Nightingale

Updated 18 March 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

This inspection was completed by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Nightingale 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 CQC. 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 the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who work with the service and Healthwatch (Sheffield). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We also used the information the provider 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 eight people who used the service and 10 relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, care staff and other ancillary staff. To help us understand the experience of people who could not talk with us, we used an observation method called Short Observational Framework for Inspection (SOFI). This involved observing staff interactions with people in their care, throughout the day.

We reviewed a range of records. This included three people's care records and multiple medication records. We checked a variety of records relating to the management of the service, including two staff files.

We spent time observing the daily life in the service and we looked around the building to check environmental safety and cleanliness.

After the inspection

We sought some more documents from the registered manager. They were provided in a timely manner and were used to inform our judgements.

Updated 18 March 2020

About the service

Nightingale is a residential care home that provides accommodation and personal care for adults with a range of care and support needs. This includes adults who are living with dementia. The home can accommodate up to 40 people in one adapted building over two floors. At the time of this inspection there were 39 people using the service.

People’s experience of using this service and what we found

The registered manager placed people at the heart of the service and demonstrated exceptional leadership skills. The registered manager had forged excellent links with other services and organisations in the community. This led to people receiving coordinated, effective support and afforded people excellent opportunities to take part in a wide range of activities.

People had access to numerous social opportunities, both within the home and in the local community. This had a positive impact on their well-being. The provider and registered manager maximised people's opportunities to be involved in the development of the home and we found their ideas were acted upon. Staff listened to people and proactively supported them to take part in things they had not experienced before.

The provider, registered manager and staff were all driven to provide high-quality, person-centred care. We observed a positive, welcoming and inclusive culture within the home. Adaptations had been made to the home, to meet the needs of people living with dementia. The home was well-maintained, and people had been supported to personalise their rooms. This supported people to navigate to their own bedroom and feel truly at home.

People were safe, and they received effective care from the staff team. There were enough staff available to ensure people’s needs were met in a timely manner. People’s medicines were managed safely. Risks to people were mitigated and staff knew how to protect people from abuse.

People received support from staff who were kind, caring and well-trained. People were treated with dignity and respect. Staff delivered care which met people's needs and respected people’s preferences. Staff knew people very well and delivered personalised care to people. Staff encouraged people to remain as independent as possible.

Staff understood the importance of supporting people to remain involved in decisions about their care. 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 and their relatives knew how to raise any concerns or complaints about the home. They were confident staff would act on any concerns.

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

Rating at last inspection

The last rating for this service was good (published 21 June 2017).

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.