Nightingales Residential Care Home

Updated 9 July 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 9 June 2021 and was announced.

Updated 9 July 2021

About the service

Nightingales Residential Care Home is a residential care home that accommodates up to 22 older people with sensory loss and physical disabilities. At the time of the inspection 10 people were supported with personal care and some were living with dementia.

At the last inspection in April 2018 we found breaches of regulation and we took enforcement action. At this inspection we found the regulations had been met and a considerable amount of work had been done to ensure people received the support and care they needed and wanted. However, additional work was needed to ensure the improvements were part of staff day to day practise.

People’s experience of using this service

¿ The registered manager had taken responsibility for the day to day management of the home in August 2018. They were very aware of the improvements that were needed and had reviewed the services provided and worked with people, relatives and the staff team to develop these.

¿ A quality assurance and monitoring system had been developed and audits had been completed for some aspects of the services provided. The registered manager knew that additional audits were needed to ensure areas for improvements were identified and action had been taken to address these.

¿ Medicines were managed in line with current guidance, although additional support and training was needed to ensure the improvements were embedded into day to day practise. Staff had attended training in moving and handling and explained how they assisted people to move around the home safely. However, staff did not consistently follow current guidelines and additional training was needed.

¿ People said they felt comfortable and safe living in Nightingales and relatives were confident people had the care and support they needed.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this. Staff consistently asked for people’s consent before providing assistance and care.

¿ Staff were aware of their roles and responsibilities and were supported by management to complete relevant training and develop their professional practise. Several activities were arranged for people to participate in if they wished and people’s preferences and choices were used as the basis for the care provided.

¿ The management of the service was open and transparent and encouraged people, relatives and staff to be involved in developing the service.

Rating at last inspection

Requires improvement. (Report published 4 August 2018)

At this inspection the overall rating remains Requires Improvement although the effective and responsive domains have improved to Good.

Why we inspected

This was a planned inspection, based on the rating at the last inspection, to assess if the regulations had been met and improvements made.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk