Inspection on 25/06/09 for Salisbury House

This inspection was carried out on 25th June 2009.

CQC has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Salisbury House 05/06/07

Salisbury House 25/10/06

Salisbury House 06/02/06

Salisbury House 03/11/05

Salisbury House 20/09/04

Salisbury House 27/05/04

Salisbury House 09/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Salisbury House 83 - 85 Egerton Park Rock Ferry Wirral CH42 4RD Lead Inspector Joan Adam Key Unannounced Inspection 25th June 2009 10:00 DS0000018935.V376124.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Salisbury House Address 83 - 85 Egerton Park Rock Ferry Wirral CH42 4RD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 645 6815 0151 645 2793 Salisbury Management Services Ltd Mr Russell Michael Canner Mrs Marika Canner Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 5th June 2007 Brief Description of the Service: 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 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. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is two stars. This means that the people who use the service experience good quality outcomes. We made an unannounced visit to Salisbury House on 25th June 2009. During the visit we spoke to the manager, deputy manager, some staff members and some residents and relatives. Before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) to provide us with up to date information about the home. Some of the comments we received and the information is detailed in this report. What the service does well: Each person who comes to live at Salisbury House is assessed so that they know their needs can be met. There is enough staff on each shift so that people living in the home are not rushed and their independence is maintained. The activities on offer are varied so that people have enough to do and can make choices about their day so that they have some control over their lifestyle. Salisbury House has a warm homely atmosphere and residents spoken with said this is a good place to live. the staff are lovely. The food on offer is good and wholesome and people spoken with said the food is always nice. A good standard of hygiene was seen throughout the home and the standard of decor was very good so that people live in a comfortable environment. Staff were seen to be patient and caring with the people in their care. The staff are supported by regular formal supervision sessions so that they can discuss their development and improve their skills and competence. All staff receive regular training to improve their skills. Recruitment procedures are robust so that people who are employed at the home are safe to work with elderly people. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The care plans for each person who lives at the home must cover all their identified care needs and describe the actions to be taken by staff to meet those needs. Care plans must be signed and dated when they are written so that the home is aware of who has written the plan and when. Care plans must be updated when any changes occur so that staff know what the changes are and what to do. The recording of medicines being received in to the home must be improved so that the manager is aware of what drugs are in the home so as not to put people living at the home at risk through poor practice. The personal items of residents living in double rooms, such as soap, toothbrushes and denture pots should be clearly labelled so that staff are aware who these items belong to so that the residents dignity is maintained and cross infection is prevented. The majority of residents have a shared bedroom and appropriate screening should be provided to ensure the resident’s privacy. This was recommended at the last visit. A hoist and other equipment such as slide sheets should be provided at the home so that staff can move people safely. The system in place for checking the management of medicines and care plans should be improved as some errors had not been highlighted during the audit. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 7 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An assessment of people’s needs is carried out before they move into the home to make sure their needs can be met there. EVIDENCE: The AQAA states that assessments are carried out by experienced staff and that prospective residents can have a “taster day” at the home prior to choosing whether to live there. When we spoke to people who had recently come to live in the home we found that this was true. However, these visits had not been recorded on any documents at the home. We felt that this should be recorded as it was a positive experience for people to visit the home before making this decision. We looked at the admission details of three residents Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 10 who had recently come to live at the home. The documentation was completed and contained adequate information so that staff were sure the needs of the resident could be met before they were admitted to the home. The content of the assessment documentation was completed on two separate forms and some information was repeated. It was discussed with the manager and deputy manager that these forms could be made in to one document to avoid duplication of information. Care plans were based on information obtained at the assessment. The home does not provide intermediate care so standard 6 was not assessed Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health care needs of people who live in the home and the receipt of medicines are not well recorded so that care needs may not be fully met and their privacy and dignity is not always respected. EVIDENCE: The AQAA told us that routines at the home can be flexible to suit peoples’ needs. When speaking with people who live at the home they said they could make choices about where they could sit, what they had to eat and what they wanted to wear each day. All of the people living in the home had a care plan which was written in every day. We looked at the care plans for four people who lived at the home. The care plans identify needs and the staff have worked very hard when writing these. However, they contain a large amount of information, are repetitive and Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 12 not easy to follow. For instance one plan looked at contained two pages for recording visits by the district nurse. The times and dates on both sheets were the same. Several plans are