CQC report explained · a residential care home
What the CQC found at Osborne Lodge Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, risk assessments, staffing, recruitment, medicines management and infection control. They also found regular checks of the building and equipment.
- Effective?
- Good
- This key question was not looked at during this inspection. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This key question was not looked at during this inspection. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This key question was not looked at during this inspection. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found strong oversight, effective audits, secure records, good communication and a management team that involved people, relatives and staff.
What inspectors found, January 2021
Osborne Lodge Rest Home is rated Good; inspectors found safe care and strong management, with improvements since the last inspection.
One inspector visited on 16 December 2020. They spoke with three people and eight staff, and reviewed care records, medicines records, staff files, risk assessments, audits and other management records. Infection prevention measures were also checked because of the coronavirus pandemic.
The home was rated Good for Safe and Well-led. Inspectors found trained staff, enough staff on duty, safe recruitment, well-managed medicines, suitable risk assessments and good infection control. The building and equipment were checked regularly, and accidents were reviewed to reduce the chance of them happening again.
The overall rating improved from Requires Improvement at the previous inspection in 2018. The report says improvements had been made and the home was no longer in breach of regulations. Only Safe and Well-led were assessed at this visit, so the other ratings were carried forward from the previous comprehensive inspection.
Safeguarding and risk management
Staff had safeguarding training and understood how to report concerns. Risk assessments covered areas such as falls, choking and medicines, with plans to reduce identified risks.
“There were detailed risk assessments covering a wide range of areas including falls, choking and medicines.” from the report
Staffing and recruitment
Inspectors found that recruitment checks had been completed and that there were enough staff to meet people's needs. Call bells were answered promptly.
“We saw sufficient staff were deployed to meet the needs of people and call bells were answered promptly.” from the report
Medicines
Medicines records were complete and checked. Inspectors saw staff administering medicines safely and found regular audits by senior staff and the pharmacy.
“Medicines administration record sheets, (MARs), were consistently completed when medicines were administered and were checked to ensure there were no gaps or omissions.” from the report
Infection control
The home was visibly clean and had additional measures for coronavirus, including screening visitors, using protective equipment and plans for managing an outbreak.
“The premises were visibly very clean when we inspected and there were no malodours during our inspection.” from the report
Management and improvement
The home had developed a broad audit programme involving staff. Inspectors found that records and audits had improved since the previous inspection.
“Since our last inspection, a comprehensive programme of audits had been developed and embedded into practice.” from the report
Previous feedback about food
minorFeedback questionnaires had raised concerns about food. The report says the quality had significantly improved after a new head chef was recruited, but families may still want to check current views.
“There were concerns raised about food however since then, a new head chef had been recruited and the quality of food had been significantly improved.” from the report
- 01How do you check that the improvements to food quality have continued, and how do residents and relatives give feedback about meals now?
- 02How are audit findings shared with families, and what happens when an audit identifies that someone has had too little social interaction?
- 03What visiting arrangements are currently in place, and how do you manage visits during an infection outbreak?
- 04How often are medicines records, stocks and care plans checked, and how are any errors dealt with?
- 05Which ratings from the previous comprehensive inspection were carried forward rather than reassessed at this visit?
This was a planned inspection focused on Safe and Well-led, including infection control; the other key question ratings were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 27 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2019
Rated Requires Improvement; inspectors found kind, person-centred care, but medicines, risk records and management systems needed improvement.
Inspectors visited the home without warning on 21 and 23 January 2019. They spoke with people, relatives, staff and health professionals. They also checked care plans, medicines records, staff files, accident records, rotas and quality checks.
People were treated kindly and with respect. Staff understood people's individual needs, and people had access to healthcare, food choices and activities. Staffing levels had improved and were consistently sufficient during this inspection.
There were continuing problems with some care records, risk monitoring and medicines records. Some medicines were not stored or recorded properly. The home also did not keep confidential care records securely, which was a breach of Regulation 17.
The overall rating remained Requires Improvement, as did Safe and Well-led. Effective, Caring and Responsive were rated Good. A new manager had started in November 2018 and staff said morale and leadership were improving, but changes had not yet been fully established.
Kind and respectful staff
People and relatives described staff as friendly, compassionate and supportive. Inspectors observed warm and respectful interactions.
“People confirmed that staff treated them with compassion, kindness, dignity and respect.” from the report
Improved staffing
Staffing levels had improved since the previous inspection. Inspectors found enough competent staff on duty to meet people's needs.
“This inspection found that improvements had been made.” from the report
Personalised care
Care plans recorded people's routines, interests and communication needs. Staff generally knew people's preferences and how to support them.
“Overall care plans provided a good, person centred record of the person's needs.” from the report
Access to healthcare
Staff worked with GPs, community nurses and other professionals. A health professional said referrals were timely and appropriate.
“A health care professional confirmed to us that people were referred to them in a timely and appropriate manner.” from the report
Medicines records and storage
seriousSome medicines records were incomplete or inaccurate. Inspectors found an unrecorded controlled drug, an unmonitored medicines trolley and handwritten records that had not been checked by a second staff member.
“Whilst people received their medicines as prescribed, there were shortfalls in relation to how some medicines were stored and some medicines records were incomplete or inaccurate.” from the report
Risk monitoring
seriousRecords did not always show what action had been taken after risks, accidents or incidents. Some food and fluid records were incomplete and information about a modified diet was inconsistent.
“We were not always able to ascertain what action had been taken to mitigate new or existing risks or in response to incidents or accidents.” from the report
Confidential records
seriousSome care records were incomplete or inaccurate and were not stored securely. This was a breach of Regulation 17.
“We also found that records relating to people's care and support were not stored securely” from the report
Quality checks
needs fixingAudits did not always identify problems or lead to clear action plans. Inspectors found issues that earlier checks had missed or had not resolved.
“However, these were still not being fully effective in delivering all the improvements needed to achieve a rating of 'Good'.” from the report
End of life planning
needs fixingFamilies spoke positively about end of life care, but people's wishes were not always recorded. Inspectors recommended developing this planning further.
“We did note that people's decisions about their preferences for end of life care were not always documented” from the report
- 01How are medicines now stored, checked and recorded, including controlled drugs and the upstairs medicines trolley?
- 02How do you record and review action taken after falls, accidents, incidents, weight loss or nutrition concerns?
- 03What changes have been made to keep care records accurate, complete and securely stored?
- 04What does the current activities programme offer, including trips into the local community?
- 05How are people's end of life wishes recorded and kept up to date?
This was an unannounced inspection of the whole service, covering all five questions, with findings based on discussions, observations and records reviewed. This explanation was written from the published report of 23 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Osborne Lodge Rest Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- January 2021Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- November 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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