CQC report explained · a nursing home
What the CQC found at Ravensdale
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, appropriate risk management, safe medicines systems and suitable infection control. People and relatives said people felt safe.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found good management oversight, effective meetings, a person-centred culture and positive relationships with relatives and other professionals.
What inspectors found, March 2023
Rated Good; inspectors found safe, kind care and strong management, but some care plans lacked detail.
This was an unannounced, focused inspection on 23 January 2023. Inspectors looked mainly at whether people were safe and whether the home was well-led. They spoke with people, relatives, staff and a health professional, and checked care, medicine, recruitment, health and safety, and management records.
Inspectors found enough staff, safe recruitment, suitable medicine systems and appropriate management of risks. People and relatives said people felt safe. Infection prevention arrangements were also found to be suitable.
The home had good oversight, regular meetings and a person-centred culture. Some care plans lacked detail and did not always show people's involvement, but the manager was updating them. The overall rating stayed Good, as did the ratings for Safe and Well-led. Other areas were not inspected during this visit and carried forward their previous ratings.
Staffing and safety
There were enough staff, and relatives were reassured by the regular team supporting people. Recruitment checks were in place.
“There was enough staff to keep people safe.” from the report
Safe medicines
People received their medicines as prescribed. Staff training and checks of their ability to give medicines safely were in place.
“Staff had completed medicines training and their competence to administer medicines safely was regularly assessed.” from the report
Good leadership
Inspectors found strong systems for checking the quality and safety of the home. The manager sought feedback and used it to plan improvements.
“There were robust governance and quality tools in place for monitoring performance and the registered manager had good oversight of the service.” from the report
Working with others
The home worked with health and social care professionals to support consistent and timely care.
“The service worked closely with other health and social care professionals to ensure people received consistent and timely care.” from the report
Care plan detail
needs fixingSome care plans did not contain enough detail or show enough involvement from the person. The manager said these plans were being updated.
“Care plans were in place, but some lacked detail and service user involvement.” from the report
- 01Which parts of my relative's care plan are being updated, and when will this be complete?
- 02How will you record my relative's views and involvement in their care plan?
- 03What changes were made after the concerns about safety and governance that led to this inspection?
- 04What were the ratings and findings for Effective, Caring and Responsive at the previous comprehensive inspection?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 1 March 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.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control and supported visiting, with some essential caregiver risk assessments still needing formalising.
This was a targeted, announced inspection on 21 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected people.
Inspectors were assured that the home used protective equipment safely, supported testing, managed admissions, and had measures to prevent and manage outbreaks. Visiting was risk assessed and supported where possible, including outdoor visits.
The home monitored the effect of the pandemic on people's mental health and wellbeing. People continued to access the community and take part in activities. The inspection did not give an overall rating or a rating for safe care.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of protective equipment and testing.
“We were assured that the provider was using PPE effectively and safely.” from the report
Support for wellbeing
The home monitored the pandemic's effect on people's mental health and wellbeing and continued to support community access and activities.
“The service monitored the impact of the pandemic on people's mental health and wellbeing.” from the report
Visiting supported
Visiting was risk assessed and supported where possible, including visits outdoors. The home also supported the role of essential caregivers.
“The service supported visiting and the role of essential care givers.” from the report
Essential caregiver risk assessments
needs fixingThe latest infection control audit found that risk assessments for essential caregivers needed to be formally recorded. The registered manager said these would be updated after the visit.
“The most recent IPC audit identified risk assessments for essential care givers required formalising.” from the report
- 01Have the risk assessments for essential caregivers now been formalised, and can you explain what they cover?
- 02How do you currently support visits, including visits from essential caregivers and outdoor visits?
- 03How do you manage infection outbreaks and keep families informed?
- 04How do you monitor the effect of restrictions or illness on residents' mental health and wellbeing?
- 05What measures are in place when COVID-19 causes staffing pressures?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 11 March 2022 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 Ravensdale
3 rated inspections over 7 years: the service has held its Good rating throughout.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- August 2018Goodstayed GoodSafe: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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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What to check when you visit
At least 100 live-in carers within about an hour of Leeds
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.