Ravenscroft House is a supported living service rated Good overall (Outstanding for Caring) at its September 2019 inspection, with an exceptionally person-centred culture, compassionate staff, and robust safety and governance systems. The sole minor finding was ambiguity around building management responsibilities, specifically regarding legionella oversight.
Concerns (1)
minor
Governance
: “there was some confusion about the responsibilities for managing the building and it wasn't clear who was responsible, for example, for the management of legionella”
Strengths
· Exceptionally strong person-centred culture with people genuinely empowered to lead decisions about their own care, including participation in staff recruitment interviews
· Staff knew people exceptionally well, demonstrating outstanding compassion and going the extra mile to fulfil people's wishes, including supporting a person to visit a dying parent
· Medicines were well managed, appropriately stored, regularly audited, and staff received annual competency assessments
· Robust safeguarding processes with staff knowledgeable about policy, referrals made appropriately to local authority when required
· Strong registered manager highly regarded by people, relatives, staff and external professionals, with effective quality monitoring via surveys and audits
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
caring: Supporting people to express their views and be involved in making decisions about their careOutstanding
caring: Ensuring people are well treated and supported; respecting equality and diversityOutstanding
caring: Respecting and promoting people's privacy, dignity and independenceOutstanding
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood
Ravenscroft House, a supported living service for up to seven people with learning disabilities and complex needs, was rated Good overall with an Outstanding rating for caring, reflecting exceptionally compassionate, person-centred staff practice and strong empowerment of residents. No regulatory breaches were identified, with robust systems in place across safety, staffing, governance and quality assurance.
Strengths
· Exceptionally kind and caring staff who went the extra mile, including a nine-hour round trip to reunite a person with a long-lost parent
· Strong person-centred culture empowering people to make their own choices and live independently
· Robust medication management with locked cabinets, regular checks, staff training and competency assessments
· Effective safeguarding practices with up-to-date policies, staff training and clear reporting pathways
· Thorough recruitment processes including DBS checks, references and identity verification
Quality-Statement breakdown (18)
safe: Safeguarding people from abuseGood
safe: Staffing levels and recruitmentGood
safe: Medicines managementGood
safe: Risk assessment and managementGood
effective: Mental Capacity Act and DoLSGood
effective: Staff induction, training and developmentGood
effective: Nutrition and hydrationGood
effective: Health care referrals and professional liaisonGood
caring: Kindness, compassion and dignity
Outstanding
caring: Person-centred culture and independenceOutstanding
caring: Maintaining relationships and preventing social isolationOutstanding
caring: End of life care planningGood
responsive: Care planning and review involvementGood
responsive: Activities and community accessGood
responsive: Complaints handlingGood
well-led: Leadership and cultureGood
well-led: Quality assurance and governanceGood
well-led: Incident recording, analysis and learningGood