Background to this inspection
Updated
12 April 2022
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Nightingale House 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 who was registered with the Care Quality Commission. This means 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 care commissioners and professionals who work with the service. We 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 five people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager and care staff.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with four relatives about the service. We continued to seek clarification from the provider to validate evidence found. We requested further documents to support our evidence.
Updated
12 April 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities which most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Nightingale House accommodates up to 12 people. The service specialises in caring for children and young adults with complex health needs and acquired brain injury, including learning disabilities or autistic spectrum disorder and sensory impairment. Nightingale House provides eight long term beds and 4 short term beds. At the time of our visit there were seven people living at the service. In addition to this one person was at the service for respite. People using the service at the time of the inspection were 19 years of age and above.
People’s experience of using this service and what we found
Right Support
Staff supported people with their medicines in a way which promoted their independence and achieved the best possible health outcome. Medicines were managed safely.
People had a choice about their living environment and were able to personalise their rooms. People’s rooms were very personalised, and people were able to decorate their room to reflect their interests and hobbies.
Staff enabled people to access specialist health and social care support in the community and people were supported to play an active role in maintaining their own health and wellbeing.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Care
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
People could take part in activities and pursue interests that were tailored to them.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
Staff turnover was improving, which supported people to receive consistent care from staff who knew them well. This meant people received compassionate and empowering care which was tailored to their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 4 April 2019 and this is the first inspection.
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.