28 July 2023
During a routine inspection
Nightingales Residential Home is a residential care home providing personal care to up to 23 people. The service provides support to older people, people with physical disabilities and sensory impairments. At the time of our inspection there were 15 people using the service.
People’s experience of using this service and what we found
People told us they felt safe and were supported by a group of consistent staff who knew them well. People were provided with care by appropriately recruited staff who had received training in how to support them safely and effectively. Staff were aware of the risks to people and were kept up to date with changes in people's care needs. Staff had received training in how to recognise signs of abuse and were aware of their responsibilities to report any concerns they may have. People received their medication as prescribed.
People were supported to maintain a health and balanced diet and they were encouraged to make choices about food they ate. Care and support were person-centred and people's bedrooms were personalised to their tastes. People were supported to have maximum choice and control of their lives and staff provided them with care in the least restrictive way possible; the policies and systems in the service promoted this practice. People were enabled to access a variety of healthcare services to assist them in maintaining good health, and the local GP conducted regular rounds. The service provider had a training programme to support staff to improve their skills and knowledge.
People were happy with the care they received. Staff were kind and compassionate and supported people to maintain their dignity and independence. We observed lovely interactions between staff and people.
People had electronic care plans in place that were up-to-date, detailed, and person-centred. This enabled staff to understand and meet their needs and expressed people’s wishes and preferences. Staff ensured they communicated and shared information with people in a way they could easily understand. There was a complaints process which people and relatives were aware of and they had information about the procedure to follow.
People living at the care home, their relatives and staff working there were all complimentary about the way the service was managed. The management team had auditing systems to maintain ongoing oversight of the service and make improvements where necessary.
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 good (published 7 December 2019).
Why we inspected
The inspection was prompted in part due to concerns received about lack of completed risk assessments and care plans, poor governance, unwitnessed falls and people being at risk of dehydration. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.