Archived: Osborne Grove Nursing Home

Updated 28 March 2020

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 Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Osbourne Grove Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven members of staff including the registered manager, head of service, operations manager, clinical lead, nurse and two health care workers. We also spoke with a visiting healthcare professional. 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 reviewed a range of records. This included two people’s care records and medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and information related to people and staff consultation. We also reviewed two staff files in relation to recruitment and staff supervision. We spoke with two relatives.

Updated 28 March 2020

About the service

Osbourne Grove Nursing Home is a nursing home providing personal and nursing care to two people aged 65 and over at the time of the inspection. The service can support up to 32 people.

People’s experience of using this service

We found people were put at risk of harm as systems put in place to protect them from abuse were not followed and not all staff felt the service was well led. We also found areas of medicine management processes in relation to ‘as and when required’ medicines and completion of medicine administration records (MAR) chart needed further action. We have made a recommendation in relation to medicine management in these areas.

Relatives told us people were safe. Staff checks were carried out to ensure they were safe to work with people who used the service. Risks to people were assessed and managed to reduce the risk of avoidable harm. Staffing levels were based on people’s level of need. Systems to manage the risk of the spread of infection were in place.

People’s nutritional and hydration needs were met by the service and people had access to health professionals to meet their health needs.

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.

People’s needs were assessed and used to develop their plan of care. People received sufficient amounts to eat and drink to maintain their health. Staff received training relevant to their role and understood people’s individual needs.

Relatives told us people were treated with dignity and respect by staff who were caring and knew them well. People were supported to maintain their independence where possible. People were supported by staff who knew them well and understood their needs and preferences. Relatives told us they felt their relative was well cared for by staff who understood them well. Relatives were involved and said they were notified by staff whenever there was a change in people’s needs.

People were supported to participate in activities as much as possible. People’s communication needs were taken into account during the assessment process. Relatives knew how to raise a concern if they were unhappy about the service provided to their relative.

Systems were in place to monitor the quality of the service, including internal and external audits. Most staff felt supported and talked about the improvements made to the service since our last visit. However, not all staff felt supported by the registered manager or able to approach them with their concerns.

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

Rating at last inspection

The last rating for this service was requires improvement (published 23 February 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Enforcement

We have identified breaches in relation to systems for reporting safeguarding concerns and management oversight.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.