Inspection on 05/06/07 for Salisbury House

This inspection was carried out on 5th June 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Salisbury House 25/06/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Salisbury House 83/85 Egerton Park Rock Ferry Wirral CH42 4RD Lead Inspector Debbie Corcoran Key Unannounced Inspection 5th June 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Salisbury House DS0000018935.V335061.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 Salisbury Management Services Ltd Mr Russell Michael Canner, Mrs Marika Canner 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.V335061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only thirty four (34) elderly persons may be accommodated. Two (2) named elderly persons with a mental disorder (excluding learning disability) may be accommodated. One (1) named adult with a learning disability may be accommodated. Date of last inspection 25th October 2006 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. The current rage of fees for residing at Salisbury House ranges from £391.36 to £450 per week. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home was not announced beforehand and took place over a period of approximately 7 hours. The majority of residents were met during the course of the day and a number of residents were spoken with on an individual basis. A tour of the premises was carried out and this included all areas of the home. Records were examined and these included assessment information and care plans for a number of the residents, medication records, staff files, staff training and health and safety records. The manager had returned a pre inspection questionnaire to the Commission before the visit was carried out and some of this information has also been used as evidence for completion of the inspection. What the service does well: The findings of the inspection were good and all residents spoken with were complimentary about the home. New residents are only admitted to the home following an assessment of their needs. This is to ensure that their needs can be met appropriately. New residents are also invited to visit the home and spend some time there before moving in. Residents are well supported with their health needs and are supported to see a GP or nurse when appropriate. Other health related appointments are arranged on a regular basis for chiropody, dental care and eye care. A choice of good quality food and meals are provided to the residents and the catering arrangements and kitchen are well organised. Residents are included in a good level of activities. An activities co-ordinator is employed at the home for 20 hours per week and the home has a mini bus for excursions. Regular activities include residents attending a weekly tea dance, chair exercises, sing a long, arts and crafts, bingo, beauty, music, walking, coffee mornings, and entertainers brought in to the home. There are also occasional day trips. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 6 Residents are encouraged to make choices about the running of the home and about their daily routine. Residents and relatives’ views are being sought and used to improve the quality of the service provided. Residents can attend a resident’s meeting and are given the opportunity to complete surveys to give feedback on the home. The home is well presented both inside and out and is homely, comfortable and welcoming. The home is undergoing refurbishment and to date this has included the redecoration of all of the resident’s bedrooms. Aids and adaptations are in place to promote the independence of residents and there is a passenger lift for residents to use if they have difficulty climbing stairs. Resident’s bedrooms are nicely presented and include many of their own belongings and this personalises their rooms Staff are provided with training on a regular basis and over half of the care staff have attained a qualification in care. The home has good management arrangements. The home owners are the registered managers of the home and there is also a deputy manager who is appropriately trained and qualified. What has improved since the last inspection? The managers are keen to continually develop and improve the service and are listening to residents and their relatives in doing this. New care plans have been introduced for residents who have been admitted since the last inspection visit. The new care plans are very good and provide detailed information on the needs of the resident and how these are being met. The new care plans will be extended to all residents over a period of time. The deputy manager has had meetings with the relatives of each of the residents since the last inspection and has consulted with them on the quality of care provided. The number of staff who hold a relevant qualification has increased. The way in which new staff are introduced to the home and to the policies, procedures and practices has been developed and this provides staff with a good grounding on what is expected of them and what their roles and responsibilities are. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Salisbury House DS0000018935.V335061.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.V335061.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed before they move to the home so as to ensure their needs can be appropriately met and prospective residents are invited to visit the home and spend time there before deciding whether or not to move in. EVIDENCE: The files for 2 of the most recently admitted residents were looked at in order to assess the home’s referral and admissions procedures. An assessment of needs was in place for each of the residents chosen. The assessments had been attained from relevant professionals for example from care managers. In addition to this the manager of the home or deputy manager carries out a further assessment of needs and attains as much information as possible on the needs of the resident from the person themselves and from their relative or representative. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 10 Prospective residents are invited to visit the home before moving in and they can do this on a number of occasions while waiting for a place to become available. Following admission residents have the opportunity to complete a questionnaire about the home and their experience of it. Residents are provided with a statement of terms and conditions as to their residency. These are signed by the resident and their relative as appropriate. Standard 6 is a key standard to be assessed however the home provides longterm care only and does not provide intermediate care. Salisbury House DS0000018935.V335061.