This inspection was carried out on 13th October 2009.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: Nightingale House The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Margaret Flaws Date of this annual service review: 1 0 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 22 Elgin Road London N22 7UE 02088897885 02088837198 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Miss Renouka Devi Sisteedhur Number of places (if applicable): Under 65 Over 65 0 3 0 3 9 9 9 9 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 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 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
Annual Service Review Page 2 of 6 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. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? This service is rated as Two star, good. This rating was made at the last key inspection on 14 September 2007. We reviewed all the information provided to the Care Quality Commission since the last ASR inspection. This included Annual Quality Assurance Assessment Statutory Notifications received Telephone conversation with the Registered Manager What has this told us about the service? Nightingale House is a family run business providing care and support older people who may also have dementia, enduring mental health problems or a physical disability. The Registered Manager described how the home also continues to provide care for people who have mental health impairment from the effects of long term alcohol use. The home had one vacancy at the time of this assessment. Assessments are completed by the Registered Manager and another family member who is also a Registered Mental Health Nurse. Placements in the home are from the London Boroughs of Haringey, Islington and Camden. The Registered Manager told us that all the annual reviews had been completed by the placing authorities, as welll as reviews done by the community mental health teams. Most residents in the home are relatively mobile and able to go out into the local community with support. The homes Activities Coordinator recently left and a new person is being employed. Activities described to us included arts and crafts, T Shirt printing, poetry sessions, gardening, architecture discussions and gardening. There are also a range of more traditional activities provided including reminiscence, quizzes and games. Some residents attend day centre and some have gone on outings to Southend and to pub and restaurant lunches. Several physical improvements have been made, for example, refurbishment of the ground floor and kitchen, improvements to the ceilings and the lift and new carpets. The Registered Manager told us that most staff are part time and studying for NVQ or other qualifications. One new staff member has started work in the past year and statutory pre employment checks have been completed. Eleven out of thirteen staff have NVQ 2 or above and staff received ongoing refresher training and other specialist training. The home has kept us informed about the any issues for concern in the home. In the past year, these were a short series of incidents relating to one person having a Annual Service Review Page 4 of 6 relapse that triggered challenging behaviour. The Registered Manager told us that there have been no complaints received in the past year. What are we going to do as a result of this annual service review? Our inspection plan remains unchanged remains unchanged. We will do the next key inspection by 1 September 2010. However, we can inspect the service at any time if we have concerns about the quality of service and the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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