Old Raven House

Updated 21 January 2020

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector.

Service and service type:

Old Raven House is a 'care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did before the inspection

Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we held about the service, for example, notifications. A notification is information about important events which the provider is required to tell us about by law.

We wrote to two health and social care professionals to gain their feedback about working with the provider. We received feedback from one professional in response.

During the inspection

We spoke with seven people to gain their views of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with the registered manager, the regional manager, the maintenance manager and nine care or domestic staff. We reviewed a range of records. These included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies, procedures, audits, incident reports and risk assessments were reviewed. We reviewed a report from the local clinical commissioning group from a quality monitoring visit carried out in November 2019.

Updated 21 January 2020

About the service:

Old Raven House is a residential care home. It provides personal care and accommodation for up to 36 older people. There were 33 people living at the service at the time of inspection, some of whom were living with dementia.

People’s experience of using this service:

The home had undergone a change in ownership since our last inspection. There had been changes to the provider, management structure and the systems to monitor quality and safety. This had contributed towards improvements in how staff assessed and monitored risks associated with people’s health and medical conditions.

The registered manager fostered a positive atmosphere and was practically involved in the day to day running of the service. They had a good understanding of their role and responsibilities.

People told us they were happy with the care they received at Old Raven House. There was a homely atmosphere at the service, where people felt comfortable with staff and in their surroundings.

Staff understood people’s needs and were motivated in their role. They treated people with dignity, respect and were patient when they offered support. There were enough staff in place, who had received appropriate training and support in their role.

People’s care reflected their individual needs. This included their preferred daily routines and preferences. They were supported to remain active and take part in a variety of activities on site.

People’s needs were assessed to ensure they received appropriate support with their nutrition, hydration, medicines and healthcare. Risks associated with the environment were safely managed and the home was clean and hygienic.

Some aspects of the homes décor and decoration required refreshing and updating. There were plans in progress to prioritise where this was most needed.

The provider had processes in place to gain appropriate consent to care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The provider had safeguarding policies and procedures in place, which helped to reduce the risk of people suffering abuse or coming to avoidable harm. There were appropriate systems in place to gain feedback and respond to complaints.

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

Rating at last inspection:

The last rating for this service was requires improvement (published 5 December 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

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.