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each of the residents has a care plan which describes their needs and these are regularly reviewed. Residents are well supported to remain healthy and staff refer for medical assistance appropriately. Medication is well managed but there is room for improvement in a small number of areas. EVIDENCE: Each of the residents has a care plan. The care plans of four of the residents were examined in some detail. The deputy manager has introduced new care plans since the last inspection visit and all residents who have been admitted since then have one of these. The new plans are very easy to read and follow. The care plans provide information on meeting the residents needs in areas such as; their personal hygiene and bathing, morning routine, dressing and undressing, oral care, mobility, eyesight and hearing, communication, eating and drinking, medication, health, religious needs, cultural needs, life achievements and family life. Residents care plans describe the needs of the Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 12 individual very well. In addition to this each resident also has a person centred plan which describe what is important to the individual. The care plans examined had been signed by a relative of the resident and they had been reviewed monthly since being produced. A number of the residents still have the old style of care plan only and these do not include sufficient information to describe the care needs of the residents. The deputy manager stated that it is her intention that all residents will have a new care plan in the near future. Care plans give an indication that the residents are encouraged to maintain their independence as much as possible. The care plans are very personalised and in some cases describe the detailed needs and wishes of the resident. The way in which care plans are written also indicate that the residents are treated with dignity and respect for example in maintaining their personal care. The care plans detail how a resident likes to be supported so as to maintain their independence and dignity. Residents records show that they are well supported in remaining healthy. Residents are weighed and have their blood pressure checked regularly and this is recorded. Residents are supported to see a GP or nurse when appropriate and feedback from residents was that staff are very good at responding to their health care needs. All residents were very well presented and appeared well cared in terms of being comfortable, having their glasses available, their hearing aids in good working order and having all the necessary equipment they need to get move around the home. Medication was found to be stored, administered and recorded appropriately on the whole. The exception being for controlled drugs. The manager must ensure that controlled drugs are stored in an approriate metal cupboard, the controlled drugs register msut be accuralty maintained and the administration of controlled drugs must be witnessed by another designated and appropriatly trained member of staff. Medication is administered by senior staff who have been provided with training. However, the manager should ensure that this is certified training. The deputy manager reported that a community pharmacist visits the home on a regular basis. One of the residents described how they are managing their own medication with some support from staff. This is good practice and should be encouraged where appropriate and following a risk assessment and within a risk management framework. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to be involved in a variety of indoor and outdoor activities and are encouraged to maintain their independence and exercise choice. A choice of good quality food and meals are provided to the residents and the catering arrangements and kitchen are well organised. EVIDENCE: Residents are encouraged and supported to continue with interests and activities which they enjoyed before moving to the home. Residents and their family members are requested to provide the home with information on their background and interests and their social, cultural and religious needs. An activities co-ordinator is employed at the home for 20 hours per week and the home has a mini bus for excursions. Residents gave good feedback on the activities. Regular activities include residents attending a tea dance every week, chair exercise, sing a long, arts and crafts, bingo, beauty, music, walking, coffee mornings, and entertainers brought in to the home. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 14 Residents are encouraged to make choices about the running of the home and their care. Examples of this can been seen in how residents are consulted at the home. Residents have the opportunity to attend a residents meeting on a regular basis and are given the opportunity to complete surveys to give feedback on the home. Many of the residents are well able to express their needs and preferences and contribute to changes at the home. All residents are given their post directly, residents are encouraged to manage their own medication when possible and to manage their own money when possible. During discussions with a number of residents they stated that they make their own decisions as to their daily routine and deciding for example when to get up, when to go to bed and where to have their meals. The residents gave very good feedback on the quality and quantity of meals and food provided. Residents are given a choice of two meals and there are additional options if required. The cook was able to identify residents who have special dietary needs or likes or dislikes. The kitchen was checked and there was plenty of food in supply and meals are cooked from fresh ingredients. Meals served during the inspection appeared appetising and residents said that they were enjoying their food. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and for aiming to protect residents from abuse or neglect. EVIDENCE: The home has a complaints policy and procedure which is time scaled appropriately and includes contact details for the Commission. Information on how to make a complaint is posted on a notice board. There have been no particular complaints since the last inspection. Where a resident has raised an issue this has been recorded and dealt with. Resident who were asked about complaints all said that they had none at all, and if they did, they would let staff know and their complaint would be dealt with. The home has a policy and procedure on adult protection. This needs to be updated to include reference to the need to refer to relevant agencies for example Social Services or the police. Staff have signed as having read and understood the adult protection policy. The manager was recommended to updated the policy and procedure and forwarded a copy of this to the commission. All staff were reported to have been provided with training in adult protection. For the majority of staff this has been provided in house through the use of learning materials and questionnaires. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 16 A record of accidents and incidents is maintained. These records were checked and there were no particular issues noted from these. The deputy manager was advised to carry out an audit of accidents on a regular basis so as to identify patterns in the occurrence of these. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home which is homely, well maintained, safe and comfortable. Bedrooms are nicely decorated and personalised with the resident’s own belongings. The home is presented as clean and hygienic and health and safety practices are adopted. EVIDENCE: A tour of the premises was carried out. The home feels homely, domestic and welcoming and provides a safe well maintained environment for residents. Although the decoration and furnishings across the home are of a good standard the home is undergoing full refurbishment. To date this has included the redecoration of all resident’s bedrooms and landing areas. