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Inspection on 21/03/06 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 21st March 2006.

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 is clean and comfortable and provides a nice setting for residents. The gardens had been planted for spring and looked very attractive. The home has a nice atmosphere, residents said the staff were kind and that they felt well cared for. Privacy and dignity are respected and residents can see their visitors in private.Residents said the food was good and confirmed that they are offered choices at meal times. Fresh fruit is available in the home and drinks and snacks are provided throughout the day and night. Residents are given opportunities to take part in social events inside and outside the home. The needs of all residents are assessed before they come into the home. Residents and/or their representatives are encouraged to visit the home before making a decision about admission.

What has improved since the last inspection?

There were 12 requirements following the last inspection and seven of these have been dealt with. There have been improvements to the care records since the last inspection and although the standard was not fully met on this occasion progress is being made. The records showed that residents and/or their representatives are now involved in planning and reviewing care. The new format for the care records means that the records are clearly set out and easier to use. The home has made progress with staff training particularly with regard to moving and handling training. There has also been some improvement with regard to the staff training records although more work is needed in this area. Since the last inspection there have been very few changes to the staff team. This benefits residents because it means that they are able to get to know and build relationships with the staff that are caring for them. It also means they are being cared for by staff who are familiar with their individual needs and preferences.

What the care home could do better:

Further improvements to the care records are needed to reduce the opportunities for residents` care needs to be overlooked. Particular attention must be given to the areas of pressure area care and nutrition to make sure that risks are properly identified and addressed. Further improvements are needed to the staff training records particularly in relation to the records of induction training. The management team should respond more promptly to dealing with identified hazards such as the trip hazard created by some corridor carpets. This was raised during the October 2005 inspection and although the carpets have been purchased they had not been fitted when this inspection was carried out.

