• Care Home
  • Care home

Nightingale Care and Nursing Home

Overall: Requires improvement read more about inspection ratings

234 Caxton Street, Derby, DE23 1RJ (01332) 718710

Provided and run by:
Agincare (Derby) Limited

Important: The provider of this service changed. See old profile

Report from 23 January 2024 assessment

Ratings

  • Overall

    Requires improvement

  • Safe

    Requires improvement

  • Effective

    Requires improvement

  • Caring

    Requires improvement

  • Responsive

    Good

  • Well-led

    Requires improvement

Our view of the service

Nightingale care and nursing home is a nursing home registered to support up to 59 people. They support older people, including those living with dementia. At the time of the inspection there were 25 people living at the service. All service users were living on the top floor. This decision had been made with people and staff to support the deployment of staff. The service was last inspected on 7 November 2023, where we identified breaches of regulation in dignity and respect, good governance, person-centred care, safe care and treatment and staffing. This assessment commenced on 20 February 2024, with an on-site visit to the service. Off-site activity continued until 27 February 2024. At this assessment, we found that the provider had made improvements, and the service was no longer in breach of Regulation 10 (dignity and respect), Regulation 9 (person-centred care), Regulation 12 (safe care and treatment), Regulation 18(1), (2) (staffing). Whilst some improvements had been made, we found that governance systems had not always identified areas for improvement and sufficient action to mitigate risks had not always been taken. This was an ongoing breach of Regulation 17 (Good governance).

People's experience of this service

On the whole, people and their relatives told us that the service had made improvements since the last inspection. Some relatives felt further improvements were needed in relation to being informed about significant events and involvement in care planning. However, people told us that felt safe, there were enough staff to meet their individual needs and they felt supported. People told us staff knew them well and supported them to have equal experiences and outcomes. People were being cared for by staff who had appropriate training to support them effectively. Relatives told us that the leadership had improved. A relative told us “They seem now to be very inclusive and forth-coming. It is going well”. Another relative told us “I believe now that the manager knows what needs to be done and is doing it as fast as she dares”.