Overbury House Nursing and Residential Home

Updated 1 September 2023

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 Health and Social Care Act 2008.

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

This inspection was carried out by 1 inspector, a member of the CQC medicines team and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Overbury House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Overbury House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 25 July 2023 and ended on16 August 2023. We visited the location’s service on 25 July 2023. Telephone calls to relatives were made by Experts by Experience on 31 July 2023 and 1 August 2023. We provided feedback to the registered manager on 16 August 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 20 relatives. We spoke with 7 staff including the registered manager, service development & regulation director, regional manager, nurses and care staff.

We reviewed a range of records. This included 7 people’s care records and multiple medication records. We looked at 4 staff files in relation to recruitment, training, and supervision. A variety of records relating to the management of the service including audits, policies and procedures were reviewed.

Updated 1 September 2023

About the service

Overbury House Nursing and Residential Home is a care home providing personal and nursing care for up to 61 people, some of whom are living with dementia. At the time of our inspection there were 43 people using the service.

The care home is built over two floors. The majority of bedrooms have en-suite facilities. There are several shared living areas, a shared dining room and an accessible garden for people and their visitors to use.

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

Medicines were not always safe at the service. Information to ensure the safe handling and administration of medicine was not consistent. Some medication administration records contained gaps and were not completed accurately. Medicines were not always ordered in a timely manner to ensure people had adequate and continual supply.

A quality assurance system was in place. This had not identified or addressed the discrepancies we saw in the handling and administration of medicine.

On the day of inspection we observed adequate staffing levels. However, relatives provided mixed feedback regarding staffing levels. Some relatives felt there were not adequate staff employed to meet the needs of people in a timely manner. However, all relatives found the staff to be caring and kind.

Relatives told us they felt the care provided by staff was safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

A recruitment process was in place to support the safe recruitment of suitable staff. Staff received an induction and training which prepared them for their role.

Relatives and staff told us they found the registered manager to be approachable and were confident they would be listened to if they raised concerns.

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 good (published 13 September 2019).

Why we inspected

We received concerns in relation to the management of risk and the governance of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

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 good to requires improvement based on the findings of this inspection.

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

Enforcement

We have identified breaches in relation to management and administration of medicine at this inspection.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.