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 09:30 21st March 2006 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.V283555.R01.S.doc Version 5.1 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.V283555.R01.S.doc Version 5.1 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.V283555.R01.S.doc Version 5.1 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. 13th October 2005 Date of last inspection 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 twenty-five of the single rooms. There are four floors and a passenger lift provides access to all parts of the home. There are communal rooms on three floors. The room on the lower ground floor, known as the Terrace Room, is used as an activities room as well as a dining area. On the ground floor there are two communal rooms, one of which is a lounge/dining room and there is another lounge on the first floor. 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. There is a ramp for wheelchair access. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 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; these may be announced or unannounced. This was the third inspection of this home, the previous inspections were carried out in May and September 2005 and all were unannounced. One inspector carried out this inspection spending approximately seven hours in the home. The purpose of the inspection was to check what progress was being made on dealing with the requirements made at the last inspection. The methods used during the inspection included looking at records, talking to residents, staff and management, looking at some parts of the home and observing care staff carrying out their work. The people who live in the home prefer the term resident; therefore this will be the term used throughout this report. Comment cards for residents and visitors were left at the home. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection. Comments received in this way are shared with the provider without revealing the identity of those completing them. One of the comment cards was from the relative of a resident who has recently passed away. It praised the staff for the care given during the resident’s stay and for the sensitivity and sympathy shown to the resident and family at the time of death. The home was closed to all visitors and new admissions for most of February 2006 due to an outbreak of the winter vomiting bug. A virus caused the outbreak and many local care homes and hospitals have experienced similar problems over the winter months. The home managed the situation well and complied with all the recommendations of the Environmental Health Officers report. Seven requirements have been made as a result of this inspection; five of these have been carried forward from previous inspections. What the service does well: The home is clean and comfortable and provides a nice setting for residents. The gardens had been planted for spring and looked very attractive. The home has a nice atmosphere, residents said the staff were kind and that they felt well cared for. Privacy and dignity are respected and residents can see their visitors in private. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 6 Residents said the food was good and confirmed that they are offered choices at meal times. Fresh fruit is available in the home and drinks and snacks are provided throughout the day and night. Residents are given opportunities to take part in social events inside and outside the home. The needs of all residents are assessed before they come into the home. Residents and/or their representatives are encouraged to visit the home before making a decision about admission. What has improved since the last inspection? What they could do better: Further improvements to the care records are needed to reduce the opportunities for residents’ care needs to be overlooked. Particular attention must be given to the areas of pressure area care and nutrition to make sure that risks are properly identified and addressed. Further improvements are needed to the staff training records particularly in relation to the records of induction training. The management team should respond more promptly to dealing with identified hazards such as the trip hazard created by some corridor carpets. This was raised during the October 2005 inspection and although the carpets have been purchased they had not been fitted when this inspection was carried out. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 7 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.V283555.R01.S.doc Version 5.1 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 Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The needs of prospective residents are assessed before admission and the information obtained is used to develop the care plans. EVIDENCE: Pre-admission assessments were seen in the care records. The needs identified during the pre-admission assessment were reflected in the care plans. Residents and/or their representatives are encouraged to visit the home before making a decision about admission. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 10 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, 9 & 10 Overall the personal and health care needs of residents are met despite the fact that this is not fully supported by the care records. Residents are cared for in a way that respects their privacy and dignity. Residents are protected by the home’s systems for managing medicines. EVIDENCE: Four sets of care records were looked at; two of these were for residents assessed as needing nursing care. It was clear that a lot of work has been done to improve the care records; the most noticeable improvement being that there was evidence of involvement by residents and/or their representatives in all the care plans looked at. The records were more organised making it easier to find relevant information about residents’ current needs. A new format for care plans has been introduced; there is more space to set out residents’ needs and how they will be met. The care plans dealt with how personal, health and social care needs would be met. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 11 The records showed that residents have access to a range of health care services from their General Practitioners and the local PCT (Primary Care Trust). District nurses provide nursing care to those residents admitted for personal care only. Residents have access to eye tests and private chiropody is available for those who choose to have it. Continence assessments are done by the PCT (Primary Care Trust) who provide the required continence aids to residents. Risk assessments were in place for falls, nutrition and the risk of developing pressure sores. However the risk assessments were not always linked to the care plans and other records. For example one resident had a nutritional risk assessment showing a low risk however the weight chart showed a gradual but steady weight loss since admission, there was no care plan for eating and drinking and the resident had not been identified as being in need of dietary supplements. The same resident was identified as being at risk of developing pressure sores but there was no care plan to say how this risk was being dealt with. The quality of the care plans varied, some contained good detailed information on how to address residents’ needs while others contained meaningless phrases such as “regular toileting” and “use the correct equipment”. Personal care is recorded in the daily records and is some cases the standard of recording was excellent giving a clear and detailed picture of how the residents needs in this area had been dealt with. In one set of records a risk assessment for the use of bed rails had not been done, although agreement had been obtained. When necessary wound care plans were in place. They showed how the wounds were being treated and used a wound grading system to monitor the progress of wounds. The home has good systems for managing medicines; medicines are stored, administered and disposed of properly. The records were up to date and accurate. A random selection of controlled drugs was checked and was correct. In most cases medicines are given by nursing staff. Two senior care assistants have been training in the safe management of medicines and sometimes help residents with their medicines. Assessments are carried out to determine if residents can safely administer their own medicines. At the time of the inspection no residents were self-medicating. The supplying pharmacist provides training and support to the home. Screening is provided in shared rooms. Staff knocked on bedroom doors and waiting for an answer before going in. