Osborne House

Updated 3 August 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

The inspection was carried out by one inspector and an Expert by Experience. 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 without 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 used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with nine relatives, the registered manager and development manager and four members of staff. We received feedback from one healthcare professional. We reviewed care records for three people and looked at other documents concerning the running of the home such as audits and policies.

Updated 3 August 2022

About the service

Osbourne House is a residential care home providing personal care to up to 32 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 26 people using the service.

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

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. We made a recommendation to review procedures for recording capacity assessments and best interests decisions to ensure they contain sufficient detail.

People living in the home were safe. Recommendations made at our last inspection in relation to the medicines policy, laundry procedures and audits had been acted upon. Staff were kind and caring and were confident in identifying and reporting concerns about potential abuse. There were sufficient staff to ensure people’s needs were met. There were risk assessments in place to support staff in providing safe care for people.

The service was well led. The provider and registered manager had acted on all recommendations made at our last inspection. There was a positive, person centred culture in the service. People received good care and staff were valued and listened to. The needs and views of people in the home and their families were taken in to consideration in the running of the home. There were systems in place to monitor the quality and safety of the service.

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 8 November 2019). A further inspection report was published in November 2020 and this found that the service was no longer in breach of regulation but that some improvements were still required. Three recommendations were made in relation to medicines, infection control and audits. At this inspection we found improvements had been made and the rating of the service improved to good.

Why we inspected

We inspected the service in order to review the improvements made since the last inspection.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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 based on the findings of 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 have made one recommendation in relation to recording of mental capacity act assessments and decisions.

Follow up

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