CQC report explained · a nursing home
What the CQC found at Nightingale Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, admissions, visits, hygiene and outbreak management. The home was also meeting COVID-19 vaccination requirements for non-exempt staff and visiting professionals.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2022
Nightingale Nursing Home was inspected but not rated; inspectors found good infection control and arrangements for staffing pressures.
This was an announced, targeted inspection on 13 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting care.
Inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing admissions and visits, and keeping its infection control policy up to date. They were also assured that the home was meeting COVID-19 vaccination requirements for non-exempt staff and visiting professionals.
The home had trained staff in infection control and checked their practice. It had also reviewed staffing needs early in the pandemic and secured enough staff to cover expected extra work. The service was inspected but not rated, so this report does not give an overall quality rating.
Infection control training
Staff received infection control training, including individual practice in putting on and taking off PPE. Their practice was reinforced through spot checks and supervision.
“The service had provided staff with training in infection and prevention control which included individual sessions on donning and doffing personal protective equipment (PPE).” from the report
Staffing planning
The home reviewed its staffing needs early in the pandemic and secured enough staff to cover expected extra pressures. Inspectors said this supported continuity of care.
“The service had reviewed its staffing requirements early on in the COVID-19 pandemic and proactively secured sufficient staff to cover predicted additional work pressures.” from the report
COVID-19 testing
The home met the requirements for regular COVID-19 testing for staff and people living there.
“The provider met the requirements around regular testing for COVID-19 for both, staff and people living at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently check that staff use PPE correctly after their training?
- 02What staffing pressures are there now, and how would you maintain continuity of care if staff were absent?
- 03How are COVID-19 testing and vaccination requirements currently managed for staff and visiting professionals?
- 04How are visits currently arranged, and what happens if there is an infection outbreak?
- 05How often is the infection prevention and control policy reviewed and updated?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 10 February 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.
What inspectors found, July 2019
Rated Good; inspectors found safe, kind and personalised care, with effective management and no legal breaches reported.
This was an unannounced, comprehensive inspection on 19 March 2019. One inspector observed care, spoke with 10 people and staff, and reviewed care records, recruitment files, training records, medicines, complaints, incidents and quality checks.
The home was caring for 16 people, although it is registered for up to 35. Inspectors found that people were safe, treated with kindness and respect, and received care that reflected their needs and choices. Staff were trained, medicines were managed safely, and people were supported with food, drink and healthcare.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report says legal requirements were met and that people's outcomes were consistently good. The previous inspection in December 2016 also rated the home Good.
Kind and respectful care
People described staff as kind and caring. Inspectors saw staff treating people warmly, protecting their dignity and spending time listening to them.
“Throughout our visit staff interacted with people in a warm and friendly manner.” from the report
Personalised support
Staff knew people's needs, preferences and backgrounds. Care plans were based on assessments and updated when people's needs changed.
“People received personalised care that was responsive to their individual needs.” from the report
Safe staffing and risk management
Inspectors found enough staff to provide care and assistance. Risks were assessed, reviewed and managed with suitable equipment and clear guidance.
“Risks to people were assessed on admission to the service and regularly updated.” from the report
Effective staff training
Staff received induction, ongoing training, supervision and competency checks. Training included dementia care, mental capacity and moving and handling.
“Staff were well trained to make sure they had the skills and knowledge to effectively support people.” from the report
Open management and improvement
The manager was approachable and had detailed knowledge of the home. Quality checks, incident reviews and action plans were used to monitor and improve care.
“Quality assurance systems monitored the quality of service being delivered and the running of the service” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and regularly review my relative's risks, such as falls or pressure damage?
- 02How do you make sure medicines are given safely, including medicines prescribed to be taken only when needed?
- 03How will you support my relative's eating, drinking or swallowing needs, and how will their weight be monitored?
- 04What activities and support to maintain family relationships would be available for my relative?
- 05How would you record and follow my relative's wishes about future and end of life care?
This was an unannounced comprehensive inspection covering the premises and care, with all five CQC questions assessed; the previous inspection in December 2016 was also rated Good. This explanation was written from the published report of 11 July 2019 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 Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 29 December 2010.
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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28 live-in carers within about an hour of West Sussex
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 £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.