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 18 Communal lounges are pleasant, bright and comfortable. The home has a number of lounge areas, a dinning area and a conservatory. Residents who have difficulty with their mobility can access the first floor by using a passenger lift. Aids and adaptation are in place to enable residents to remain safe and have full use of facilities in the home. The home provides 9 single bedrooms and 14 shared bedrooms. This means that the majority of residents are staying in a shared bedroom and the manager should ensure that the national minimum standards for sharing rooms are being followed including consulting with residents on the provision of screening in shared rooms. All bedrooms were viewed and all were appropriately presented. The standard of decoration and furnishings in all of the rooms was good. Residents are encouraged to bring personal belongings to keep in their rooms and the rooms are therefore personalised. One area of flooring on the first floor landing needs to be addressed as it may present a trip hazard to residents. This was identified to the deputy manager during the visit. The home was presented as clean and hygienic throughout. There were two domestic staff on duty at the time of the inspection. Policies, procedures and practices for infection control are in place. Staff adopt safe working practices so as to safeguard residents and themselves. During discussions with a member of staff they confirmed that they have access to necessary equipment to prevent the spread of infection and that they had been provided with training in this. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by staff who are qualified and provided with regular training opportunities. Staff recruitment and selection practice are good and aim to protect residents. EVIDENCE: At the time of the visit there were 3 care staff on duty and the manager and deputy manager. At 12pm an additional member of staff came on duty. New staff undergo an induction when they commence employment at the home. This has been developed since the last inspection visit and is of a very good standard. A new member of staff said that the induction provided them with the skills and knowledge they require to do their job. Staff training opportunities are good and staff have been provided with up to date training. A sample of staff files showed staff have been provided with training in topics such as fire safety, moving and handling, food hygiene, first aid, abuse, health and safety. The majority of this training has been provided ‘in house’ as the manager has invested in numerous training materials for this purpose. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 20 As recommended following the last inspection the manager has carried out an analysis of staff training and can use this to identify what training staff have been provided with and what training they require. This can therefore be used to plan future training. Approximately 60 of care staff have attained a National Vocational Qualification (N.V.Q) level 2 in care and a number of staff were reported to be working towards this qualification. The residents gave good feedback on care staff and this included comments such as “staff are absolutely brilliant” and “ I’ve formed good relationships with the staff” and “they’re very patient”. Staff files were examined in order to assess the home’s staff recruitment and selection practices and procedures. Pre employment checks had been carried out prior to the appointment of new staff. These checks are carried out as a safeguard to protect residents. Staff were observed to be warm, friendly and respectful towards residents throughout the inspection. One member of care staff was interviewed. They described the home owners and management as supportive of them and they also described good team work and a good team spirit. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the residents. Residents are consulted on the quality of the service provided. Policies, practices and procedures are in place to safeguard the health, welfare and safety of service users and staff. EVIDENCE: The home has good management arrangements and a clear staffing structure. 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 and there is also an assistant deputy. The management team are committed to providing a high quality service and are keen to improve the service. The manager reported that they have an open door policy whereby residents and staff are always welcome to discuss Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 22 matters. This was observed to be the case and residents appeared to be comfortable in approaching the managers to talk and to seek assurances. The managers appeared to know the residents well and interacted with them with warmth and caring. The home uses feedback from residents and relatives as a means of quality assurance. This feedback is analysed and used to develop an action plan which identifies targets to achieve to improve the service. Residents gave feedback that they are well listened to and numerous examples were given which indicate that the residents and their relatives are consulted with. The deputy manager has introduced an annual meeting with residents and their relatives or representatives to discuss the care of the person. Residents manage their own money when appropriate. When residents are supported with managing money their money it is recorded and accounted for. The records for this were not examined on this occasion. Staff roles and responsibilities across the staff team are clear. Staff records indicate that staff are provided with regular and recorded supervision sessions with a manager and staff meetings take place on a regular basis. Health and safety policies, procedures and practices are in place to safeguard the well being of residents, staff and visitors. Health and safety records were examined. These showed that health and safety checks, for example fire safety checks, are carried out regularly. Maintenance certificates were seen and found to be up to date. Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 23 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 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 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 3 X 3 3 3 3 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 4 3 X 3 3 X 3 Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 13 (4) (c) Requirement Each resident must have a sufficiently detailed care plan which describes their needs for all aspects of their personal and health care. Suitable arrangements must be made for the recording, administration, and storage of all medications and staff must be provided with medication training. An area of flooring on the first floor landing must be made even so that it does not present a trip hazard. Timescale for action 05/09/07 3. OP9 13 (2) 05/08/07 2. OP19 13 (4) (a) 05/08/07 Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 25 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 OP18 Good Practice Recommendations The adult protection policy and procedure should be reviewed with particular attention to ensuring that staff are aware of the limit of their responsibilities and are guided as to contacting relevant authorities. Residents sharing rooms should be consulted on the provisions of their accommodation in line with the national minimum standards and this should include the provision of screening to ensure privacy. 2. OP24 OP23 Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Salisbury House DS0000018935.V335061.R01.S.doc Version 5.2 Page 27 - 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. 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