Nightingale Domiciliary Care

Updated 29 April 2022

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 Care Act 2014.

Inspection team

A single inspector carried out this inspection.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we received about the service. We asked the registered manager to send us information in relating to staff training, medicines management, quality assurance and infection control. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the relatives of two people using the service about their experience of the care provided. We spoke with a member of staff and the registered manager. We reviewed a range of records. These included two people’s care records, staff files in relation to recruitment and training and a variety of records relating to the management of the service, including the quality monitoring systems and audits.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 29 April 2022

Nightingale Domiciliary Care is a domiciliary care agency. It provides personal care and support to people in their own homes. At the time of the inspection there were two people receiving personal care from the service.

People’s experience of using this service

There were safeguarding adults procedures in place. The registered manager and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work and there were enough staff to meet people’s care and support needs. Staff were following government guidance in relation to infection prevention and control.

People’s care needs were assessed before they started using the service and care plans were in place to ensure staff could support them safely. Staff received training relevant to people’s needs. People received support from staff to maintain a balanced diet. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

Relatives told us their loved ones were treated in a caring and respectful manner and they had been consulted about their loved one’s care needs. They knew how to make a complaint if they needed to. People had access to end of life care and support if it was required.

There were effective systems in place to monitor the quality of service that people received. Staff said they received good support from the registered manager. The registered manager took people and their relatives views into account through spot checks and phone calls. The registered manager and staff worked with health care providers to plan and deliver an effective service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 21/12/2020 and this is the first inspection.

Why we inspected

This was a planned inspection to assess if the provider was complying with our regulations.

Follow-up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk