Working at Nightingale Court

The provider failed to ensure appropriate systems were in place to manage medicines safely... Management had failed to recognise where safeguarding incidents had occurred and as a result had not reported these appropriately.

We found there was a closed culture within the service. Staff meeting minutes from February 2025 in which staff were told not to investigate safeguarding incidents and not to take any allegations made by residents seriously.

During the first day of our inspection we observed there were only 3 members of staff at night including the senior member of staff. When the senior member of staff was administering medicines, this left 2 members of staff to assist 19 people with personal care and with assisting people to their beds. All staff interviewed during our inspection mentioned low staffing levels.

Although it was recognised by the provider staff need to completed epilepsy training, and this was planned on the day of the inspection there was no single member of staff trained in epilepsy awareness.

Following our inspection feedback the registered manager resigned from the post and new acting manager was introduced to the service.

People did not always have enough activities to engage in. During our inspection we saw a lack of stimulation for people, some of whom spent the whole day in the same place.