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CQC report explained · a residential care home

What the CQC found at Ravenscroft Rest Home Limited

Goodpublished 30 December 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, thorough recruitment checks, effective safeguarding and detailed risk assessments. Medicines, infection control, fire safety and equipment checks were also found to be managed safely.
Effective?
Good
Staff had training and induction, and people's capacity and consent were considered. People received suitable food and drink, healthcare support and care based on their assessed needs.
Caring?
Good
No rating was given for caring in this inspection report.
Responsive?
Good
No rating was given for responsive in this inspection report.
Well-led?
Good
Inspectors found visible management, regular quality checks and an open culture. People, relatives and staff were encouraged to share their views.
The latest report, explained

What inspectors found, December 2023

Ravenscroft Rest Home Limited was rated Good; inspectors found safe, effective and well-led care.

This was an unannounced inspection. The site visit took place on 22 November 2023, with inspection activity ending on 24 November. One inspector spoke with people living at the home, relatives, staff and health professionals, and reviewed care, medicines, recruitment and management records.

Inspectors found the home clean and well maintained, with enough staff and safe recruitment checks. Risks were assessed and reviewed, safeguarding systems were understood, and medicines were administered safely. People were supported with food, drink, healthcare and their own choices.

The home was rated Good overall. Safe, effective and well-led were all rated Good. Caring and responsive were not given a rating in this report.

What inspectors praised
  • People felt safe

    People said they felt safe and could get help promptly. Risks were assessed and reviewed, while staff were trained in safeguarding.

    “I feel really safe here the staff are fantastic and it's like home.” from the report
  • Enough staff and safe recruitment

    Inspectors found enough staff to care for people and confirmed that recruitment checks were completed before staff started work.

    “Sufficient staff were deployed to ensure people were cared for.” from the report
  • Improved staff training

    Staff had ongoing training and a formal induction. This addressed the previous recommendation about keeping essential training up to date.

    “Each staff member had been provided with a training programme which was ongoing throughout 2023 and 2024.” from the report
  • Food and nutrition

    People were offered meals with choice, and systems were in place to reduce the risk of malnutrition and monitor food intake.

    “People were provided with meals of quality and choice.” from the report
  • Open management

    The management team used audits and feedback to monitor the home. People, relatives and staff felt able to share their views.

    “The management team had established systems for monitoring the quality and safety at Ravenscroft.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and review my relative's individual risks and promote their independence?
  2. 02What training will the staff supporting my relative have, and how do you check that it remains up to date?
  3. 03How will you monitor my relative's food and drink intake and respond if there are concerns about nutrition?
  4. 04How will you involve my relative and our family in care planning and decisions?
  5. 05How can we raise concerns or give feedback, and how will you keep us informed about changes in our relative's condition and care?

This inspection rated Safe, Effective and Well-led only; Caring and Responsive were not rated in the report. This explanation was written from the published report of 30 December 2023 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.

An earlier report, explained

What inspectors found, September 2020

Inspected but not rated; inspectors found effective infection control and good pandemic management at Ravenscroft Rest Home Limited.

This was an announced, targeted inspection on 28 August 2020. Inspectors looked only at infection prevention and control measures as part of a coronavirus pandemic review.

Inspectors were assured that the home was using protective equipment safely, following social distancing and shielding rules, admitting people safely, and arranging testing for residents and staff.

They found current infection control policies, extra cleaning and hygiene work, trained staff, and plans for possible staff shortages. People were supported to keep in touch with loved ones through calls, video calls and socially distanced garden visits.

The home was inspected but not rated. This means the report does not give a full Good, Requires improvement, Inadequate or Outstanding rating.

What inspectors praised
  • Infection control

    The home had PPE and hand sanitiser stations, clear guidance, and procedures for entering and leaving the building.

    “Staff had received training around the safe use of Personal Protective Equipment (PPE). Sanitiser and PPE stations were available throughout the home.” from the report
  • Safe admissions and testing

    Admissions followed public health guidance. The home was taking part in whole-home testing and had arranged tests for residents and staff.

    “Admissions to the home were completed following Public Health England guidance.” from the report
  • Support for contact with family

    People were supported to stay in touch with loved ones through telephone and video calls and socially distanced garden visits.

    “People's wellbeing had been promoted through telephone and video calls and socially distanced garden visits from loved ones.” from the report
  • Prepared management

    The home had current pandemic policies, contingency plans for staff shortages and additional cleaning and governance work.

    “Contingency plans were in place should there be a staff shortage.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What has changed in your infection prevention and control arrangements since the inspection on 28 August 2020?
  2. 02How are visitors currently managed to reduce the risk of infection?
  3. 03How do you respond if a resident returns from hospital or is admitted to the home?
  4. 04How often are residents and staff tested, and what happens if someone tests positive?
  5. 05When was the home last fully assessed for the areas not covered by this targeted inspection?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the other key questions were not assessed and the service was not rated. This explanation was written from the published report of 30 September 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.

The story over the years

Every inspection of Ravenscroft Rest Home Limited

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ravenscroft Rest Home Limited →

  2. September 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Ravenscroft Rest Home Limited →

  3. November 2018Goodstayed Good
    Safe: GoodEffective: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 11 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.

Next steps

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