Nightingale Court Care Home

Nightingale Court Care Home is a 'care home'. Nightingale Court Care Home accommodates up to 35 people in one adapted building living with dementia and physical frailty. At the time of the inspection the home was providing care and support to 33 people.

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

Risks associated with people’s health conditions and support needs were not always assessed, monitored, or mitigated safely. The manager acted on these concerns promptly.

We have recommended that medicine records are improved.

People were protected from the risk of abuse because the provider had effective safeguarding systems in place. There were enough staff to safely meet people's needs. Overall, effective systems were in place to prevent and control the spread of infection.

We have recommended the provider seeks reputable guidance to ensure people live in a dementia friendly environment.

Staff told us they had enough training to carry out their roles effectively and were well supported. The provider worked well with healthcare professionals to ensure joined up care and good outcomes for people. People were supported to ensure their nutritional needs were met.

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.

People and their relatives told us staff were kind and caring. People were treated with dignity and respect and their privacy was promoted. We observed positive interactions between people and staff which enhanced people’s well-being.

We have made a recommendation to ensure people who spent much of their time in their rooms are supported with meaningful activities that meet their emotional and social needs.

Care records were being improved to ensure people received personalised care. People received compassionate care at the end of their lives and were appropriately supported at this time.

The provider’s quality assurance systems were not fully effective in identifying all concerns in the service or driving sufficient improvement. We have made a recommendation about this. When the provider was made aware of any issues they acted promptly and effectively to address them.

The service had a positive person-centred culture. People and relatives were happy with the care people received at Nightingale Court Care Home. Staff felt valued and enjoyed their work.

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 23 February 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the safe care and treatment of people. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive and Well-led domains of this full report.

Enforcement and Recommendations

We have identified a breach in relation to the assessment, monitoring and mitigation of risk. We have made recommendations about the environment people live in, activities for those who spend much of their time in their rooms and the providers quality assurance systems.

Please see the action we have told the provider to take at the end of this report.

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.