Background to this inspection
Updated
5 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one adult social care inspector and one 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 House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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 gathered information we had about the service, this included notifications received from or about the service which tell us of significant events. We also requested feedback from local health and social care professionals who had worked with the service.
During the inspection we spoke with 11 people, and six staff members, including the registered manager and deputy manager. We walked around the building looking at the environment and one person showed us their room.
We looked at care planning documents for five people, five Medicine Administration Records (MAR), and the storage and administration of medicines. We looked at quality assurance processes and daily recording of activities and staff support for people. We looked at health and safety and environmental checks.
We spoke with two relatives after the inspection and gathered feedback from two health and social care professionals.
Updated
5 April 2019
About the service: Nightingale House is a residential care home that was providing personal care and accommodation to 22 people at the time of the inspection. The home is in the seaside town of Teignmouth in Devon, and primarily provides support to people with a diagnosis of Korsakoff’s syndrome and/or a mental health diagnosis.
People’s experience of using this service:
• People were supported by caring staff that knew them well. Their needs were captured in person centred care plans and the care they received was aligned with preferences in care plans.
• People’s needs were regularly reviewed and a thorough assessment process undertaken when new people moved in. The service had just re-written all its care planning documents to better capture how people’s needs affected their day to day living.
• Staff knew how to spot and report any safeguarding concerns and risks were fully assessed and positively managed.
• People were given choice and control in their lives, and this looked different for different people.
• Staff had a good insight into Korsakoff’s syndrome and how this might affect people’s behaviours and changing preferences and opinions.
• People’s health needs were actively monitored and supported, and timely referrals made to relevant health care services.
• Medicines were managed safely and staff were trained and competency tested before administering medicines.
• Staff had a basic understanding of the Mental Capacity Act 2005 and asked people for consent.
• People said they felt safe and relatives told us people were happy and well looked after.
• Quality assurance systems had improved and were now more robust.
Rating at last inspection: At the last inspection in February 2018 the service was rated requires improvement. The report was published in April 2018.
Why we inspected: This was a planned inspection based on our schedule. We did not have any concerns prior to inspecting this service.
Follow up: We will continue to monitor the service through notifications and maintaining contact with the service. We will inspect the service according to our planned schedule, or sooner if we are made aware of concerns.