# Nightingale Services

*Operated by S U V Healthcare Ltd.*

Nightingale Services is a CQC-regulated home-care agency in Newport Pagnell.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 18/09/2019

## Practical info

- Postcode: MK16 9PY
- Registered manager: Webb, Maghan
- Local authority: Milton Keynes
- Region: South East
- City: Newport Pagnell
- Last CQC check: 18/Sep/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Relationships, dignity, respect and involvement
  - Published: 2021-10-30

### effective

- Finding
  - Staff training and supervision
  - Published: 2021-10-30
- Finding
  - Access to healthcare professionals
  - Published: 2021-10-30
- Finding
  - Health and nutritional needs assessment and recording
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act compliance and best interest decisions
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Open and friendly culture with regular staff meetings and positive survey results.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff respected people's privacy, dignity, cultural and religious beliefs.
  - Published: 2021-10-30
- Finding
  - Evidence: People and relatives were involved in care planning and gave positive feedback about the service.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff supported people to access healthcare professionals including occupational therapists and district nurses.
  - Published: 2021-10-30
- Finding
  - Evidence: Incidents were reviewed by the registered manager and lessons shared with staff.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff understood safeguarding responsibilities and how to report concerns.
  - Published: 2021-10-30
- Finding
  - Evidence: People felt safe and had positive, caring relationships with a consistent team of staff who knew them well.
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels with staff arriving on time and notifying people and management when running late.
  - Published: 2021-10-30
- Finding
  - Evidence: Safe recruitment procedures with DBS checks, references and identification verified before staff commenced work.
  - Published: 2021-10-30
- **staff_training** _(minor)_
  - Evidence: some staff required training in practical manual handling as they had only undertaken training that covered the theory of manual handling
  - Published: 2021-10-30
- **infection_control** _(minor)_
  - Evidence: two people told us that although staff wore disposable gloves and washed their hands regularly, they did not wear protective aprons when supporting them with personal care
  - Published: 2021-10-30
- **supervision_appraisal** _(minor)_
  - Evidence: There were few records of planned one to one supervision and no records of appraisal.
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: Some people had specific health and medical needs that were not identified in their care plan...nutritional assessments and care plans were not in place
  - Published: 2021-10-30
- **complaints_handling** _(moderate)_
  - Evidence: one complaint investigation had not been concluded nor the outcome provided within the timeframe stated in the provider's complaints policy
  - Published: 2021-10-30
- **governance** _(critical)_
  - Evidence: This constitutes a breach of regulation 17(1): Good governance of the HSCA 2008 (Regulated Activities) Regulations 2014.
  - Published: 2021-10-30
- **consent_capacity** _(moderate)_
  - Evidence: there was no record of mental capacity assessments being undertaken or best interest decisions being made on behalf of people
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: People did not have appropriate risk assessments and risk management plans in place...one person required a high level of staff support to move; they did not have a moving and handling assessment
  - Published: 2021-10-30

### responsive

- Finding
  - Personalised and person-centred care delivery
  - Published: 2021-10-30
- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Care plan detail and accuracy
  - Published: 2021-10-30

### safe

- Finding
  - Safeguarding and staffing
  - Published: 2021-10-30
- Finding
  - Risk assessment and risk management planning
  - Published: 2021-10-30
- Finding
  - Medicines recording and administration
  - Published: 2021-10-30

### well_led

- Finding
  - Leadership culture and stakeholder engagement
  - Published: 2021-10-30
- Finding
  - Quality assurance and governance oversight
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2637394691

HomeCare Compass is an independent guide and is not affiliated with the CQC.