CQC report explained · a nursing home
What the CQC found at Ravenscourt Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home followed safe infection prevention and control procedures. They found arrangements covering visitors, testing, personal protective equipment, cleaning and managing outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2020
Inspected but not rated; inspectors found good infection-control arrangements during a focused COVID-19 review.
The inspection took place on 24 November 2020 and was announced. It was part of a CQC thematic review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors found that visits followed current guidance. Visitors used a separate visiting area, completed a risk assessment and had their temperature checked. People who could not receive visitors were encouraged to keep in touch electronically.
The home had arrangements for regular COVID-19 testing, enough personal protective equipment, staff training in its use, cleaning records and regular infection-control audits. Inspectors were assured that infection risks were being managed safely.
This service was inspected but not rated. The inspection looked at infection prevention and control only, so it does not provide an overall quality rating or ratings for care, responsiveness or management.
Safer visiting arrangements
Visits followed current guidance. Visitors used a designated area, completed a COVID-19 risk assessment and had temperature checks.
“Visits to the service by friends and relatives were carried out in line with current guidance.” from the report
Testing and protective equipment
The home had arrangements for regular testing and steps to maintain supplies of protective equipment. Staff had been trained and were seen using it.
“The provider had taken steps to ensure they had adequate supplies of Personal Protective Equipment (PPE).” from the report
Cleaning checks
Cleaning schedules and completion records were in place. Management checked these daily and infection-control audits were carried out regularly.
“Cleaning schedules were in place and there were systems for recording completed cleaning.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your visiting arrangements changed since the inspection, and how can relatives keep in touch if visits are restricted?
- 02What COVID-19 or other infection testing is currently offered to residents and staff?
- 03How do you make sure there is enough personal protective equipment, and that staff use it correctly?
- 04How often are cleaning records and infection-control audits checked now, and what happens when a problem is found?
- 05What is your current plan for managing an infection outbreak or a positive test?
This was an announced thematic review focused on infection prevention and control; the service was inspected but not rated and the other four CQC questions were not assessed. This explanation was written from the published report of 16 December 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2018
Ravenscourt Nursing Home was rated Good; inspectors found safe, kind and personalised care, with one staffing response issue noted.
This was an unannounced, comprehensive inspection on 19 July 2018. Inspectors observed care, spoke with people, relatives and staff, and reviewed care, medicines, staffing, complaints and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, medicines were managed safely, staff were trained, and people's care and nutrition needs were assessed.
The home had improved its building since the previous inspection. Inspectors also found that the provider was now reporting serious incidents and safeguarding matters to the CQC without delay, after this had been a problem in 2016.
Kind and respectful staff
Inspectors saw staff supporting people gently and patiently. People said staff respected their privacy and treated them well.
“We saw that staff supported people in a gentle and patient manner.” from the report
Personalised care
Care plans recorded people's needs, preferences and wishes. They were reviewed monthly and updated when needed.
“Care plans contained information about the person and what was 'important' to them.” from the report
Safe medicines and risk management
Medicines records were up to date, and risks such as falls, nutrition and skin problems were assessed. Equipment and the building were also maintained.
“People received their prescribed medicines safely and at the times they needed them.” from the report
Activities and involvement
People could join activities and social events, and relatives and people were involved in care reviews and feedback.
“People were encouraged to engage in social and recreational activities.” from the report
Improved management oversight
The previous problem with notifying the CQC about important incidents had been corrected. Monthly audits, staff meetings and feedback were used to monitor the service.
“The provider notified us of important events or serious incidents that took place in the home.” from the report
Staffing position during busy periods
needs fixingOne person waited a few minutes for assistance because staff were supporting activities elsewhere and there were not enough staff placed on that unit at that time. The manager said more staff would be deployed and positioned on each unit when the home was busier.
“During the afternoon of our inspection, one person on the ground floor unit called for assistance and we noticed that it took a few minutes before a member of staff went to see them.” from the report
Emergency evacuation plans being revised
minorPersonal emergency evacuation plans were being updated after advice from the fire service. The report does not say that this caused harm, but the revision was still in progress during the inspection.
“However, these were being revised at the time of our inspection following advice received from the fire service to include more detail.” from the report
Mixed views about food
minorAlthough people were offered choices and special diets were supported, some people gave mixed feedback about food quality. The home was changing its menu with people's and relatives' involvement.
“However, some people gave mixed feedback about the quality of the food” from the report
- 01How will staff be positioned on each unit when activities or other busy events are taking place?
- 02What changes have been made to the menu since the inspection, and how are people's food preferences checked?
- 03Have the more detailed personal emergency evacuation plans now been completed for everyone?
- 04How are care plans reviewed with people and relatives, and how are changes shared with staff?
- 05How can people and relatives raise a complaint, and how will the home respond?
This was an unannounced comprehensive inspection covering all five CQC questions, and the previous Good ratings were reviewed. This explanation was written from the published report of 17 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Ravenscourt Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 13 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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