CQC report explained · a residential care home
What the CQC found at Ravenswing Manor Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- The inspection only looked at specific safety concerns, mainly infection control, incidents and dietary needs. Inspectors found a breach of Regulation 12 because infection-control systems were not sufficiently effective, although they found no evidence that anyone had been harmed.
- 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, February 2021
Ravenswing Manor Residential Care Home was inspected but not rated; inspectors found infection-control weaknesses that breached Regulation 12, although the home was clean and no harm was found.
This was an unannounced, one-day targeted inspection on 3 February 2021. One inspector checked specific concerns about infection control, incidents and people's dietary needs. The inspector spoke with three people, staff and the manager, and reviewed three care records.
The home was clean and tidy, and people were supported appropriately with meals and isolation. Records about risks were up to date, and most of the incidents reviewed had been handled properly.
Inspectors found weaknesses in infection-control arrangements. Visitor controls and the disposal of protective equipment were not sufficient, and some rooms did not show that people were isolating. This created a potential risk of infection and breached Regulation 12.
This inspection was targeted, so it did not assess the whole service. The previous overall rating was Good, published in May 2019, and this inspection did not change that rating.
Clean surroundings
The home and kitchen were clean, hygienic and pleasant smelling.
“The environment was clean, hygienic and pleasant smelling throughout.” from the report
Food and mealtimes
Inspectors saw good-quality food, with enough available and choices where needed. People isolating in their rooms were supported to eat comfortably.
“When isolating, people were supported properly at meal times and ate good quality food consistent with wishes and conditions.” from the report
Care records
Records about people's health and wellbeing risks were properly documented and up to date.
“Records around risks to people's health and wellbeing were properly documented.” from the report
Infection-control systems
seriousThe home had not consistently followed its own infection-control procedures. Visitor controls, protective equipment disposal and signs showing isolation arrangements needed improvement.
“The provider had not consistently followed their own infection prevention and control procedures.” from the report
- 01What changes have you made to visitor checks and infection-control procedures since the inspection?
- 02How are used aprons, masks, gloves and visors now disposed of, and how is this checked?
- 03How do staff know when a person is isolating, including agency staff who may be unfamiliar with the home?
- 04How do you make sure every incident is recorded and included in the manager's regular review?
- 05When will the next comprehensive inspection take place, given that this visit did not assess the whole service?
This was a targeted inspection of specific concerns about infection control, incidents and dietary needs; it did not assess all five key questions, so the previous ratings carried over. This explanation was written from the published report of 12 February 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.
What inspectors found, May 2019
Ravenswing Manor Residential Care Home was rated Good; inspectors found kind, safe care, with some records and risk guidance needing improvement.
This was an unannounced inspection on 17 April 2019. Inspectors observed care, spoke with people living in the home, staff and the management, and checked care records, medicines, staffing, training, complaints and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, staff were kind, and there were enough staff to meet people's needs. The home was clean, and people received their medicines when needed.
Inspectors found some gaps. Risk assessments and care plans did not always contain enough detail, directions for some external creams were not clear enough, and some areas needed refurbishment. The management agreed to review these issues.
The previous inspection had rated the home Requires Improvement because quality checks had not identified shortfalls. Inspectors found enough improvement had been made, and the previous breach of Regulation 17 was no longer in place.
Kind and respectful staff
People described staff as kind and caring. Inspectors saw warm relationships and staff taking time to talk with people.
“Staff interacted with people in a warm, kind, caring and friendly manner and saw people were comfortable in the presence of staff.” from the report
Clean and well maintained in key areas
The home was clean and fresh smelling. Equipment had been serviced and infection control arrangements were in place.
“All areas of the home were clean and fresh smelling.” from the report
Improved management checks
The management had acted on the previous inspection findings and was monitoring the service more consistently.
“During this inspection, we found sufficient improvement had been made and the provider was no longer in breach of legal requirements.” from the report
Activities and family contact
People had access to a range of activities and were supported to maintain contact with friends and family.
“Activities included occasional days out, celebration parties, exercise sessions, bingo, musical instruments, board games and visiting entertainers.” from the report
Risk assessments needed more detail
needs fixingSome records did not clearly explain how staff should manage difficult behaviour or the safety discussions about stair lift use. The management agreed to review the assessments.
“The records were not always clear about how staff were managing this.” from the report
Some medicines guidance was unclear
needs fixingMedicine records were accurate overall, but instructions for applying some external creams were not detailed enough to guide staff.
“Some directions to support staff with the application of external creams were insufficient to guide staff.” from the report
Care plans did not always match care given
needs fixingStaff knew people well, but care plans did not always record people's preferences or all the care being provided. The management agreed this should be improved.
“The care plans did not always fully reflect the care given or what staff knew about people's likes and dislikes;” from the report
Some parts of the building needed work
minorSome areas needed refurbishment and were not dementia friendly. Plans were in place for redecoration, replacement windows, lighting and carpets.
“Some areas of the home needed refurbishment and redecoration and were not dementia friendly.” from the report
- 01How have you updated risk assessments about difficult behaviour and stair lift use since the inspection?
- 02What instructions are now in place for applying external creams?
- 03How do you make sure care plans accurately record people's preferences and the care staff provide?
- 04What refurbishment and dementia-friendly changes have been completed since the inspection?
- 05How do you check that your quality audits identify minor environmental problems?
This was a planned, unannounced inspection covering the home's premises, care and all five CQC questions. This explanation was written from the published report of 9 May 2019 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 Ravenswing Manor Residential Care Home
4 rated inspections over 4 years: the service has improved, from Inadequate to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Ravenswing Manor Residential Care Home →
- May 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ravenswing Manor Residential Care Home →
- April 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2015Goodup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015InadequateSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- June 2014
Report published without a new overall rating.
- October 2013
Registered with the Care Quality Commission on 25 October 2013.
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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