Background to this inspection
Updated
12 February 2021
The inspection
This was a targeted inspection to check whether the provider had met the requirements of specific concerns we had about infection control measures, incidents involving people and people's dietary requirements. We will assess all key question when we complete a comprehensive inspection of the service.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
Ravenswing Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
The inspection was unannounced.
Inspection activity started on 3 February 2021 and ended the same day.
What we did before inspection
We reviewed information we had received about the service since registration with CQC. We sought feedback from the local authority and spoke with people who had experience of the service.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager, two members of staff, a provider representative and three people who used the service. We also considered three people's care records.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
12 February 2021
About the service
Ravenswing Manor Residential Care Home, provides personal care and support for up to 24 people. At the time of the inspection, there were 20 people living in the home, most of whom were living with dementia. The service does not provide nursing care.
The care home is an extended, detached older style property with a stair lift access to the first floor.
People’s experience of using this service
People were happy about the way the home was managed and were complimentary about the registered manager and staff. The registered manager considered the views of people, their relatives and staff about the quality of care provided. The registered manager used the feedback to make improvements to the service.
People told us they felt safe and staff were kind and caring. The provider had safeguarding adults’ procedures and staff understood how to protect people from abuse. Recruitment processes ensured new staff were suitable to work in the home. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. People received their medicines when they needed them from staff who had been trained and had their competency checked. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. The registered manager was aware further detail was needed in some assessments to ensure staff had appropriate guidance to manage risks. People were protected from the risks associated with the spread of infection. The home was clean and odour free.
People were supported to have maximum 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. People’s care and support needs were assessed prior to them using the service. The provider had arrangements in place to ensure new staff received induction training. Staff received ongoing training, supervision and support. People enjoyed the meals and were supported to eat a nutritionally balanced diet. People had access to various healthcare professionals, when needed.
Staff treated people with care, kindness, dignity and respect and spoke with people in a friendly manner. Staff knew about people backgrounds and about their routines and preferences. Whilst people received the care they needed and wanted, we found the care plans did not always fully reflect the care given or what staff knew about people’s likes and dislikes; the registered manager agreed to review this. People, where possible, had been consulted about their care needs and had been involved in the care planning process.
People told us they enjoyed the activities and records showed a range of activities had been provided. People were aware of how they could raise any complaints or concerns if they needed to and had access to a complaints procedure. The registered manager was aware the complaints information needed to be reviewed to reflect the correct contact information for local agencies.
Rating at last inspection
At the last inspection, the service was rated Requires Improvement (published 16 April 2018).
Why we inspected
This was a planned inspection based on the previous rating. At our last inspection of February 2018, we found a breach of regulations as the quality assurance processes were not effective in identifying shortfalls. Following the inspection, the provider sent us an action plan advising how the service would be improved. During this inspection, we found sufficient improvements had been made. The registered manager was monitoring all aspects of the service and appropriate action had been taken to address any shortfalls.
Follow up
We will continue to monitor the service to ensure that people receive safe and high-quality care. Further inspections will be planned for future dates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk