Archived: Osborne Court Care Home

Updated 24 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 11 and 12 May and was unannounced. The inspection team consisted of one inspector, a specialist pharmacist advisor, a specialist dementia advisor and an expert by experience. An expert by experience is a person who had personal experience of using or caring for someone who uses this type of care service.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed the information that we had about the service including statutory notifications. Notifications are information about specific important events the service is legally required to send to us.

Some people who used the service were able to tell us of their experience of living in the home. For those who were unable we made detailed observations of their interactions with staff in communal areas. 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 to us.

We spoke with six people that used the service, three relatives and nine members of staff. We also spoke with the dementia unit manager, the deputy manager (clinical lead), the manager, the quality service manager and the regional manager.

We observed staff carrying out administering medicines to people during the morning and lunch time.

We reviewed the care plans and associated records of five people who used the service and the medicines administration records for eight people. We also reviewed documents in relation to the quality and safety of the service, staff recruitment, training and supervision.

Updated 24 June 2016

The last inspection took place in October 2015 and, at that time, three breaches of the Health and Social Care (Regulated Activities) Regulations 2014 were found in relation to safe care and treatment, the need for consent and good governance. We issued three warning notices regarding these breaches. In addition to this, we also found an additional two breaches of the regulations of the Health and Social Care Act 2008 relating to staff training and infection control.

Following this inspection the service was placed into special measures. Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider's registration of the service, will be inspected again within six months. The expectation is that provider’s found to have been providing inadequate care should have made significant improvements within this timeframe. For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements at its next comprehensive inspection and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Following the inspection the provider wrote to us to say what they would do to meet the legal requirements.

You can read the report for previous inspections, by selecting the 'All reports' link for ' Osborne Court Care Home' on our website at www.cqc.org.uk

This inspection took place on 11 and 12 May and was unannounced. The provider had made sufficient improvements to be removed from special measures.

Osborne Court is registered to provide personal care and nursing care for up to 55 people. On the first floor of the home care is provided to people living with dementia. The ground floor accommodated people with both personal care and nursing needs. At the time of our inspection there were 35 people living in the home.

There was no registered manager in place on the day of our inspection. A registered manager is a

person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The current manager has submitted their registered manager’s application form for consideration.

In October 2015 we found that medicines were not managed safely. At this inspection the provider had made sufficient improvements.

In October 2015 we found that people’s rights were not being upheld in line with the Mental Capacity Act (MCA) 2005. At this inspection the provider had made sufficient improvements.

In October 2015 the provider had not consistently protected people against the risk of poor or inappropriate care as accurate records were not being maintained. The provider did not have effective systems and processes for identifying and assessing risks to the health, safety and welfare of people who use the service. Where risks were identified, the provider did not consistently introduce measures to reduce or remove the risks to minimise the impact on people within a reasonable timescale. At this inspection the provider had made sufficient improvements.

In October 2015 the provider had not ensured that people were protected from the risk of cross infection. At this inspection the provider had made sufficient improvements.

In October 2015 staff were not consistently supported through an effective training and supervision programme. Although the provider had made improvements, further work was required on this area.

Systems were being operated more effectively to assess and monitor the quality and safety of the service provided. The new management team had been well-received by people, staff and visitors.

Staff demonstrated kind and compassionate behaviour towards the people they were caring for. Staff were knowledgeable about people’s needs. We received positive feedback about the staff and people thought they were caring.

Care records that we viewed showed people had access to healthcare professionals according to their specific needs.

Relatives continued to be welcomed to the service and could visit people at times that were convenient to them. People maintained contact with their family and were therefore not isolated from those people closest to them.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.