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Inspection on 13/10/05 for Bingley Wingfield Nursing Home

Also see our care home review for Bingley Wingfield Nursing Home for more information

This inspection was carried out on 13th October 2005.

CSCI 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 CSCI judgement.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a nice atmosphere, it is welcoming and staff were seen to be kind and caring in their attitudes to residents and to greet visitors in a friendly manner. Residents and staff are given opportunities through meetings and questionnaires to express their views and the manager works hard to promote a culture which values and respects the rights of residents to be treated as individuals. The home is clean and comfortable and residents can bring their personal belongings with them. At the last inspection residents were very complimentary about the activities organiser and the varied programme of events arranged by the home, it was good to see that this has continued and the activities organiser continues to be very enthusiastic about her role.

What has improved since the last inspection?

Staffing levels on the afternoon and evening shifts have been increased since the last inspection. A supper hostess has been employed to assist with the evening meal and evening drinks and this allows care staff to spend more time delivering direct care to residents. The home has appointed an administrator and this should allow the manager more time to concentrate on making improvements to the care records and staff training records.

What the care home could do better:

The care records do not provide enough information about residents needs and how these will be met, this creates the opportunity for residents to be put at risk by needs being overlooked, this has been raised at previous inspections and must now be addressed. The hot water temperatures must be regulated properly so that resident are not exposed to the risk of scaling by temperatures in excess of 430 C, this was raised at the last inspection and must now be addressed. The manager must make sure that staff are properly trained and that up to date and accurate training records are maintained. Recruitment procedures must be followed consistently so that residents are not put at unnecessary risk. Improvements are needed to some parts of the home to make sure that it provides a safe environment for residents. Requirements and recommendations have been made about these and some other issues identified in this report.

