019
About the service: Ravenhill Way is a care home which provides accommodation, personal care and support for up to 10 people with mental health care needs. Ravenhill Way were supporting 9 people at the time of the inspection.
For more details, please see the full report which is on the CQC website at www.cqc.or.uk
People’s experience of using this service:
People told us they felt safe and thought that staff were nice.
A relative told us, “I feel that we are listened to and believed at Ravenhill…all the staff are really good and know how to help [my relative]. [My relative] is getting all the help that they need and whatever the staff are doing is working as it has made a massive difference, [my relative] is so much better than they were.”
The registered manager had systems and processes in place ensuring risks were well managed and care was personalised and reviewed.
Staffing levels, skills and experience were suitable to meet the needs of people and varied according to activities.
The provider implemented safe systems for the management of medicines which included staff training and assessments of staff competency. Staff supported some people to manage their own medicine and this had been risk assessed.
Staff had a good understanding of preventing the spread of infection and used one use personal protective equipment, colour coded equipment and they encouraged good hand hygiene.
The registered manager shared lessons learnt with staff and managed complaints and concerns in an open and honest way.
Staff supported people to have the greatest choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff supported people to choose menus and be involved with cooking meals and drinks, encouraging healthy diets and lifestyles.
People had access to specialised healthcare when needed.
People decorated their rooms in ways that they preferred and which met individual tastes. The environment was clean and odour free but the décor needed refreshing in places. The registered manager was aware of this and planning to make improvements.
The registered manager used systems such as training, policies and care plans to ensure that staff had the skills and knowledge to fulfil their roles. End of life support was not currently needed but training and support could be accessed should it be necessary.
Staff supported people to plan and access a variety of activities but motivation of people to attend was low. Some people said they experienced boredom due to this. The registered manager and staff team were trying different ideas to help motivate people to participate and take up the opportunities offered.
The registered manager showed ways that they were working with other agencies and providers to share ideas and improve services.
The service met the characteristics of good in all areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: At the last inspection the service was rated Good (14/04/2019). Overall, since the last inspection, the service rating has remained the same.
Why we inspected: This was a scheduled inspection based on previous rating.