CQC report explained · a nursing home
What the CQC found at Salisbury Manor
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2021
Inspected but not rated; inspectors found strong infection controls and no evidence to support concerns about food hygiene or management.
This was an unannounced, targeted inspection on 18 and 22 December 2020. It followed concerns about food hygiene and whether the manager acted on staff concerns. The inspection also checked infection prevention and control during the coronavirus pandemic.
Inspectors spoke with two people, seven staff members and the manager. They toured the home, observed infection control, checked records and spoke with a public health specialist nurse. They found no evidence that food was being mislabelled or used after its expiry date.
Inspectors found daily cleaning, suitable supplies of protective equipment, regular coronavirus testing and planned visiting arrangements. They also found no evidence to support the concerns about the manager failing to investigate issues raised by staff.
The home was inspected but not rated. Its previous overall rating was Good, published in September 2018. This targeted inspection did not review the whole service, so it did not change the earlier ratings.
Infection control
The home had cleaning schedules, extra cleaning of high-contact areas, protective equipment, staff training and coronavirus testing arrangements.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Safe visiting
Visits were booked and visitors were screened. The home provided protective equipment, testing and a visiting pod, as well as tablets for contact with relatives.
“Visitors were screened and provided with personal protective equipment (PPE) to wear.” from the report
Food checks
Inspectors checked food storage after concerns had been raised. They found no evidence to support claims that labels were changed or out-of-date food was used.
“We checked the food storage and found no evidence to substantiate the concerns.” from the report
Approachable management
Staff told inspectors they felt able to raise concerns and found the new manager approachable and supportive.
“Staff we spoke with all said they found the registered manager approachable and they felt able to raise concerns if needed with him.” from the report
Limited inspection
minorThis visit only examined specific concerns and infection control. It did not assess every part of the service or give new ratings for all five areas.
“Targeted inspections do not change the rating from the previous inspection.” from the report
- 01What has changed since the targeted inspection in December 2020?
- 02How are food storage, expiry dates and food labels checked now?
- 03How are staff concerns recorded, investigated and followed up?
- 04How will visits, coronavirus testing and infection control be managed?
- 05When was the home's last comprehensive inspection and what were its findings?
This was a targeted inspection of specific concerns about food hygiene and management, together with infection prevention and control; it did not assess the whole service or change the previous ratings. This explanation was written from the published report of 26 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, September 2018
Salisbury Manor was rated Good; inspectors found safe, kind and well-organised care, with small records issues dealt with during the visit.
This was an unannounced inspection on 7 and 8 August 2018. Inspectors spoke with people living at the home, relatives, staff, managers and health professionals. They also observed care and checked care plans, recruitment files, medicines, complaints, accidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safe medicines practice, enough staff, detailed care plans, good access to health professionals, kind care and a varied activities programme.
At the previous focused inspection in August 2016, the home had not met legal requirements about medicines and accident records. Inspectors said the required improvements had been made by this inspection. They did identify some areas that needed attention, including making some medicines instructions more specific and making certain records easier to monitor.
Medicines safety
Medicines records were complete and staff had been trained and assessed as competent. Staff checked records and medicine stocks regularly.
“We observed staff administering medicines during our inspection and found their practice to be safe.” from the report
Kind and respectful care
Inspectors saw compassionate interactions. Staff knew people well, protected their dignity and supported them to remain independent.
“We observed kind, caring, and compassionate social interactions between people and staff.” from the report
Choice at mealtimes
People could see the meal choices before deciding what to eat. Staff worked together so that people received support in a relaxed and unhurried way.
“People were able to choose their meal at the table.” from the report
Activities and personal interests
The home offered varied activities, outings, music therapy and activities designed around people's needs and life histories.
“We saw that the programme was varied and included activities such as games, puzzles, art and craft and exercises.” from the report
Open management
People, relatives and staff could give feedback through meetings, surveys and suggestions. The home showed how some feedback had led to changes.
“On a board in the front reception was a 'You said – we did' board.” from the report
Some medicines instructions needed more detail
needs fixingAll instructions for medicines taken when needed were in place, but some did not explain clearly enough when the medicine should be given to that person. Managers amended these during the inspection.
“Whilst these were in place for all 'when required' medicines, some lacked people-specific details of when the medicine should be administered.” from the report
Care records could be easier to monitor
minorInformation such as repositioning, continence and mobility actions could be spread across several records. The home said it would review the electronic system to make monitoring easier.
“Whilst the service was making sure that people had the care and support they needed it was not always easy to monitor.” from the report
- 01How do you now check that medicines prescribed to be taken when needed have clear, person-specific instructions?
- 02How do you monitor repositioning, continence and mobility records so that no care actions are missed?
- 03How will you involve my relative and our family in reviewing their care plan and end of life wishes?
- 04What activities and support are available for my relative's interests, communication needs and level of independence?
- 05How will you tell us about any accidents, incidents or changes in my relative's needs?
This was an unannounced inspection of the whole service and all five CQC question areas; the earlier focused inspection in August 2016 had found breaches relating to medicines and records, which inspectors said had been resolved. This explanation was written from the published report of 5 September 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Salisbury Manor
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- September 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2018
Registered with the Care Quality Commission on 14 August 2018.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about two hours of Wiltshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,340 a week. 82 can care for a couple. 12 years' experience on average.
“Linet became her carer and all changed, my daughter started eating, taking her medications and more important her happiness came back.”
“I cannot recommend Prisca highly enough, she is one in a million.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.