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Archived: Ravenswood Good

Reports


Inspection carried out on 14 September 2017

During a routine inspection

We carried out an announced inspection of Ravenswood on 14 September 2017. At the last inspection on 15 December 2014, the service was rated Good. At this inspection we found the service remained Good.

Ravenswood provides accommodation and personal support to three people with a learning disability. The service does not provide nursing care. At the time of the inspection there were three people accommodated in the home.

Ravenswood is a detached property set in its own grounds. It is situated off the main road in Whitworth and is within easy reach of Rochdale and surrounding areas. The home is part of a wider service provision which includes a day care facility, respite care and supported living.

The service was managed by 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.

People living in the home told us they felt safe and staff treated them well. Staff understood their responsibilities to safeguard people from abuse and people's medicines were managed appropriately.

People were supported by sufficient numbers of skilled staff to ensure their care and support was provided flexibly to meet their needs. Safe recruitment procedures were followed to ensure prospective staff were suitable to work in the home; people were involved in the selection of new staff.

Potential risks to people's safety and welfare had been assessed and preventive measures had been put in place where required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

There were appropriate arrangements in place to support people to have a varied and healthy diet. People were supported with their health and had access to health care professionals when needed.

We observed excellent relationships between people and observed staff interacting with people in a caring, good humoured and friendly manner. People were happy and relaxed with staff and we overheard much laughter during our visit. Staff treated people in a respectful and dignified manner and people's privacy was respected.

People had been consulted about their needs and aspirations and had been involved in the development of their support plan. The support plans clearly reflected human rights values such as people’s right to privacy, dignity, independence, choice and rights. Support plans and risk assessments were person centred and provided clear guidance for staff on how to meet people’s needs and preferences. Care and support was focused on people's wishes and preferences and people were supported to be independent.

People participated in a wide range of activities which were tailored to the individual. People, families and staff had regular meetings to discuss the operation of the home and were involved in the development of the service.

Systems were in place to monitor the quality of the service provided and ensure people received safe and effective care. These included seeking and responding to feedback from people in relation to the standard of care. People were very complimentary about the service.

The management team were committed to ensuring people received person centred care and to the ongoing improvement of the service.

Inspection carried out on 15 December 2014

During a routine inspection

We carried out an unannounced inspection of Ravenswood on 15 December 2014. Ravenswood is registered to provide accommodation and personal support to three people with a learning disability. The service does not provide nursing care. At the time of the inspection there were three people accommodated in the home.

Ravenswood is a detached property set in its own grounds. It is situated off the main road and is close to the centres of Whitworth and Rochdale.

At the previous inspection on 14 August 2013 we found the service was meeting all standards assessed.

There was a registered manager in day to day charge of the home. 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.

People living in the home told us they felt safe there and did not have any concerns about the way they were supported. One person said, “I like it here; I have improved so much because of this place.” A relative said, “He is safe and well looked after.” People living in the home were given easy read guidance about how to report abuse and had received information and advice about keeping safe in the local community. Staff had a good understanding of what constituted abuse and were able to describe the action they would take if they witnessed or suspected any abusive or neglectful practice.

Proper checks had been completed before new staff started working in the home. People who lived in the home were able to meet and greet applicants or participate in the interview to help make sure any new staff recruited were capable of supporting them. All staff were given the training and support they needed to help them support people properly.

People who lived at the home told us they were happy with the service they received and with the staff that supported them. Comments included, “All the staff are very good” and “The staff are lovely; I get on with all of them”. Relatives’ comments included, “Staff are fabulous” and “They have a close connection with the people in the home.” The atmosphere in the home was relaxed and we observed staff interacting with people in a kind, good humoured and friendly manner. During our visit we heard friendly ‘banter’ and laughter between staff and people living in the home and various conversations about movies and TV programmes and plans for the Christmas period.

People’s medicines were looked after properly. Staff had been given appropriate training and regular checks were done to make sure they were competent and safe to practice.

The Mental Capacity Act 2005 (MCA) sets out what must be done to make sure the rights of people who may lack capacity to make safe decisions are protected. The Deprivation of Liberty Safeguards (DoLS) provides a legal framework to protect people who need to be deprived of their liberty to ensure they receive the care and treatment they need. Staff had received training about the MCA and DoLS and had a good understanding of the procedures to follow.

People told us they were involved in the planning of weekly menus and would go shopping for groceries with staff. Where appropriate, people were given support by staff to prepare the meals. During the lunch time meal we found the atmosphere was relaxed with good interaction between staff and people living in the home.

People’s healthcare needs were considered during the initial care planning process and as part of ongoing reviews. Each person had a Health Action Plan which recorded discussions and decisions about their health and lifestyles. The service had good links with other health care professionals and specialists to make sure people received prompt, co-ordinated and effective care.

There were opportunities for involvement in a range of activities. Activities were flexible and people told us they were supported to make their own plans. This helped make sure activities were tailored to each individual. People were also involved in household chores and supported with employment in the local community.

People described how staff helped and encouraged them to keep in contact with families and friends. People told us they were able to meet with family and friends and with people from the local community at the social centre:- ‘The Chill Mill’.

There had been no complaints made about this service since the last inspection. The complaints procedure was displayed around the home and was available in an easy read format that could be understood by everyone. People were encouraged to discuss any concerns during review meetings, during day to day discussions with staff and management and also as part of the annual survey. One person said, “I can say straight away if things are not right, but I am happy with everything here.” A relative said, “I have no complaints but if I had any problems they would get it sorted.”

There were effective systems in place to regularly assess and monitor the quality of the service and to obtain people’s views about the service. A ‘Compass Group’ enabled people using the service to meet and discuss improvements that were important to them. In addition people using the service, their friends and family and people from the local community were able to attend training sessions, meetings and social events at ‘The Chill Mill’ (day centre).

Inspection carried out on 16 August 2013

During a routine inspection

People were very satisfied with the service provided, one person told us, �I am very happy here, the staff are very kind� and another person commented, �It is a very homely and friendly place. We tend to get on very well�. People told us their rights to privacy, dignity and independence were upheld and respected.

People�s care was planned and delivered in accordance with their needs. People had individual care plans which were supported by a series of risk assessments and daily care records. This meant people�s care could be readily monitored and evaluated.

People were provided with a comfortable and safe environment. All people were happy with their bedrooms which they could personalise with their own belongings.

Staff were provided with appropriate training opportunities and received regular supervision. All staff spoken with told us they were well supported in their role and enjoyed their work.

We found there were appropriate systems in place to monitor the quality and effectiveness of the service. People told us they could express their views about their experiences in the home and they were confident the manager and staff would listen and act appropriately.

Inspection carried out on 21 January 2013

During a routine inspection

People told us they were satisfied with the quality of care and support they received. We were told the staffing levels were sufficient to meet the needs of people and that the staff were professional, caring and friendly. They told us their needs had been discussed and they had agreed to the support to be provided. They told us their carers provided sensitive

and flexible personal care support and they felt well cared for.

They said they had no concerns about the care being provided and they felt safe and protected from potential harm.

Some other comments people using the service made included;

"All of the staff look after me really well"

"I have no problems with the service whatsoever. The staff will help me to sort things out so that i don't get myself into difficulties".

"The staff very caring people".

People were provided with care plans that are regularly reviewed so that people have the most appropriate support to meet their needs and if these needs change, the support they receive is amended to reflect those needs. People said they felt safe and were able to discuss concerns or issues with the staff if they wished to.