CQC report explained · a residential care home
What the CQC found at Ravensknowle Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risk assessments, staffing, medicines, infection control and incident processes were found to be effective, although some risk information and body maps needed updating.
- Effective?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- The home had a positive culture, clear leadership and systems to monitor quality. People, relatives and staff had opportunities to share their views.
What inspectors found, December 2023
Rated Good; inspectors found people were safe and happy, with a few records and training issues fixed during or soon after the inspection.
This was a focused inspection on 7 and 14 November 2023. Inspectors observed care, spoke with all 8 people, 5 relatives and 5 staff, and checked care, medicine and management records.
The home was rated Good for Safe and Well-led. People said they felt safe and were happy living there. Inspectors found enough suitable staff, safe medicine systems, good cleanliness and strong safeguarding awareness.
There were a few areas to improve. Some daily records lacked detail, body maps for creams were missing and staff had not completed recommended learning disability and autism training. The manager acted quickly, including completing the training before the inspection feedback session.
This was not a full inspection of all five areas. The overall Good rating also used the ratings from the previous comprehensive inspection in 2018 for the questions that were not inspected.
People felt safe
People and relatives said they felt safe. Staff understood safeguarding and knew what to do if they were worried about abuse or avoidable harm.
“Everyone told us they felt safe living at Ravensknowle Road and were very comfortable talking to the registered manager and staff if they were worried about anything.” from the report
Safe medicines
Medicine records were complete and medicines were given as prescribed. Stocks checked for all 8 people were correct.
“People were supported to receive their medicines safely. Records were well completed and showed medicines were administered as prescribed.” from the report
Enough suitable staff
Inspectors found enough suitable staff who knew people well. People said staff were available and good at their jobs.
“The provider ensured there were sufficient numbers of suitable staff. Staff knew people well and provided a consistent and reliable service.” from the report
Positive atmosphere
People were described as very happy. Inspectors saw a comfortable environment and heard consistently positive feedback from relatives.
“On both days of the inspection there was a nice atmosphere and people were comfortable in their surroundings.” from the report
Good involvement
People were involved in planning their care and making choices. Their support plans included personalised and easy-read information.
“People were involved in planning their care and empowered to make choices.” from the report
Daily records lacked detail
needs fixingSome daily records had limited detail, making it difficult at times to see the full picture of a person's care. The manager addressed this when it was raised.
“Some daily records had limited detail which meant it was sometimes difficult to get an overview.” from the report
Cream application records
needs fixingAlthough creams and ointments were recorded as given, body maps did not show where they should be applied. Body maps were put in place during the inspection.
“The use of topical creams and ointments was recorded on medicine administration records but body maps were not completed to show staff the site of application.” from the report
Recommended staff training
needs fixingStaff had not completed an up-to-date recommended learning disability and autism course when inspectors identified the issue. The report says all staff had completed it by the feedback session.
“However, we identified they had not completed an up-to-date learning disability and autism recommended training course.” from the report
- 01How do you now check that daily records contain enough detail to give a clear picture of each person's care?
- 02Are body maps in place and kept up to date for everyone who uses creams or ointments?
- 03How do you make sure all staff keep their learning disability and autism training up to date?
- 04What were the two risk assessments that needed amending, and what changes were made?
- 05How are people involved in planning their care, making choices and reviewing their support?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive came from the previous inspection and were used to calculate the overall rating. This explanation was written from the published report of 23 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.
What inspectors found, March 2021
Ravensknowle Road was inspected but not rated; inspectors were assured that infection risks were being managed well.
This was a targeted, announced inspection on 9 February 2021. It checked infection prevention and control during the COVID-19 outbreak, rather than giving a full rating of the home.
Inspectors were assured that visitors, residents and staff were protected from infection. They found effective use of protective equipment, regular testing, staff training, infection control audits, cleaning and ventilation.
People were supported to understand infection control and to keep in touch with family and friends. Activities, online church attendance and hospital information packs were also used to support people's wellbeing and communication.
Protective equipment and training
Protective equipment was available throughout the building. Staff had training in infection control and its use during COVID-19.
“All staff had received training in IPC and PPE in relation to COVID-19.” from the report
Hospital preparation
The home prepared hospital packs with accessible information and health records for each person, to support communication in an emergency.
“The manager had created a hospital pack for each person in case of the need to be admitted to hospital in an emergency” from the report
Family contact and wellbeing
People were supported to keep in touch with family and friends during shielding. Activities and online church attendance helped support emotional wellbeing.
“People were supported to maintain regular contact with friends and family through video calls, telephone calls and visits at the window.” from the report
Cleaning and monitoring
The home increased cleaning, paid attention to frequently touched surfaces and carried out infection control audits.
“The service conducted regular infection control audits, to ensure infection prevention and control (IPC) processes were robust.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control measures from this inspection are still in place now?
- 02How do you support people to understand infection control and make choices about visitors and contact with family?
- 03How are hospital packs kept up to date for each person?
- 04What current ratings or inspection findings cover care areas that were not assessed in this targeted inspection?
- 05How often are infection control audits carried out, and what happens when they identify a problem?
This was a targeted inspection of infection prevention and control during a COVID-19 outbreak; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 13 March 2021 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 Ravensknowle Road
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 24 November 2010.
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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At least 100 live-in carers within about an hour of Kirklees
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 £1,260 a week. 86 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.”
“Primrose is a very kind and compassionate healthcare professional”
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