Osbourne Court

Updated 19 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

Osbourne Court 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.

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 registered manager, deputy, two assistant managers, one visiting professional, two relatives, three care staff and four people that 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 reviewed a range of records relating to the management of the home, staff recruitment records, people’s care records and medicines records.

Updated 19 May 2022

Osbourne Court is a care home providing accommodation and personal care for up to 58 people. At the time of the inspection there were 44 people living at the home.

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

There had been significant improvements following the inspection of December 2019. We saw positive changes had been made to the home’s medicines system. Medicines were disposed of safely, records were fully completed, and staff were not disturbed when administering medicines. Changes had been made to the complaints process and all complaints were being logged. A clear process was in place to help manage people’s personal items when they had gone missing.

People and their relatives were complimentary about the home and the care and support people received. People were protected from the risk of avoidable harm. People were supported by a team of staff to ensure their needs were safely met. The home was clean, and staff followed appropriate infection prevention and control practices to minimise the spread of infections. People told us they felt safe living at the home and had no concerns. The home followed appropriate recruitment practices and ensured staff were properly checked before they began working at the home. Accident and incidents were reported, recorded and analysed with lessons learnt shared with staff to prevent reoccurrences.

Staff were kind, understanding, and compassionate. People had good relationships with staff. People were supported by staff who knew people's personal and individual needs well. Care was personalised with people’s communication needs being met. People receiving end of life care experienced a comfortable, dignified and pain-free death.

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. Quality monitoring systems were in place, and the provider completed various audits to assist them in monitoring and helping them to identify how to improve people's experiences.

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 11 February 2020). The last rating for this service was Requires Improvement (published 11 February 2020). At our last inspection we recommended that the provider considered best practice around capturing informal complaints so there was clear guidance for staff to follow. At this inspection we found improvements had been made. A clear process was in place to manage complaints.

Why we inspected

We carried out an inspection of this service on 2, 3, & 4 December 2019. We rated the service requires improvement in Safe and Responsive 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, Responsive 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.

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.

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

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.