Updated 26 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was prompted by allegations of incidents where two people using the service were subject to abusive practice by a member of staff. These incidents were subject to further investigation by the local authority safeguarding team and CQC and as a result this inspection did not examine the circumstances of the incidents.
However, the information shared with CQC about the incidents indicated potential concerns about how the service ensured people’s safety. This inspection examined those areas.
Inspection team:
The inspection was carried out by two inspectors.
Service and service type:
Nightingale a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided. Nightingale accommodates up to 12 people in one adapted building.
The young people living in the home had learning disabilities. Some of the people found managing their emotions and communicating their wishes difficult.
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:
The inspection was unannounced so the provider, manager and staff team did not know we would be visiting.
What we did:
Before the inspection we reviewed information, we held about the service and the service provider. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection we spoke with three people who used the services and three regular visitors to ask about their experience of the care provided. We spoke with the registered manager and five members of staff. We also observed care practices.
We reviewed a range of records that included two care plans, daily records and medicines records. We also looked at a range of records relating to the management and monitoring of the service. These included safeguarding documentation, handover information, staff support documentation, audits and two staff files.
Before the inspection we liaised with the safeguarding professional working in the home.