Osborne House

Updated 28 September 2022

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 checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Two inspectors, one member of the CQC medicines team and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Osborne House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Osborne House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to the registered manager, the regional manager, one relative and four people who lived at the service as part of the inspection. We reviewed a range of records. This included four peoples care records and multiple medication records. We looked at three staff files in relation to recruitment and supervisions and a variety of records relating to the management of the service.

After the inspection

We spoke to seven relatives, six people who lived at the service and six staff members. We continued to seek clarification from the provider to validate evidence found. We looked at policies and procedures and quality assurance records.

Updated 28 September 2022

About the service

Osborne House is a residential care home providing personal and nursing care to up to 74 people. The service provides support to older and younger adults, some of whom may be living with dementia or physical disabilities. At the time of our inspection there were 44 people using the service.

Osborne House accommodates 74 people in one adapted building, across three floors. Each floor has separate facilities and specialises in providing care to people with varying needs. The second floor is a nursing unit, while the top floor specialises in providing care to people living with dementia.

People’s experience of using this service and what we found

People received their medication as prescribed, by trained and competent staff. The recording and storage of some medicines did not always meet best practice guidance however people were not harmed by this. We have made a recommendation about this.

People were supported by staff who knew them and who acted in their best interests. Care records were in place to help guide staff in providing safe care, however, these needed further development to ensure all areas were detailed and person centred. The registered manager was addressing this by implementing an improvement plan which was already underway.

Recent changes in the management of the service had a positive impact on the people and the staff. Staff felt supported and valued by a registered manager who listened to them. Action was being taken to review staff practice and provide greater opportunities for people.

People told us it was a nice place to live; One person said, “It’s a lovely place, the carers and the people who live here are lovely. I’d recommend it to anyone.” Relatives also told us they were satisfied with the standard of care, one relative said, “I’m very happy with Osbourne House, it’s a lovely home”.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 August 2020) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key Questions safe, effective and well-led, which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to 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 Osborne House on our website at www.cqc.org.uk.

Recommendations

We made a recommendation around the providers recording and storage of some medicines. At the time of inspection best practice guidance had not been followed however, there was no evidence that this resulted in harm to people. The provider took action to amend practices when this was highlighted on inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.