Updated 10 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.
Inspection team: One inspector carried out this inspection.
Service and service type: Nightingale House Care Centre is 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, 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: The inspection was unannounced.
What we did: Before our inspection, we looked at information we held about the service. We did not request an updated Provider Information Return, but reviewed the most recent one sent by the provider. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the provider. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring and safeguarding teams before our visit.
During the inspection, we spoke with nine people who used the service and two relatives. We spoke with the registered manager, the operations manager, a senior member of the care team, two care staff, two activities coordinators and a nutritional assistant. We spoke with one visiting healthcare professional.
We looked at a range of documents and records related to people’s care and the management of the service. We viewed two people's care records, medication records, two staff recruitment and induction files, training and supervision information and a selection of records used to monitor the quality and safety of the service. 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.
After the inspection the registered manager sent us copies of some policy documents, staffing rotas and menus we requested.