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Nightingale Lodge Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 2 March 2021

Nightingale Lodge is a residential care home providing accommodation and personal care to 26 people aged 65 and over at the time of the inspection.

We found the following examples of good practice.

• The provider had developed ways of recording observations about people's health. These were shared with healthcare professionals during regular telephone reviews. People were screened twice a day for COVID-19 symptoms.

• The provider was following best practice guidance in terms of ensuring visitors to the home did not introduce and spread COVID-19. All staff and visitors had their temperature measured, reviewed and recorded on entry. Where any concerns were raised, visitors were provided with advice and guidance by the home management team.

• Staff and people living in the home were tested regularly for COVID-19 infection. Visitors were also tested for infection with a lateral flow test.

• Visitors entered into an agreement with the service to abide by infection prevention and control rules and their contact details recorded. Information and instructions for visitors were clearly displayed and explained in person.

• Staff were adhering to personal protective equipment (PPE) and social distancing guidance.

• The provider had purchased anti-microbial air purifiers for use in visiting areas, other high occupancy areas and in people's accommodation if they were isolating. The provider also arranged antibacterial ‘fogging’ monthly and as part of the services deep cleaning process.

• People were supported to speak to their families on the phone or via video call. Garden visits and window visits were also available with risk reduction measures in place.

• The service had invested in an electronic screen which provided a protective barrier in the visiting room, allowing visits to take place indoors. However, during the current lockdown restrictions, this facility was not able to be deployed.

• The service had strict arrangements to facilitate indoor visits for people at the end of their life.

• The provider had robust isolation arrangements in place for people who were infected with COVID-19, or for people who had been admitted to the home from hospital or the community. There was clear information and procedures for staff to care for people who were isolating. This effectively reduced the risks of transmission of COVID-19 within the home.

• To ensure reduced risk of transmission of COVID-19, staff had breaks scheduled so that they were on their own and not mixing with others.

• The provider had ensured risk assessments had been carried out for any staff at higher risk of vulnerability to COVID-19 and made appropriate arrangements to protect staff and people.

Inspection areas

Safe

Good

Updated 2 March 2021

Further information is in the detailed findings below.

Effective

Good

Updated 2 March 2021

Caring

Outstanding

Updated 2 March 2021

Responsive

Outstanding

Updated 2 March 2021

Well-led

Good

Updated 2 March 2021