Background to this inspection
Updated
1 February 2020
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
The inspection was undertaken by one inspector.
Service and service type
Nightingale Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information 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 seven people who used the service and five relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, nurses, care workers and the cook. We spoke with a visiting healthcare professional and we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We received further feedback after our inspection visit from a relative.
Updated
1 February 2020
About the service
Nightingale Nursing Home is a residential care home providing personal and nursing care for 27 people aged 65 and over at the time of the inspection. The service can support up to 34 people in a converted building.
People’s experience of using this service and what we found
People felt safe living at the home, relatives confirmed the care and support provided maintained people’s safety. Training had been provided to give staff the skills to safeguard people from potential abuse. Risks to people’s safety and well-being were assessed and mitigated as much as possible. The registered manager ensured pre-employment checks were completed before new staff were employed.
People’s medicines were managed safely. The registered manager undertook assessments of staff practice satisfying themselves that staff were competent to safely administer medicines. The home was clean and welcoming. Staff had received infection control training and protective clothing including gloves and aprons was available to them.
People’s needs and preferences had been individually assessed and were kept under constant review. People and their relatives told us the care and support provided met people’s needs. Staff received training necessary for their roles and felt fully supported by the management team.
People enjoyed the food provided for them. People accessed healthcare services as needed. 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 were supported by an established staff team who knew them well. Staff treated people with respect and dignity. People were fully involved in their care as much as they could be. People’s right to privacy and confidentiality was respected and integral to the ethos of the home.
People received care and support in a way that was flexible and responsive to their individual needs. Opportunities for engagement were routinely brought into the home for people to enjoy. Relatives and other visitors were welcomed into the home at any time. The provider had an effective policy and procedure to support people to raise complaints. The registered manager and staff team were very clear that Nightingale Nursing Home was people’s own home and they would be supported to stay in their own home should their health deteriorate.
The management and staff team demonstrated a clear culture of ensuring people and their needs were a priority. Staff enjoyed working at the home, they felt supported and involved. The registered manager was available for the staff to call on at any time if they needed advice or guidance. Quality assurance processes such as audits were in place to help ensure standards were upheld. Systems had been developed to enable people, their relatives and external professionals to contribute their feedback about the way the home operated. The registered manager kept themselves up to date with changes in legislation and practice.
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 requires improvement (published 31 January 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.