written under headings on a full page sheet which makes it difficult for staff to up date or change them without having to rewrite them all. The plans were not signed or dated so it was not clear who had written them and when. The plans had been evaluated, however, when a change had been identified the care plans had not been updated to let staff know what changes had taken place. There is a good record in place of personal preferences. Daily records have been written by care staff and are detailed. Visits by other health professionals was recorded so staff would know when these visits had taken place and why. A review of the care plans and care given was held with the people who live at the home and their relatives on a six monthly basis to discuss any problems that may arise. A discussion was held with the manager and deputy manager as to how to improve the documentation used at the home so that staff were not repeating information. The atmosphere in the home was warm and welcoming and all staff were seen to be friendly and appeared to have good relationships with the people in their care. When spoken with staff were aware of peoples needs and their likes and dislikes. Residents spoken with said it is a very nice home the staff are really good the girls know what I like Medication management was looked at. The AQAA states that “we have an efficient medication policy with clear guidelines in place for all staff regular checks are made by management to ensure records are fully completed and medication is being administered correctly.” The home uses a nomad system, however, the home is not recording when drugs are being received in to the home. This means that the management is unaware of how many medicines are in the home and if the drugs delivered are the correct amount that have been ordered. The checks on stocks of drugs in the home was not taking place and if any were left at the end of the month these stocks were not being carried forward and recorded. The medicine administration sheets had been completed with very few signatures missing which showed that people who live in the home appeared to be getting the drugs which were prescribed for them. The home had a bottle of a controlled drug which was out of date and two unopened bottles of controlled drugs which were not being used, these were being stored in the controlled drugs (CD) cupboard. Two other bottles of controlled drugs that had been stopped being given to residents by the GP were still in the CD cupboard. There was no evidence that any of these drugs had been received in to the home. This means that the management would not know if the drugs had gone missing. A CD record book had been commenced by the staff following the last visit but this contained two sets of initials when drugs were being given. Full signatures should be obtained from the staff checking the drugs. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 13 A requirement was made at the last visit regarding the recording of controlled drugs. The pharmacy was contacted and theses drugs were sent back before the end of our visit. The system in place for checking the management of medicines should be improved as these errors had not been highlighted during the audit check. The majority of people who live at the home have a shared bedroom and appropriate screening was not provided in these rooms so that the person’s privacy and dignity is maintained when staff are completing personal care. In the en-suite of the double bedrooms there was only one bar of soap for two people. Toothbrushes had not been identified as to which person they belonged to and denture pots were not named. The residents living in these bedrooms need to have personal items identified clearly so that no other person uses these items and to ensure the residents’ dignity is maintained and prevents cross infection. A hoist was not in place at the home and staff told us that one person required a hoist to help staff to move them safely and that they were hurting themselves trying to move the person safely. This was discussed with the manager and she stated that an assessment by the physiotherapist had been requested. Following this assessment and advice a hoist and other equipment such as slide sheets would be purchased. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Salisbury House are able to take part in a range of activities and mealtimes were a positive experience. EVIDENCE: We looked at the AQAA which told us “ we have in place a stimulating activity programme with a diverse range of activities for all our clients to enjoy taking in to consideration their individual needs.” When we visited we found that a new activities co-ordinator had started at the home in May and is at present up dating the activity programme on offer. When we asked people they said could choose to join in or not. Activities on offer are scrabble, quizzes, sing-a –longs, exercises and film shows. The home has it’s own minibus and trips had been arranged to local areas such as Port Sunlight. One person who did not come from the local area was told all about Port Sunlight by the other people who live in the home and said she found this very interesting. People said we can go out in the minibus if we want to there is enough going on you dont have to join in everything Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 15 A personal plan has been produced so that staff are aware of what interests people have. Choices are recorded in the care plan such as how the people who live in the home like to spend their day. There is a varied menu on offer at Salisbury House and the lunch looked good and appetising. People spoken with said the food is really good we have a good choice of food food is very nice Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Salisbury House are confident that their complaints are listened to and staff have received training so that they know what to do to protect people. EVIDENCE: We looked at the AQAA which told us that one complaint had been made to the home. It also told us that staff have received training in how to protect people rights and the complaints procedure. It said that the home” strive towards dealing quickly and efficiently with any complaints or issues no matter how big or small” When we looked at the complaints log two complaints had been recorded. The minutes of two staff meetings stated that complaints had been made to the management, however, when we discussed this with the manager she said that these were minor problems that had been addressed. A complaint received by CSCI had not been logged but the home had kept all correspondence on file. It is recommended that all complaints are logged so that the management is aware of all concerns. People spoken with said that they knew how to make a complaint. I would speak to the manager, but I have no complaints A relative spoken with said any issues were dealt with quickly. