Osborne Court

Updated 25 May 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 Care Act 2014.

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.

Service and service type

Osborne Court Care Home is a nursing 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.

Registered manager

The home 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

Before the inspection we reviewed the information, we had received about the home since the last inspection. We reviewed CQC notifications. Notifications describe events that happen in the service that the provider is legally required to tell us about.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We spoke with the regional manager, registered manager, deputy, unit manager, three staff and seven people who lived at the home. We observed how staff interacted with people. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home, quality assurance, staff recruitment and people’s care documentation.

Updated 25 May 2022

Osborne Court Care Home provides personal and nursing care for up to 55 older people. The service is provided in purpose-built accommodation over two floors. At the time of the inspection, 39 people were living at the home.

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

There had been significant improvements following the inspection of August 2019. Positive changes had been made to the management and provider oversight of the home. The provider maintained a stable management team. The registered manager, deputy and unit manager had been in post for over two years. This had helped to stabilise the home with a steadfast team of nurses and care staff employed. This meant the delivery of high-quality and person-centred care had constantly improved.

People were provided with a care which was safe. Risks were assessed and mitigated to keep people safe from abuse and avoidable harm. People received their medicines when they needed them. There were enough staff to meet people's needs. The registered manager used a dependency tool to calculate staffing levels. This was increased when people’s needs changed and in line with the occupancy of the home. The home followed appropriate recruitment practices and ensured staff were properly checked before they began working at the home. The home was clean and tidy throughout with high touch point cleaning taking place throughout the day. Accident and incidents were reported, recorded and analysed with lessons learnt shared with staff to prevent recurrences .

Staff were enthusiastic and happy in their work. They felt supported within their roles. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential. There was a programme of audits in place to assist the management team to identify and address shortfalls. As a result, the home continuously improved.

Rating at last inspection

The last rating for this service was Requires Improvement (published 22 October 2019). At our last inspection we found there had not been a consistent management approach and the provider oversight had not always been robust. Although this had improved since the previous inspection in August 2018 there was still room for improvement. We needed to be satisfied the short-term strategies in place would be sustained. At this inspection we found improvements had been made.

Why we inspected

We carried out an inspection of this service on 27 and 28 August 2019. We rated the service requires improvement in Safe and Well Led due to the shortfalls, which we identified. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check the provider 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 and Well-led.

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.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Osborne Court Care Home on our website at www.cqc.org.uk.