Nightingale Care and Nursing Home

People generally had access to drinks and snacks, enjoyed the food and had choices. Meals were prepared to meet dietary needs.

“People told us they enjoyed the food provided and had choice in the menu.” from the report

Staff understood their responsibility to report abuse and had up-to-date safeguarding training.

“Staff had received up to date safeguarding training and were able to demonstrate an understanding of types of abuse and how they would report these.” from the report

Some people and relatives spoke positively about staff and described good relationships with particular members of the team.

“People and relatives spoke positively about specific staff. People had good relationships with some staff members.” from the report

Medicines records did not clearly show whether people had received the correct doses. One person went without a prescribed inhaler for 11 days, and guidance for as-required medicines was not detailed enough.

“Medicine administration records (MAR) were not legible, accurate or able to clearly show people had had their prescribed medicines.” from the report

Relatives and staff said more staff were needed. Inspectors saw communal areas left unsupervised even though some people's care plans said they needed supervision.

“Communal areas were not always supervised. Some people's care plans said they needed supervision for their safety when in the lounge or dining space.” from the report

Not all staff had completed mandatory training, and most staff had not completed tissue viability training despite supporting people with skin care needs.

“Specialist training to meet specific healthcare needs was not always completed by staff.” from the report

Inspectors saw people left in uncomfortable positions and found that mobility aids were not always nearby. Some interactions were also not kind or caring.

“People's privacy, dignity and independence were not always respected and promoted.” from the report

Care plans did not always reflect people's needs and wishes. End-of-life plans lacked important personal and religious details, and not all staff had end-of-life training.

“Care plans for people who were reaching the end of their lives had minimal person-centred details on how they wished to be cared for, including any religious considerations.” from the report

Audits failed to identify or resolve important problems, including gaps in risk assessments, medicines guidance and end-of-life plans. Records were not always complete or accurate.

“The providers quality assurance systems were ineffective and did not always demonstrate accountability for people's care.” from the report