CARE HOMES FOR OLDER PEOPLE Bingley Wingfield Nursing Home Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED Lead Inspector Mary Bentley Unannounced Inspection 13th October 2005 09:30 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 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 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. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bingley Wingfield Nursing Home Address Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED 01274 567161 01274 566809 jenioctgen@hotmail.com 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) Dr A T Ghoneim Mrs Jennifer May Oetgen Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can admit up to a maximum of two people between the ages of 60 and 65. Date of last inspection 2nd June 2005 Brief Description of the Service: Bingley Wingfield is registered to provide personal and nursing care for a maximum of 48 service users. The home offers care to male and female service users over the age of 65 years, and can admit up to a maximum of two people between the ages of 60 and 65. The original Victorian building has been extended to incorporate a wing of single en-suite accommodation. The home offers both single and shared accommodation, en-suite facilities are provided in twentyfive of the single rooms. The home is situated near Bingley and is on a local bus route. The area has many shops and local amenities. The home has a relatively small but well maintained garden area and car parking is provided at the front of the building. The home has a second entrance via a ramp for wheelchair access. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on May 18th 2005. A further visit was made to the home on June 2nd 2005 to investigate a complaint; a summary of the complaint can be requested from the CSCI office in Rodley, Leeds. This inspection was carried out between 9.30 am and 5.00 pm by one inspector and before the visit time was spent planning the day. The people who live in the home prefer the term resident; therefore this will be the term used throughout this report. The methods used in the inspection included looking at records, discussions with residents and visitors, management and staff and looking at some parts of the home. Comment cards were left at the home for residents and visitors; these cards provide people with an opportunity to share their views of the service with the CSCI. Comments received in this way are shared with the provider without revealing the identity of those completing them. One card has been returned to the CSCI, the comments about care, meals and attention to personal hygiene were positive. What the service does well: The home has a nice atmosphere, it is welcoming and staff were seen to be kind and caring in their attitudes to residents and to greet visitors in a friendly manner. Residents and staff are given opportunities through meetings and questionnaires to express their views and the manager works hard to promote a culture which values and respects the rights of residents to be treated as individuals. The home is clean and comfortable and residents can bring their personal belongings with them. At the last inspection residents were very complimentary about the activities organiser and the varied programme of events arranged by the home, it was good to see that this has continued and the activities organiser continues to be very enthusiastic about her role. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 7 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 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6 does not apply to this home. These standards were not inspected on this visit. EVIDENCE: Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 8. Overall the personal and health care needs of residents are met, however the care plans do not provide detailed information on how all the needs identified by assessment will be met and this creates the opportunity for needs to be overlooked. EVIDENCE: The care plans of two residents were looked at. The National Minimum Standards state that all the needs identified during the assessment of an individual must be set out in that persons care plan. Care must then be delivered in accordance with that plan meaning that the care plan becomes the yardstick for judging whether appropriate care has been delivered to that individual. The records looked at did not meet these criteria. In one of the files the nutritional assessment had not been reviewed although there was evidence of weight loss and there was no care plan for eating and drinking. In both files the residents had been assessed as being at high risk of developing pressure sores but no care plans were available to show what was being done to address this risk. On resident had a diagnosis of Dementia and Parkinson’s disease but the care plans did not show how this affected their Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 10 ability to meet their daily living needs and what action staff should take to make sure needs were met. One of the care plans had recently been reviewed with a relative. The manager said that none of the residents had a pressure sore. Residents looked well cared for and those spoken to were satisfied with their care. Residents have access to other health and social care professionals including GPs and District Nurses. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Overall residents are protected from abuse however to ensure the ongoing safety of residents more staff training is needed. EVIDENCE: Copies of the local adult protection procedures are available, in dealing with a recent incident in the home the manager showed that she has an understanding of the multi agency approach to the protection of vulnerable adults and the correct procedures were followed. Two senior care staff recently attended adult protection training run by Social Services however there was no record of this training. Senior care staff were aware of the procedures to be following in the event of suspicions or allegations of abuse, other staff had a good understanding of what abuse is but were not so sure about reporting procedures. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,25 & 26. The home is clean and comfortable. Residents are at risk from scalding due to high water temperatures. Parts of the home are showing signs of wear and tear; residents are at risk of falling due to the poor condition of some of the corridor carpets. Residents can bring personal belongings with them when they move into the home. EVIDENCE: The water temperatures in two baths, one of the top floor and one on the first floor were checked using the homes bath thermometer, the temperatures recorded were 46 and 48 Degrees C, the risk of scalding is significantly increased when hot water temperatures are higher than 43 Degrees C. This was raised at the last inspection. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 14 There is a large section of exposed plaster on the wall of one of the top floor bathrooms. Some of the corridor carpets create a trip hazard for residents; on the first floor the carpet is frayed just outside the lounge door and on the ground floor the carpet is rippled. In some parts of the home walls and woodwork are damaged and need to be repaired and redecorated. Some new beds have been provided and the manager said plans had been agreed to provide more adjustable height beds. Lockable space in not provided in al bedrooms. In the bedrooms seen residents had their personal belongings around them. The home was clean and with the exception of one room there were no unpleasant smells. Liquid soap and paper towels are provided for staff and a hand cleaning gel is also provided to reduce the risk of cross infection. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. At the time of the inspection there were enough staff to meet residents needs, to make sure that this continues reviews of staffing levels must take account of the dependency of residents as well as the numbers of residents. Recruitment procedures are not consistently followed creating the opportunity for residents to be placed at risk. Although some training on safe working practices has taken place the home lacks an organised and systematic approach to the training and development of staff and this creates the opportunity for residents needs to be overlooked. EVIDENCE: During the last inspection some concerns were raised about staffing levels on the afternoon and evening shift. The duty roster for the week of this visit showed an increase to staffing levels during this time and the ratio of staff to residents has increased from 1:8 to 1:7. In addition a supper hostess has been employed to help with the evening meal and drinks, this allows care staff to spend more time attending to residents needs. Residents did not raise any concerns about staffing levels, one visitor said there always seemed to be staff around and she had noticed that people in the lounge got help quickly when they needed it. