Random inspection report
Care homes for older people
Name: Address: Salisbury House 83 - 85 Egerton Park Rock Ferry Wirral CH42 4RD 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Stephanie West Date: 0 8 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Salisbury House 83 - 85 Egerton Park Rock Ferry Wirral CH42 4RD 01516456815 01516452793 Marika@thesalisburygroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Salisbury Management Services Ltd care home 37 Number of places (if applicable): Under 65 Over 65 37 old age, not falling within any other category Conditions of registration: 0 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 The maximum number of service users who can be accommodated is: 37 Date of last inspection Brief description of the care home Salisbury House is a large detached house with well-maintained gardens. It is situated in a quiet area of Rock Ferry Birkenhead, close to local shops and other amenities. The domestic furnishings and decoration are of a high standard throughout the home. There are a number of communal areas where residents can spend time together chatting, reading, watching TV, listening to music or relaxing. The home is fitted with a passenger lift so that residents who have difficulty with using stairs can have access to
Care Homes for Older People Page 2 of 8 Brief description of the care home all floors. The home is also fitted with numerous aids and adaptations to support residents who have difficulty with their mobility. The home has access to a minibus, which can be used to take residents out on various trips. Care Homes for Older People Page 3 of 8 What we found:
This visit was carried out to look at the homes medication arrangements to look at the action taken to meet the requirements of our previous visit. The visit involved discussing the handling of medication with deputy manager, examination of the medicine records and storage arrangements. At the end of the visit feedback was given to the deputy manager and owner. This visit focused on medicines handling, other areas and requirements were not examined at this time. Overall, we found that although there were some areas for further improvement, action had been taken to address weaknesses identified at out previous visit and generally suitable arrangements were in place for handling peoples medicines. We looked at medicines administration. Most medicines were administered by staff who have completed certificated medicines training but where people wish to, and are able they are supported to self-administer medication. However, a written assessment had not been completed for one person and overall, we found that there could usefully be more information within peoples care plans about the arrangements in place to support safe self-administration. Since our previous visit the home had arranged for medicines, where possible, to be supplied in a monthly monitored dosage system. Staff spoken with were happy with the new system and checks showed it was used correctly. Staff spoken with knew that some medicines needed to be given before food but formal arrangements were not in place to help ensure this always happened. This needs to be addressed to reduce the risk that this, or any other special label instructions may be accidentally missed. The home has made arrangements for the use of homely remedies so that nonprescribed medicines for the treatment of minor ailments can be given. This benefits people at the service as they can receive treatment for conditions such as minor pain without delay. We looked at medicines record keeping. Most medication administration records were pre-printed by the pharmacy these were generally clearly completed, and also showed the receipt of medicines into the home. We looked at how information within peoples care plans supported the safe administration of medication. We found that records of advice from healthcare professionals were generally clearly recorded, but in some cases this advice could be usefully included in the relevant care plan, for example advice about the use of medicines needed when required. We compared a sample of medicines records and stocks and found that although it was possible to account for (track) medicines within the monitored dosage system, there were occasional discrepancies in medicines supplied in traditional boxes and bottles. It is important to ensure that all medicines handling can be accounted for (tracked) to support and evidence the safe handling of medicines in the home. We looked at how medicines were stored and found that all medicines were safely locked away but controlled drugs were not kept in a controlled drugs cupboard. This needs to be addressed in order to meet with current law. The manager carries out audits (checks) of medicines handling but consideration should be given to the frequency of these, to help ensure that should any weaknesses be identified, the action taken is effective in bringing about prompt improvement. Care Homes for Older People Page 4 of 8 What the care home does well: What they could do better: 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 R No £ 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 1 7 15 Ensure that service users plans are amended should the service users needs change. 30/07/2009 2 7 15 Care plans must be signed 30/07/2009 and dated by the person writing the plan so the home is aware of who is writing the plan and when. Privacy screens must be 30/08/2009 provided in all shared rooms to promote privacy and dignity. A hoist and other moving and handling equipment must be provided to assist staff to move people safely. 30/08/2009 3 10 12 4 22 13 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 9 13 Where people self-administer 12/04/2010 medication written assessments and care plans need to be completed to help ensure people receive any support they need to do so safely. Controlled drugs must be kept in a controlled drugs cupboard to meet with current law. 07/06/2010 2 9 13 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 9 Consideration needs to be given to the arrangements for ensuring special label instructions such as before food are consistently followed. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
