Inspection on 15/10/08 for Osborne House Residential Home
Also see our care home review for Osborne House Residential Home for more information
This inspection was carried out on 15th October 2008.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
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Name: Address: Osborne House Residential Home 16 Bay Road Clevedon North Somerset BS21 7BT The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Juanita Glass Date: 1 5 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Osborne House Residential Home 16 Bay Road Clevedon North Somerset BS21 7BT 01275872600 01275872600 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Osborne House (Ladye Bay) Limited care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia dementia 0 1 Over 65 26 0 Conditions of registration: May provide residential personal care for up to 26 persons, aged over 65 years, with Dementia. The two additional bedrooms are not to be used until minimum standards have been achieved and checked by the inspector. May accommodate one named person under 65 with Dementia care needs. Home will revert when named person leaves. May admit one named person aged 59 years and over. This condition lapses when the person leaves or becomes 65. Date of last inspection Brief description of the care home Osborne House is registered with the Commission for Social Care Inspection to provide a personal care service for up to 26 persons with dementia. The home is a pleasant Care Homes for Older People
Page 2 of 10 period building with panoramic views over the Bristol Channel. It has three floors and twenty-two bedrooms, two of which are shared. At present the home can take up to 24 persons. There is a call system throughout the home. There is a conservatory, dining room and two good-sized lounges. One room has en-suite facilities. There are ample assisted baths and communal showers and toilet facilities. Care Homes for Older People Page 3 of 10 What we found:
We looked at the care plans for three residents. These residents had been involved in a situation where one of them had sustained a head injury and a black eye. We found that the incident had been clearly recorded. We also looked at the record of past incidents of aggressive behaviour of two of the residents involved. We found that one resident was involved in more than one incident that may have put other residents at risk of possible harm. We discussed the incident with the manager and informed him that he must make a referral to the North Somerset Safeguarding Officer. He agreed to make the referral and carried out the telephone call immediately whilst we were still in the home. We also discussed the suitability of the placement for the one person involved as it appeared that staff were not managing their challenging behaviour, especially at night when there were only two members of staff in the home. The manager agreed to arrange a review of the persons care with their care manager. We looked at the satffing rota and discussed with the manager the statement in the regulation 37 form about only one member of staff being in the home between 7:00 pm and 7:20 pm on the day in question. This did not occur it must be noted when the incident between the three residents took place. We noted that a recruitment programme has been put in place and that extra staff are being employed. The manager also stated that the situation occured through a mis-understanding that the person leaving to collect children would be covered by another member of staff who did not turn up until reminded by telephone. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 4 of 10 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 7 15 (2) The manager must where practicable involve the resident or a representative in writing their care plans. 01/09/2008 2 7 13 (4) The manager must ensure 01/09/2008 that the risk assessments for challenging behaviour include clear guidelines for staff. The manager must ensure that all medication received into the home is recorded in the appropriate place. This refers to the receipt of controlled drugs. 01/09/2008 3 9 13 (2) 4 30 12 (1) The provider must ensure all 01/09/2008 staff receive training in how to manage challenging behaviour. The provider must arrange for regular servicing of the hoist used by staff to lift residents. Evidence must be maintained to show these checks have been carried out. 01/09/2008 5 38 13 (3)(4)(6) 6 38 13 (3)16 (2j) The provider must ensure staff follow strict Infection Control guidelines. This refers to the wearing of 01/09/2008 Care Homes for Older People Page 6 of 10 suitable protective clothing when serving food and residents wandering through the kitchen. 7 38 13 (6) The provider must ensure that staff understand the importance of asking for identification when a person visits the home in an official capacity, especially out of hours. This is to protect residents from harm or risk of abuse. 01/09/2008 Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 18 12 The manager must report aggressive incidents that result in another resident being injured and put at risk of harm to the North Somerset Safeguarding Officer via the Care Connect contact team. This is to ensure that people living in the home are protected from possible harm or abuse. 31/10/2008 2 27 18 The manager must ensure 31/10/2008 that there are adequate numbers of staff in the home at all times. This is to ensure that the safety of people living in the home and other staff are not put at risk. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 8 The manager needs to reveiw the care needs of one resident discussed during the inspection with their care
Page 8 of 10 Care Homes for Older People manager as it was not felt that their needs were being fully met. Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
