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Osmaston Grange Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 June 2021

About the service

Osmaston Grange is registered to provide personal care, nursing care and accommodation for up to 80 people across two buildings. At the time of the inspection only one of the two buildings were open and provided accommodation and residential care to people either on a permanent basis or for short-term care, as required. Nursing care is no longer provided at Osmaston Grange. On the day of our visit 25 people were using the service.

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

The provider used a range of audits and systems to monitor the service; however, these had not always identified areas which required improvement. Care plans had not been updated or risk assessment always completed to cover all aspects of people’s care. This meant we could not be assured people would receive the care they required for their current needs.

On our last inspection we raised concerns about measures in place to manage COVID-19. At this inspection we found staff had received training in relation to COVID-19, however, other areas in relation to infection control had not been maintained. We found areas which required further improvements, in relation to cleaning touch areas, equipment cleaning and maintenance.

Medicines stock inaccuracies had been identified at the last inspection and this inspection, measures had not been put in place to address these concerns. This meant we could not be assured people had received their prescribed medicine as required.

There were sufficient staff on site, however they were not always deployed to ensure people’s needs had been met. We found some elements of the rota had not always been covered which had an impact on the level of care or other duties required.

People and relatives were consulted on aspects relating to the home and the care the people received. The staff worked in partnership with health and social care professionals to support peoples ongoing needs.

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 16 October 2020).

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.

Why we inspected

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.

We carried out an unannounced comprehensive inspection of this service on 2 September 2020. Breaches of legal requirements were found. 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 and Good Governance.

We undertook this focused inspection to check they 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 which contain those requirements.

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 continues to be Requires Improvement. 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 Osmaston Grange on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to Regulation 12 (safe care and treatment) and Regulation 17 (Good Governance)

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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.

Inspection areas

Safe

Requires improvement

Updated 4 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 June 2021

Caring

Good

Updated 4 June 2021

Responsive

Good

Updated 4 June 2021

Well-led

Requires improvement

Updated 4 June 2021

The service was not always well-led.

Details are in our well-Led findings below