18 February 2019
During a routine inspection
For more details, please see the full report which is on the CQC website at www.cqc.or.uk
People’s experience of using this service:
People told us they felt safe and thought that staff were nice.
A relative told us, “I feel that we are listened to and believed at Ravenhill…all the staff are really good and know how to help [my relative]. [My relative] is getting all the help that they need and whatever the staff are doing is working as it has made a massive difference, [my relative] is so much better than they were.”
The registered manager had systems and processes in place ensuring risks were well managed and care was personalised and reviewed.
Staffing levels, skills and experience were suitable to meet the needs of people and varied according to activities.
The provider implemented safe systems for the management of medicines which included staff training and assessments of staff competency. Staff supported some people to manage their own medicine and this had been risk assessed.
Staff had a good understanding of preventing the spread of infection and used one use personal protective equipment, colour coded equipment and they encouraged good hand hygiene.
The registered manager shared lessons learnt with staff and managed complaints and concerns in an open and honest way.
Staff supported people to have the greatest 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.
Staff supported people to choose menus and be involved with cooking meals and drinks, encouraging healthy diets and lifestyles.
People had access to specialised healthcare when needed.
People decorated their rooms in ways that they preferred and which met individual tastes. The environment was clean and odour free but the décor needed refreshing in places. The registered manager was aware of this and planning to make improvements.
The registered manager used systems such as training, policies and care plans to ensure that staff had the skills and knowledge to fulfil their roles. End of life support was not currently needed but training and support could be accessed should it be necessary.
Staff supported people to plan and access a variety of activities but motivation of people to attend was low. Some people said they experienced boredom due to this. The registered manager and staff team were trying different ideas to help motivate people to participate and take up the opportunities offered.
The registered manager showed ways that they were working with other agencies and providers to share ideas and improve services.
The service met the characteristics of good in all areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: At the last inspection the service was rated Good (14/04/2019). Overall, since the last inspection, the service rating has remained the same.
Why we inspected: This was a scheduled inspection based on previous rating.