Background to this inspection
Updated
17 October 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. We planned this inspection 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.
Inspection team
The inspection was carried out by one inspector, a nurse specialist and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Experts by Experience contacted people’s relatives by phone to request feedback.
Service and service type
Abbey Ravenscroft Park Nursing Home 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. This means that they 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
We carried out the inspection visit on 16 September 2020. We gave a short period notice of the inspection as we were mindful of the impact and added pressures of Covid-19 pandemic on the service. This meant we took account of the exceptional circumstances and requirements arising as a result of the COVID-19 pandemic.
What we did
Before our inspection, we reviewed the information we held about the home which included statutory notifications, safeguarding alerts and the Provider Information Return (PIR), which the provider completed before the inspection. The PIR is a form that asks the provider to give some key information
about the service, what the service does well and improvements they plan to make.
During our inspection we spoke with the registered manager, the deputy manager, three nurses and three care assistants. We looked at three care records and three staff files; we looked at various documents relating to the management of the service which included medical records, staffing rotas and quality assurance records. After the inspection we spoke to seven relatives by telephone. We also received feedback from three healthcare professionals who were in regular contact with the service.
Updated
17 October 2020
About the service
Abbey Ravenscroft Park Nursing Home is a 'care home'. The accommodation is purpose-adapted with passenger lift access to all three residential floors, each of which have separate adapted facilities. People in this care home receive accommodation along with nursing and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of this inspection there were 53 people living in the service.
People’s experience of using this service and what we found.
Relatives told us that people were safe and received good care and support.
Recruitment processes had been improved and procedures were now safe.
Risks identified with people’s health, medical and care needs had been assessed and documented with clear guidance on how to minimise the identified risk to keep people safe.
People received their medicines safely and as prescribed.
Systems and processes were in place to keep people safe and risks associated with people's care needs had been assessed. There were enough staff to meet people's needs.
The home was clean and odour free. There were increased infection control measures in response to the coronavirus outbreak. The provider reacted appropriately to keep people safe.
Staff received the training and support to carry out their role effectively. Care staff told us that they felt that the management team was very supportive especially during the recent months of the pandemic.
Relatives confirmed that they received regular updates and feedback about their relatives. However, some healthcare professionals did comment that communication between them and the home could be improved.
There was a positive culture throughout the service which focused on providing care that was personalised. The management team used a variety of methods to assess and monitor the quality of the service. They were aware of their regulatory responsibilities associated with their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
More information is in the full report.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was good (report published July 2018).
Why we inspected
We carried out a focused inspection of this service on 16 September 2020 to check that the provider had made improvements required in relation to recruitment and infection control. 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 remained 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 Abbey Ravenscroft Park Nursing 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 inspection programme. If we receive any concerning information, we may inspect sooner.