This first inspection of Nightingale Domiciliary Care, a small agency supporting two people, rated the service Good across all five key questions. Inspectors found safe, effective and well-led care with robust recruitment, appropriate training, person-centred support and effective quality monitoring.
Strengths
· Safeguarding adults procedures in place with staff and registered manager demonstrating clear understanding
· Robust recruitment procedures including DBS checks, references and health checks
· Sufficient staffing levels with punctual and flexible visits
· Staff trained in line with the Care Certificate and received quarterly supervision
· Person-centred care that respects cultural, religious and language needs
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles; promoting a positive person-centred cultureGood
well-led: Understanding and acting on the duty of candourGood
well-led: Continuous learning and improving care; engaging and involving people, public and staffGood