CQC report explained · a nursing home
What the CQC found at Nightingales Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had safe infection prevention and control arrangements, including testing, protective equipment, cleaning, visits and outbreak management. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2022
Inspected but not rated; inspectors were assured that infection control and COVID-19 safety measures were in place.
This was an unannounced, targeted inspection on 9 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting care.
Inspectors were assured that the home was managing visitors, admissions, testing, personal protective equipment, social distancing, cleaning and possible outbreaks safely. The home was also facilitating visits in line with current guidance.
The home welcomed essential care givers and provided them with protective equipment and testing. Staff had moved from paper records to electronic tablets, and the manager and nurses reviewed positive COVID-19 cases to learn lessons and reduce risks.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated result for Safe.
Support for essential care givers
The home allowed essential care givers to visit and provided the protective equipment and COVID-19 testing they needed.
“The service welcomed essential care givers (relatives/friends who provide companionship and/or additional care and support to the people in care homes) and ensured they had the PPE (personal protective equipment) and access to COVID-19 testing they needed.” from the report
Infection control planning
The manager and nursing staff used their combined knowledge and experience to develop the home's infection control approach.
“The registered manager used her own and her nurses' collective knowledge and experience to develop an effective infection control strategy for the service.” from the report
Cleaner electronic records
Staff changed from paper records to electronic tablets because they found them more efficient and easier to clean.
“Staff moved from paper records to electronic tablets during the pandemic as they found these more efficient and easier to keep clean.” from the report
Learning from infections
When someone tested positive for COVID-19, the home reviewed how this may have happened and used the findings to reduce future risks.
“If anyone tested positive for COVID-19, the registered manager and staff analysed how this might have happened.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how do they differ from those checked in February 2022?
- 02How are visits currently managed, including protective equipment and COVID-19 testing for essential care givers?
- 03How would you manage a new infection outbreak, and how would you share information with families?
- 04How are staffing pressures currently affecting the home, and what measures are in place to manage them?
- 05How do you check that staff and visiting professionals meet the current COVID-19 vaccination requirements or have an exemption?
This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the home was inspected but not rated. This explanation was written from the published report of 9 March 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, February 2018
Rated Good; inspectors found kind, safe care, but medicines fridge checks and one care plan needed attention.
Inspectors visited on 16 and 18 January 2018. The first day was unannounced. They spoke with people living in the home, relatives and staff, observed care, and checked care records, medicines, recruitment files and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe. Staff were described as kind and respectful, and inspectors saw people receiving suitable support with food, health care, medicines, daily choices and end of life care.
The inspectors found two areas needing attention. The medicines fridge did not always have recorded temperatures and could become too cold. One care plan did not match the treatment being provided, although it was corrected during the inspection. The home was rated Good overall, as it met the expected standards across all five areas.
People felt safe
People and relatives told inspectors they felt safe. Staff had safeguarding training and knew how to report concerns.
“People using the service told us they felt safe living at Nightingales Nursing Home.” from the report
Kind and respectful care
Staff knew people's routines and preferences. Inspectors saw care that was patient, sensitive and respectful of privacy.
“Interactions were kind, patient and sensitive. People told us the support workers were polite, respectful and protected their privacy.” from the report
Food and health support
People received varied food suited to their needs, including modified meals where required. Staff noticed health changes and sought professional help promptly.
“Mealtimes were quiet and relaxed. Staff members were seen assisting people in a polite manner and supporting them to eat as much as they wanted.” from the report
Support at the end of life
Staff had training in end of life care and the home had a policy. People's wishes about resuscitation were recorded where needed.
“The staff team had received training on end of life care and a policy was in place.” from the report
Approachable management
People and staff said the manager was approachable. Staff felt supported and valued by the management team.
“Staff members felt supported and valued by the management team.” from the report
Medicines fridge
seriousFridge temperatures were not always recorded and varied. One recorded temperature could have frozen medicines, so the manager was asked to review whether the fridge was suitable.
“This indicated medicines were not stored within the safe temperature range to remain effective.” from the report
Care records needed updating
needs fixingOne care plan did not match the pressure-relieving mattress being used. Some plans also lacked people's life history and preferences, although the home said it had worked to improve this.
“Whilst the majority of care plans were accurate, one person's was not.” from the report
Quality checks missed issues
needs fixingThe home's monitoring systems did not identify the medicines fridge problem or the outdated care plan before the inspection. The manager dealt with these during or after the visit.
“We did note the monitoring systems had not picked up the issues regarding the medicine fridge and when a person's plan of care had not been updated.” from the report
- 01How are medicines fridge temperatures checked now, and what happens if the temperature is outside the safe range?
- 02How do you make sure each care plan matches the treatment and equipment currently being used?
- 03How will you record my relative's life history, likes, dislikes and preferred routines?
- 04What activities and one-to-one time would be available for my relative, especially if they cannot join group activities?
- 05How would you involve my family in planning end of life care and recording my relative's wishes?
This was an inspection covering all five CQC areas; the home was visited on two days, with the first visit unannounced, and its previous Good rating from December 2015 was maintained. This explanation was written from the published report of 22 February 2018 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 Nightingales Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- June 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
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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