CQC report explained · a residential care home
What the CQC found at Nightingale House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staffing, medicines, infection control and risk management were found to be good, although fire doors and radiator covers needed action during the visit.
- Effective?
- Good
- People's physical, mental and social needs were assessed and met. Staff had relevant training, people received suitable food and healthcare, and consent and mental capacity processes were followed.
- Caring?
- Good
- Staff treated people with compassion, dignity and respect. People were supported to make choices, stay independent and maintain their privacy.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People were supported with communication, activities, relationships and complaints.
- Well-led?
- Good
- Inspectors found visible leadership, clear responsibilities and a positive, open culture. Audits and records were regularly reviewed, and feedback was used to improve the service.
What inspectors found, November 2022
Nightingale House was rated Good; inspectors found kind, safe and personalised care, with fire safety issues fixed during the inspection.
This was the first inspection of the newly registered home. Two inspectors visited without notice on 25 and 28 October 2022. They spoke with people living there, relatives, staff and healthcare professionals, and checked care records, medicines records, staff files and management audits.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines practice, good infection control and regular risk reviews. People received care that met their needs, and staff worked with health professionals when people's needs changed.
People were treated with kindness, dignity and respect. They had choices about their care, food, routines and activities. The home had an open management style, good records and systems for handling complaints and learning from incidents.
Kind and respectful care
People described staff as friendly and caring. Inspectors observed warm interactions, respect for privacy and support for people's independence.
“Staff interaction with people was characterised by warmth.” from the report
Enough trained staff
There were enough staff on duty to meet people's needs. Recruitment checks, induction, refresher training and supervision were in place.
“There were enough staff to meet people's needs.” from the report
Personalised support
Care plans included people's preferences, interests, communication needs and goals. People were involved in decisions about their care.
“People received person centred care that meant they had choice, control and their needs and preferences were met.” from the report
Good activities and social contact
People could choose from individual and group activities, including trips and contact with local children. People who were bedbound were offered one-to-one support.
“Weekly activity schedules indicated people could choose to take part in a variety of meaningful activities every day if they wished.” from the report
Strong management systems
The home had clear responsibilities, regular audits and systems for investigating complaints, incidents and safeguarding concerns.
“The provider, manager, compliance manager and staff carried out regularly reviewed audits that were thorough and kept up to date.” from the report
Inspectors raised no specific concerns in this report.
- 01Can you show us that the fire-resistant doors and radiator covers identified during the inspection remain safe and are checked regularly?
- 02Who is currently responsible for managing the home, and has the manager's CQC registration application been completed?
- 03How will you involve our relative and us in creating and reviewing their personalised care plan?
- 04What activities and one-to-one support would be available if our relative became bedbound or socially isolated?
- 05How are complaints about laundry or damaged or missing clothing recorded, investigated and prevented from happening again?
This was the first inspection and covered all five CQC questions, including infection prevention and control under Safe; there was no previous rating in this report to carry over. This explanation was written from the published report of 30 November 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Nightingale House
4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- November 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2022
Registered with the Care Quality Commission on 19 April 2022.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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What to check when you visit
At least 100 live-in carers within about an hour of Richmond upon Thames
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,270 a week. 78 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“We cannot speak highly enough of the care that Angelique gave, and would recommend her to anyone else needing a live-in carer.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.