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 17 The home had policies and procedures on the prevention of abuse and whistle blowing. The safeguarding procedure is how the local council and other agencies respond to allegations of abuse against vulnerable people. Staff have received training about safeguarding people from abuse in the form of a video and workbook so that they know how to deal with any incident or suspicion of abuse. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a well maintained environment. EVIDENCE: We looked at the homes AQAA which told us that refurbishments have taken place in the lounges and bedrooms at the home with the input of people who live there. We walked round the home and looked in all communal areas, bathrooms and some bedrooms. People who live at the home were spoken with and they said that the home is always clean. The decor of the home was of a high standard and each bedroom was well personalised. The home was cleaned to a high standard and there were no unpleasant odours. However, as previously stated the majority of people who live at the home have a shared bedroom and appropriate screening was not provided in these Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 19 rooms so that the person’s privacy and dignity is maintained when staff are completing personal care. A hoist was not in place at the home and staff told us that one person required a hoist to help staff to move them safely. This was discussed with the manager and an assessment by the physiotherapist had been requested. Following this assessment and advice a hoist and other equipment such as slide sheets would be purchased. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care and support from skilled staff that they like. EVIDENCE: We looked at the homes AQAA which showed us that a variety of staff are employed to provide care and support to the people who live in the home and that the staff was recruited correctly. We found this to be true. We found that staff are supplied in sufficient numbers to meet peoples needs and people who live in the home said they thought that there was enough staff on duty on each shift. People said that if they needed help this was supplied quickly. the girls answer my bell when I ring the staff are wonderful all the staff are very helpful We saw that most of the staff working in the home have achieved a national vocational qualification in care. This shows that staff have had formal training to carry out their roles. We saw staff training is on-going and that all staff have received mandatory training in key subjects. This is mainly in the form of internal training using videos. Some external training has also taken place. This means that staff have been given the skills to promote peoples health and welfare. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 21 Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the views of people who live there are obtained EVIDENCE: The home owners are also the registered managers of the home and there is also a deputy manager who is trained to NVQ level 4 and has attained the Registered Manager’s award. The home has a number of quality assurance systems in place designed to identify strengths and areas of improvements, these included audits for areas such as medications, care plans and the environment. These are completed on a monthly basis by the manager of the home. The system in place for checking the management of medicines and Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 23 care plans should be improved as some medication and care plan errors had not been highlighted during the audit check. The staff spoken with felt that the managment was supportive. Survey forms received by CQC were positive about the home, management and care given. The staff are supported by regular formal supervision sessions so that they can discuss their development and improve their skills and competence. Regular staff meetings take place for all grades of staff and minutes are taken. Resident/relative meetings are also held on a regular basis and the manager has an open door policy. It was observed that the manager and deputy manager had a good relationship with people who live at the home and their relatives present on the day of the visit. Regular fire drills and staff training sessions are held to make sure staff know what to do in case of fire and there was a record of the names of staff attending. The AQAA gave us details of when equipment in the home had been checked and serviced to make sure that it continues to be safe and effective. The home does not keep any money belonging to people who live at the home. There is a robust recruitment system in place so that all staff employed have the correct safety checks so that the manager knows they are safe to work with elderly people Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 1 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A X X 2 Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Ensure that service users’ plans are amended should the service users’ needs change. Care plans must be signed and dated by the person writing the plan so the home is aware of who is writing the plan and when. All medicines, including controlled drugs, that are being received in to the home must be recorded so that the management know how many drugs are in the home at all times. The controlled drugs register must contain the full signatures of staff who are checking the drugs. Privacy screens must be 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. Timescale for action 30/07/09 2. OP7 15 30/07/09 3 OP9 13 30/07/09 4 OP9 13 30/07/09 5 6 OP10 OP22 12 13 30/08/09 30/08/09 Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The audit tool used for medications and care plans should be improved to highlight errors more efficiently. Salisbury House DS0000018935.V376124.R01.S.doc Version 5.2 Page 27 Care Quality Commission North West Region Citygate Gallowgate Newcastle upon Tyne NE1 4WH National Enquiry Line: 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). 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