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 16 The national target for NVQ (National Vocational Training) is that 50 of care staff working in a care home should be trained to NVQ level 2 by December 2005, 19 of the care staff at Bingley Wingfield are qualified to this level. A further six staff are working towards NVQ 2 and four senior care assistants, (three of whom have NVQ 2) are working towards NVQ 3. The files of two newly recruited staff were looked at. One file had two written references but neither was from an employer and the CV provided by the applicant did not contain enough detailed information for the employment history to be checked. A record of the interview was seen, POVA (Protection of Vulnerable Adults) and CRB (Criminal Records Bureau) checks had been done and nursing registration had been confirmed with the NMC (Nursing & Midwifery Council). A recruitment checklist has been added to the files, this is good practice and makes it easier to audit the records. In the other file the applicant had been recruited from overseas via an agency, the documents that were provided had been translated but there was no police check from the country of origin. POVA First and CRB checks are done, current practice in the home is to destroy disclosures as soon as they are received however the umbrella body used by the home advises that disclosures should be retained for six months, it also gives guidance on the level of detail to be recorded when the disclosure is destroyed, the manager should follow this policy. The manager said that all new staff do a basic induction in the home and then do a more detailed induction with Thomas Danby College; however no records of this induction training were available. There was no evidence of training and development plans for staff and there was no training matrix making it very difficult to get a clear picture of what training had taken place. Some mandatory training has taken place but there was no evidence of staff receiving training that related to the needs of the residents. The manager said that some training had been cancelled due to pressures on staffing over the summer months. Further information on mandatory training is included in the management section of this report. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38. Residents, their representatives and staff are given opportunities to express their views and the manager works hard to promote a culture which values, respects and promotes the rights of residents. Residents’ financial interests are safeguarded. The inconsistent approach to providing mandatory training on safe working practices creates the opportunity for residents to be placed at risk. EVIDENCE: The manager has achieved the Registered Managers Award and has attended training on risk assessment. Questionnaires were issued last year to residents and their representatives; the manager said these are now due to be sent again. A Continuous Quality Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 18 improvement group was set up to look at how the home was performing in relation to the National Minimum Standards but has not met since April. A meeting of the residents’ forum was held in March to discuss the summer menu; the manager said another meeting was due soon to discuss the winter menu. The activities organiser has regular coffee morning with residents and among other things these are used to discuss plans and preferences for social events. Staff said they had meetings regularly although they were not sure when the last one was, the said they felt they could speak freely at these meetings and said they could talk to the manager or the owners if they had concerns. The records showed that the last staff meetings were held in June 05. The home does not become involved in managing residents’ personal finances and does not collect pensions, small amounts of personal money are held on behalf of some residents and a separate bank account has now been set up for this, this has reduced the amount of cash held in the home. The records available showed that only two staff had received Moving & Handling training, the manager said that all staff do moving and handling training as part of their induction but no records were available. The manager is trained to deliver moving & handling training and the deputy is scheduled to do the four-day moving & handling co-ordinators course. The fire training records did not have enough information, a list of staff names had been ticked to indicate they had received training in June; there was no information about who had done the training and what it had covered. Eight staff did Health & Safety training in September 05 and three attended Emergency Aid training in June. Kitchen staff have all done Basic Food Hygiene. One member of staff has done infection control training. Information on training was difficult to find and there was no evidence of a systematic approach to the provision and recording of mandatory training. The home has now appointed an administrator and this should allow more time for the manager to address issues such as training records. Requirements have been made about these standards. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 19 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 X X X X 2 1 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 20 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 Requirement Each resident must have a detailed plan of care setting out how their assessed needs will be met in relation to personal, health and social care. Previous timescales of 17/12/04, 31/03/05 and 31/08/05 not met. 2 OP8 17 Scedule 3, 3(m) Care plans relating to pressure area care must provide specific information such as the type of pressure relief equipment that is being used. Previous timescale of 31/03/05 and 31/08/05 not met. 3 OP8 13(4) When residents are identified as being at risk for example by nutritional risk assessments or pressure sore risk assessments care plans must be in place showing what action is being taken to address this risk. 31/12/05 31/01/06 Timescale for action 31/01/06 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 21 4 OP18 13(6) 5 OP19 23(2)(b) & (d) 13(4) All staff must receive training on the protection of vulnerable adults with specific reference to the multi agency approach to adult protection. The wall in the bathroom on the top floor must be repaired and redecorated. The registered persons must take appropriate action to reduce the trip hazard to residents caused by frayed and poorly fitted carpets. All parts of the home must be maintained in a good state or repair. 31/01/06 31/12/05 6 OP25 13(4) The registered persons must provide the CSCI with a detailed plan, including timescales, for the ongoing maintenance, refurbishment and redecoration of the home. The temperatures of hot water in 30/11/05 outlets accessible to service users must be maintained at 43 0 C. Previous timescale of 13/07/05 not met. 50 of care staff must be qualified to NVQ level 2 by December 2005. All the required pre-employment checks must be done before new staff start work in the home. The registered persons must make sure that staff receive the appropriate training to enable them to fulfil the aims and objectives of the home and to meet the needs of residents. The home must keep a record of all training undertaken by staff, including induction training. DS0000029135.V255536.R01.S.doc 7 8 9 OP28 OP29 OP30 18 19 18 31/12/05 30/11/05 31/01/06 10 OP30 19 Schedule 2 31/01/06 Bingley Wingfield Nursing Home Version 5.0 Page 22 11 OP38 13(5) All staff must be trained in 31/12/05 moving and handling and records of this training must be maintained. All staff must receive fire training 31/12/05 from an appropriately trained and competent person at least twice a year and records of this training must be maintained. Fire drills and practices must be carried out to make sure that staff and, so far as practicable service users, are aware of the procedures to be followed in case of fire. Records of drills and practices must be maintained. 12 OP38 23(4)(d) & (e) 17(2) Schedule 4.14 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 2 Refer to Standard OP2 OP8 Good Practice Recommendations The information provided to service users at the time of admission should specify the room to be occupied. Carried forward from the last inspection. Clear procedures should be established for the reporting of accidents/incidents and this should include consultation with service users. The Tissue Viability Nurse should be consulted regarding the management of wound care. Carried forward from the last inspection. Additional dining tables should be provided. The temperature of food should be checked at the point of service. An up to date list of residents’ dietary preferences should be maintained. Carried forward from the last inspection. Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 23 3 OP15 4 OP24 A review of the furnishings and fittings in all bedrooms should be carried out to make sure that all rooms are equipped to the specification of this standard. Lockable storage space should be provided in all bedrooms. On those occasions when there is only one nurse on duty there should be an extra care assistant and whenever possible this should be a senior care assistant. Staff should wear name badges. The registered manager should follow the guidance issued by the homes umbrella body with regard to the retention, storage and destruction of CRB checks. 5 OP27 6 OP29 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 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 Bingley Wingfield Nursing Home DS0000029135.V255536.R01.S.doc Version 5.0 Page 25 - 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!