Background to this inspection
Updated
27 January 2021
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 Lodge Rest 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
We gave 24 hours’ notice of the inspection. This was due to the current pandemic and needing to ensure that the registered manager would be able to support the inspection.
What we did before 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 three people who used the service about their experience of the care provided. We spoke with eight members of staff including the registered manager, assistant manager, senior care workers, care workers, housekeepers and the chef.
We reviewed a range of records. This included two people’s care records and multiple medicines records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies, procedures, audits and risk assessments were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, mission statements, meeting minutes and quality assurance records.
Updated
27 January 2021
About the service
Osborne Lodge Rest Home is a residential care home providing personal care to 27 people aged 65 and over at the time of the inspection. The service can support up to 35 people.
Osborne Lodge accommodates people in an adapted and extended building. There are adapted bathrooms and accessible communal areas and each room has ensuite facilities.
People’s experience of using this service and what we found
People were safeguarded from potential abuse by staff who were trained and a management team who acted should abuse be suspected.
Risks relating to people’s needs were assessed, and actions taken to mitigate these. The premises were well maintained, and regular checks of equipment and systems assured us of this.
Accidents and incidents were recorded and reviewed, and learning taken from them to reduce the potential for a reoccurrence.
Staff were safely recruited and there were sufficient staff deployed to meet people’s needs.
Medicines were safely managed. Storage was secure and appropriate, and records were accurate.
We were assured that the provider had safe and effective infection prevention and control procedures.
The service was well-led. There was a registered manager in post supported by a management team who had good oversight of the service.
People were involved in care planning and encouraged to participate in reviews and to give feedback about the service they received.
There were effective audits carried out by a range of different staff. This meant staff felt more fully involved and invested in improving the service.
Quality assurance questionnaires were used to identify areas where the service could improve.
The management team had positive working relationships with health and social care professionals in their local community.
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 24 October 2018).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating and to ensure that the previous breach of regulations had been met.
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 coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Osborne Lodge Rest Home 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 re-inspection programme. If we receive any concerning information we may inspect sooner.