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 12 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): 15. Standards 12, 13 and 14 were inspected in May 2005. Overall residents are offered a wholesome and balanced diet, which takes account of their dietary preferences. More attention should be given to monitoring the effectiveness of the treatment plans put in place for those residents identified as being nutritionally at risk. EVIDENCE: The home has a fortnightly menu that is changed at least twice a year. Residents are involved in planning the menus. Residents said the food was good and confirmed that they are offered choices. Snacks and drinks are provided throughout the day and at night on request. Fresh fruit is available in the home. Residents can have their meals in their bedrooms if they prefer. When residents are identified as being nutritionally at risk kitchen staff are informed. In addition to dietary supplements these residents have extra calories added to their food and the cook described how this is done. However the cook is not informed whether these residents are continuing to lose weight or are gaining weight and therefore has no way of knowing if the measures being taken are effective. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 13 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 The home has the required procedures in place to make sure that residents are protected from abuse. EVIDENCE: The local authority Adult Protection procedures are available in the home. The manager is familiar with the procedures. All staff are given training on abuse as part of their induction. Staff understood the different types of abuse and were aware of how to report any concerns within the home. They were also aware that there are agencies outside of the home that could be contacted. All the staff are currently on the waiting list for Social Services training on Adult Protection. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 14 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 and there is an ongoing programme of maintenance and redecoration. Despite the fact that carpets have been purchased for the corridors they have not yet been fitted and therefore residents remain at risk of tripping and/or falling. EVIDENCE: The wall in the top floor bathroom has been repaired and redecorated. Carpets have been purchased for the corridors and some bedrooms but have not yet been fitted. A maintenance/refurbishment plan has been agreed and includes the provision of a lockable storage space in every bedroom. Bedrooms are redecorated as and when they become vacant and if necessary this includes replacing furniture, fittings and floor coverings. The recommendations made by the Fire Officer in November 2005 are being dealt with. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 15 An Environmental Health Officer (EHO) visited the home in February 2005 because of an outbreak of the winter vomiting bug. The EHO report highlighted areas of good practice and made a number of recommendations. The recommendations, which included, the colour coding of cleaning equipment, the provision of additional clinical waste bins, the use of disposable gloves and aprons by laundry staff and provision of trolleys for domestic staff equipment have all been dealt with. The parts of the home seen were clean and there were no offensive odours. Concerns that hot water temperatures were not being properly regulated were identified at the last two inspections. This has now been dealt with and the records showed that all the water temperatures were close to the recommended temperature of 430 C. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 16 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 The numbers and skill mix of staff were sufficient to meet residents’ needs. Residents are protected by the home’s recruitment practices. Staff are supported in developing their knowledge and skills despite the shortfalls in the training records. EVIDENCE: Duty rosters are available for all grades of staff. The home employs separate staff for housekeeping, laundry and catering duties. A new maintenance man has been appointed and he is taking over responsibility for the housekeeping staff rota. An administrative assistant works 24 hours a week. No concerns about staffing levels were identified during the inspection. Residents said staff responded promptly to call bells and made sure they got the help they needed. The home has an ongoing programme of NVQ (National Vocational Qualification) training. 27 of care staff have achieved an NVQ at level 2 or above and a further ten staff are working towards gaining an NVQ at level 2 or 3. At present the manager is the only NVQ assessor in the home, there are plans for the deputy to train as an NVQ assessor when she has completed the Registered Managers Award. The files of two recently recruited staff were looked at. They showed that all the required checks had been done before the staff started work in the home. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 17 Two staff gave a good account of the induction training they had received when they started work in the home. They said there are lots of opportunities for training. Induction training is done by the manager and is linked to the Skills for Care induction standards. The home has made good progress on mandatory training, details are provided in the management section of this report. Training has also been provided in other areas such as continence care and palliative care. There has been some improvement to the training records but further work is needed in this area particularly with regard to records of induction training. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 18 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): 37 & 38 Overall the health, safety and welfare of staff and residents are protected and promoted. However the management team does not always act as quickly as it should to deal with identified hazards such as the corridor carpets. EVIDENCE: The deputy is trained to provide moving and handling training and the records showed that the majority of staff have now received moving and handling training. Further sessions are scheduled for those staff that have not yet attended this training. Staff confirmed that they had received moving and handling training and that they have regular fire drills. The majority of kitchen staff are up to date with Basic Food Hygiene training, training is to be arranged for some part time staff that work at weekends. Eleven staff are doing Infection Control training. The manager said the majority of the nurses had attended First Aid training and the maintenance Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 19 man is also trained in First Aid. Training has also been provided on health and safety and on the control of substances hazardous to health (COSHH). Information provided by the home showed that maintenance, servicing and health and safety checks on equipment and installations are done at the required intervals. Information on the corridor carpets is provided in the environment section of this report. There were some shortfalls with regard to the records required by regulation, details are provided in the sections of this report dealing with health and personal care and staffing. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 20 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X 2 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 2 2 Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 Page 21 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. This is brought forward; previous timescales were 17/12/04, 31/03/05, 31/08/05 and 31/01/06. 2. OP8 17 Care plans relating to pressure area care must provide specific information such as the type of pressure relief equipment that is being used. This is brought forward; the previous timescales were 31/03/05, 31/08/05 and 31/01/06. 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. DS0000029135.V283555.R01.S.doc Timescale for action 21/07/06 21/07/06 21/07/06 Bingley Wingfield Nursing Home Version 5.1 Page 22 This is brought forward; the previous timescale was 31/12/05. 4 OP19 23 The registered persons must 21/07/06 take appropriate action to reduce the trip hazard to residents caused by frayed and poorly fitting carpets. This is brought forward; the previous timescale was 31/12/05. The home must keep a record of all training undertaken by staff, including induction training. This is brought forward; the previous timescale was 31/01/06. Risk assessments must be carried out when bed rails are to be used. The provider must carry out visits in accordance with this regulation and provide the CSCI with reports following these visits. 5 OP30 19 21/07/06 6 7 OP38 *RQN 13(4) 26 26/05/06 28/07/06 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 3 Refer to Standard OP8 OP9 OP15 Good Practice Recommendations The home should seek advice from a dietician regarding the suitability and effectiveness of the nutritional risk assessment tool currently in use. Residents’ names should be written on the back of photographs. The cook should be kept informed of the progress of residents who have been identified as being nutritionally at risk. DS0000029135.V283555.R01.S.doc Version 5.1 Page 23 Bingley Wingfield Nursing Home 4 OP28 The home should continue to work towards achieving the NMS target of having 50 of care staff trained to NVQ level 2 or above. Bingley Wingfield Nursing Home DS0000029135.V283555.R01.S.doc Version 5.1 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.V283555.R01.S.doc Version 5.1 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. 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