Abbey Ravenscroft Park Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed a number of quality statements in the Effective key question and found areas of concern. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. We identified a breach of the legal regulations. The care and care plans of people living with dementia were not always provided in line with good practice standards. Support to help people eat and drink safely was not always monitored effectively. The service worked with healthcare services to meet people’s health needs.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

People and relatives we spoke with mostly felt the service was meeting people’s needs. We received mixed feedback about some people’s meal experiences. A relative told us staff noticed their family member preferred their milkshake drinks warm and so warmed these for the person. They said, “It shows me they are paying attention and add more help if [the person] needs.” Another relative commented, “Often the plate is hot but food is cold, how that is possible?” People were not always supported to eat in a safe way and staff needed further training to do this. We saw some people’s meal time support was poorly managed and did not always promote a good meal time experience for them. While there were drinks stations in the communal lounges staff did not use these to promote people’s hydration. Some care plans did not set out sufficiently how to support people living with mental health issues or dementia when they experienced distress and proactive actions to lessen this for them. Some people received one-to-one staff support but this was not always arranged so this was a meaningful and engaging experience for these people.

The provider explained that their quality auditing processes had identified staff required better food safety training and so they had arranged this. The provider had recently recruited a mental health lead who was training staff on working with people who experienced mental health issues. The provider was reviewing people’s one-to-one care plans to provide more detail and guidance for staff and had been working with other services to do this.

The provider did not always monitor people’s food and fluid support to make sure people received these at the right consistencies. There was not clear guidance for kitchen staff on how to prepare some foods to the correct consistencies or in line with some people’s cultural preferences. There was limited assurance at the time of our visits that the service was always proactive in working with statutory services to ensure people’s authorised deprivations of liberty were up to date when they lacked the mental capacity to consent to their care arrangements. We raised these issues with the provider so they could make improvements.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

Staff worked with healthcare services to meet people’s health needs, including arranging and support people to attend health appointments. The service appropriately supported people at risk of developing pressure sores.

The managers worked with a range healthcare professionals including community nurses, occupational therapists, tissue viability nurses and GPs. The provider explained how they contracted chiropodists to visit people regularly. The provider’s clinical governance lead was also supporting staff to review and meet people’s needs.

People’s care plans set out information about meeting their physical healthcare needs, such as diabetes care and when a person needed help to brush their teeth. The service held weekly clinical meetings to review and share information about people’s healthcare needs. However, the care plans did not support staff to manage people’s dementia and mental health needs.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.