Old Raven House

This report summarises an inspection of Old Raven House, a residential care home. Since the last inspection, there have been significant changes, including a change in ownership and management structure. These changes have led to improvements in how the home assesses and monitors resident risks, fostering a positive atmosphere where residents feel comfortable and well-cared for. The report highlights dedicated staff who understand resident needs, treat them with dignity, and ensure sufficient staffing levels. Residents' care plans are tailored to individual needs and preferences, and they are encouraged to remain active. The home also focuses on ensuring residents receive adequate nutrition and hydration, manage their medications safely, and maintain a clean and hygienic environment.

On safety, the home has made improvements in assessing and monitoring health risks, particularly regarding pressure sores, and has appointed a specialist staff member. While there were interim measures in place due to a fire safety notice, personal evacuation plans and regular drills are conducted to ensure resident safety. Residents feel safe and staff are trained in safeguarding. Although some staff files were being updated to include complete recruitment documentation, new processes are in place to ensure appropriate checks for all staff. Medication management and infection control systems are robust, and the home received a high rating for food hygiene. Incidents are reviewed to learn and prevent recurrence, and CCTV is used to aid investigations.

In terms of how effective the care is, the home consistently meets resident needs. Care plans are developed using national assessment tools to identify and manage risks like malnutrition, falls, and pressure sores. Staff receive comprehensive training, including the Care Certificate, and ongoing support, with 'champions' in key areas to provide specialist guidance. While some areas of decoration require updating, the home provides suitable communal spaces and gardens. The service adheres to the Mental Capacity Act, ensuring consent is appropriately obtained and decisions are made in residents' best interests. Collaboration with healthcare professionals, including the use of the 'Restore 2 Tool', has significantly reduced unplanned hospital admissions and improved health monitoring. Residents enjoy the food, with their preferences and specialist dietary needs being met.

Regarding caring practices, residents describe the atmosphere as lively, sociable, and homely, with staff being patient, considerate, and readily available. Staff are skilled in de-escalating distress, often using humour or distraction. Equality and diversity needs are considered in assessments and care plans, and residents and their relatives are involved in care planning, with staff respecting individual preferences and encouraging independence. Privacy and dignity are maintained during personal care, and residents are given personal space when desired.

Concerning how responsive the service is, care plans are being updated into a new format that includes more personalised details. Residents are supported to follow their preferred daily routines, and care plans are reviewed and updated when needs change, with input from relevant parties. There's a positive outlook on the range of activities available, with residents enjoying opportunities to socialise and stay engaged.

In terms of being well-led, the registered manager is actively involved in the daily running of the service and has a good understanding of their role. The provider has implemented systems for monitoring quality and safety, and has plans to refresh and update the home's décor, prioritising the most needed areas. Feedback and complaints are sought and responded to appropriately.