Care Home: The Nightingales

What the care home does well The admission process was working well, with visits to the home arranged for prospective residents, and on-going consultation with professional health and social care workers. A keyworker system had been introduced, in order to promote individual care and attention. The care plans were seen to have been updated in accordance with residents` changing needs, and daily care was properly recorded in the case of a resident who was unwell. Social activities were provided both morning and afternoon, and individual interests were catered for. There was plenty of choice with meals. Fruit and biscuits were offered mid-morning, two main choices for lunch, andother options available daily. Potatoes were prepared in four different ways every day, as this was popular with the residents. Individual records of food eaten had been recorded, so that staff could monitor residents` food intake where necessary. These showed the variety of meals that had been served. A new kitchen had been built, which was spacious and had a new doorway on to the front garden. This was a great improvement, with space, light, hygienic conditions and modern facilities. The office had been moved to the site of the former kitchen, which is closer to the residents` communal areas than the former office, giving easier contact between the two. Residents were happy with attention they receive from the staff. `I don`t have to call for help`, said one, `they`re already around`. Another said, `the staff are super`. Visitors to the home told us that they work as `a good team`, they were `very happy with it all`, and they were pleased with the new Manager, who kept them up to date with developments. They said they would be confident in taking any problem to the Manager. Management support and monitoring were provided from elsewhere in the organisation. What the care home could do better: Residents had lockable drawers in their rooms, but the keys were not available. These should be available if residents are assessed as being able to use them. It would be good practice to record any minor concern that is brought to the Manager`s attention, so that he may show what has been done, if necessary to put it right. This would also make it obvious if mistakes were repeated. We saw that two fire doors needed attention, to ensure that they would close effectively when the emergency call bell sounds, in order to protect residents. Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Nightingales Furzehill Road Torquay Devon TQ1 3JG 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Stella Lindsay Date: 2 0 0 2 2 0 0 9 Information about the care home Name of care home: Address: The Nightingales Furzehill Road Torquay Devon TQ1 3JG 01803294674 Telephone number: Fax number: Email address: Provider web address: thenightingales@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Margaret Rose Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 23 The maximum number of service users who can be accommodated is 23. The registered person may provide the following category of service only: Care home only - Code PC to service usres of either gender whose primary care needs on admission to the home are within the following category: Dementia (Code DE) maximum number 23 Date of last inspection Brief description of the care home The previous key inspection was on 23rd January 2008. The Nightingales provides residential care for up to 23 people who have dementia. Most are older people, but whether they are under or over the age of 65 does not affect the suitability of this service to them. The house is a substantial nineteenth century building, close to Torquay town centre. There is a large communal lounge that looks out over the Care Homes for Older People Page 2 of 8 Brief description of the care home garden, a small lounge leading on to an enclosed courtyard, and a separate dining room. There are 21 bedrooms on two floors, some of which have en-suite facilities. Fees are currently 300 - 500 pounds, depending on care needs. The CSCI inspection report is available in the entrance hall. Care Homes for Older People Page 3 of 8 What we found: This Random Inspection followed our Annual Service Report, which found that many changes had taken place in the home since our Key Inspection of 23rd January 2008. A new Manager had been appointed, who was in the process of preparing his application to register with the Commission for Social Care Inspection. We met with the new Manager, the home owner, eight residents, two regular visitors to the home, and four staff who were on duty. We found that the home was well run, with good levels of staffing, accurate recording, and plenty of choices being made available to residents in a relaxed atmosphere. Major improvements to the building had been carried out. What the care home does well: What they could do better: Residents had lockable drawers in their rooms, but the keys were not available. These should be available if residents are assessed as being able to use them. It would be good practice to record any minor concern that is brought to the Managers attention, so that he may show what has been done, if necessary to put it right. This would also make it obvious if mistakes were repeated. We saw that two fire doors needed attention, to ensure that they would close Care Homes for Older People Page 4 of 8 effectively when the emergency call bell sounds, in order to protect residents. 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 1 38 23 All fire doors must be maintained in good order, and approved hold open devices installed where necessary in order to provide protection in the event of a fire. 16/04/2009 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 1 16 A record of minor concerns should be kept, in order to show what action has been taken in response, and to show quickly if any mistake is repeated. Keys for lockable storage in residents rooms should be available, so that they may keep their own valuables, subject to risk assessment. 2 24 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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. 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