Nightingale

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.The service provided effective care by assessing and regularly reviewing people’s health, wellbeing, and communication needs. Pre-admission assessments ensured the service could meet each person needs and maintain a positive environment. Ongoing reviews involved people directly, keeping care personalised and relevant.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People were involved in developing and reviewing their care plans, ensuring support reflected their needs and preferences. Care was person-centred and based on best practice, including nutrition and long-term health management. Staff worked closely with healthcare professionals to maintain consistent and effective care. Policies, training and supervision supported staff in delivering safe and compassionate care.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.Staff spoke positively about teamwork and supported each other to provide the best care. People were happy and comfortable with familiar staff who knew them well. The team worked closely with professionals to ensure consistent care and partners praised their clear communication. Each person had a health information document to share key details with hospital staff quickly if they needed treatment.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People had choice and freedom in how they spent their time and could access all areas, including a well maintained garden for relaxation and exercise. Staff supported people to set goals learn new skills and achieve independence. Photographs recorded daily activities, highlighting the service’s focus on meaningful experiences that improved health and wellbeing.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People were observed to experience positive improvements in their lives by making more choices in their daily routine. Care plans included clear, personalised goals and guidance for staff reviewed regularly to reflect changing needs. Staff showed a strong commitment to improvement supported by regular audits and quality checks to ensure effective care.A relative said, “I think they are always trying to improve their practice. I think they do really care.’’

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people lacked capacity to make certain decisions, appropriate assessments and legal authorisations were in place. Staff were trained in the MCA and consistently sought consent, offering choices in daily care and routines. Care plans recorded people’s preferences for how they communicate. Tools such as visual meal planners and daily diaries helped them understand information and take part in decisions about their day, night, and community activities.