Ravenstone Care and Rehabilitation Home

Updated 31 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 10 March and was announced.

Updated 31 March 2021

About the service

Ravenstone Care and Rehabilitation Home is a residential care home providing personal care for up to 14 people, some of whom are living with mental health or dementia needs. There were 13 people living at the home at the time of this inspection.

People’s experience of using this service and what we found

People said they liked living at this home and the staff were friendly. They said their independence was encouraged. Relatives said it was “small and personalised” and had a welcoming atmosphere.

All the people and relatives we spoke with felt the home was safe and comfortable.

There had been improvements to the way medicines were managed and a commitment to checking these continued to improve. Risks to people’s health and safety were assessed and minimised.

People said there were enough staff to support them when they needed it. Safe recruitment practices had been used to make sure new staff were suitable. Staff had practical training in infection control. They followed national guidelines to prevent the spread of infection and to make sure the home was hygienically clean.

People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.

People and relatives said the home was well-run and described the registered manager as open and approachable.

Due to the pandemic, quality assurance checks and audits had not progressed as much as intended. Further work was needed but the provider and registered manager were committed to continuous improvement. We have made a recommendation about this.

Staff had mixed views about the way the home was managed. The provider was aware of this and was taking steps to address this.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 7 April 2020) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations. However, further action was needed with regards to the auditing of the service to ensure that the improvements which were being made were sustained.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 11 November 2019. Breaches of legal requirements were found. The provider completed an action plan after that inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ravenstone Care and Rehabilitation Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.