Please wait

Inspection on 21/05/10 for Nightingale House

Also see our care home review for Nightingale House for more information

This is the latest available inspection report for this service, carried out on 21st May 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

We spoke to four residents who were at home during the inspection. They told us that they were happy and felt well treated by the staff. They said they enjoyed living in the small home and were properly cared for.

What the care home could do better:

No requirements were made at this inspection.

Random inspection report Care homes for older people Name: Address: Nightingale House 22 Elgin Road London N22 7UE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Margaret Flaws Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Nightingale House 22 Elgin Road London N22 7UE 02088897885 02088837198 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Roshanlall Sisteedhur Type of registration: Number of places registered: Conditions of registration: Category(ies) : Miss Renouka Devi Sisteedhur care home 9 Number of places (if applicable): Under 65 Over 65 9 9 9 9 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 3 0 3 The maximum number of services users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP, Dementia - Code DE, Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Nightingale House is a registered care home for nine older people who may also have a range of additional needs - see the category and conditions of registration. The home is privately owned and managed by the Sisteedhur family. The home is a large converted three storey domestic premises. There are three single bedrooms and three shared bedrooms situated on the ground and first floors with a lift providing access to the first floor. The home?s communal areas are on the ground floor and consist of a large sitting room and separate dining area. The kitchen, utility room and a toilet are also situated on the ground floor; the second floor consists of the staff sleeping in room/ office. There is a large pleasant garden at the back of the house. The home is situated in a quiet residential street and close to local shops, a library and a public house. The home is also reasonably near the larger range of shops and amenities in Muswell Hill Broadway. The current minimum charge at the home starts at #500 per week and may rise according to the persons assessed needs. Additional charges may be made for personal items such as newspapers and toiletries and for hairdressing and chiropody. A range of information, including CSCI inspection reports, is shared with people using the service at regular meetings. The information is on display on a notice board in the home. Inspection reports are also made available to prospective residents and their representatives as part of the referral process. The stated objective of the home is to enable people to live independent and fulfilled lives as far as they are able, with dignity and privacy in a tranquil and elegant environment. Care Homes for Older People Page 3 of 8 What we found: In line with current guidance from the Care Quality Commission, we carried out a random inspection instead of a key inspection, before 30 June 2010. The service had its last key inspection in September 2007, when it was rated as good. This random inspection focussed on key standards under the Staffing and Management sections of the Care Standards Act 2000 and checked compliance with requirements made at the last key inspection. We spoke to two staff, the Registered Manager and Responsible Individual, and with several residents in the home. Five surveys were returned to CQC prior to this inspection. Two surveys were from staff and four from residents. All were positive about the home and its culture. At the time of the inspection there were seven people living in the home. Several redsidents have lived in the home for many years. The resident are mainly older people with preexisting mental health issues or dementia. One person also had alcohol related brain impairment. All residents had their needs fully assessed and reviewed by the home and by external placing authorities. Two previous requirements under the Health and Personal Care standards were met. Risk assessments were in place in residents files. These risk assessments detailed actions taken to reduce risks. All residents had had regular healthcare checks to ensure their wellbeing. These included visits to and from dentists, doctors, mental health professionals, chiropodists, and opticians. The home now has detailed information on the local authoritys safeguarding policy and procedures readily available in the home. The Registered Manager has had advanced safeguarding training and is a safeguarding champion. Staff have all been trained in safeguarding adults. A previous requirement is met. We checked compliance with a previous requirement, to have a refurbishment plan in place. The home has a refurbishment plan in place. At the time of the inspection, the home was being painted throughout. New carpet had been laid and the several rooms refurbished. We checked the staff files and spoke to new staff members, both of whom were on duty on the day of the inspection. We also looked at the rotas. On the day of the inspection, there were two staff and the manager on duty in the home. The Registered Person also visited the residents and worked on refurbishment. The residents are all mobile and continent. The staffing level was appropriate for the residents needs. Both staff on duty were qualified nurses in their own countries and work part time while extending their qualifications here in the UK. The Registered Manager told us that he regularly adjusts the staffing level according to residents needs. For example, an extra staff member is put on duty if residents go out into the community or have a hospital appointment where they need to be accompanied. Care Homes for Older People Page 4 of 8 Most staff work part time. There are three staff on duty during the day (including the manager) and two at night (one sleeping and one waking). Staff were safely recruited. We looked at three staff files. They all had application forms completed, Criminal Records Bureau checks done, identity and right and health to work checked. Staff also had two written references on file, meeting a requirement from the last inspection. Both new staff were able to describe their comprehensive induction process, which was recorded and kept on their files. They are studying for higher NVQ qualifications and one staff member is also studying for a healthcare management MBA. There is a full staff training programme in place covering all key areas of core training and NVQ. The Registered Manager showed us how he makes good use of the Haringey Council free training programme for social care staff. Training certificates were available and kept on staff files, meeting a requirement from the last inspection. Staff meetings are held monthly and these were recorded, with discussion of residents needs, professional development and management of the home discussed. In relation to the residents finances, the Registered Manager told us that residents who have capacity have their own bank accounts and manage their own finances. The residents who have been assessed as not having capacity and do not have relatives, have their finances managed by the local authority under the Court of Protection. The home then invoices the local authority for the services provided. Two previous requirements were met. The fire alarm is covered by warranty and the service and building risks assessments are more detailed. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!