Inspection on 03/04/07 for Millfields Residential Home

This inspection was carried out on 3rd April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Millfields Residential Home 15/11/05

Millfields Residential Home 21/04/05

Millfields Residential Home 21/10/04

Millfields Residential Home 26/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Millfields Residential Home Mill Lane Nevison Pontefract West Yorks WF8 2LS Lead Inspector Elizabeth Hendry Key Unannounced Inspection 3rd April 2007 08:30 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 Millfields Residential Home DS0000006200.V329330.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. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millfields Residential Home Address Mill Lane Nevison Pontefract West Yorks WF8 2LS 01977 690606 F/P 01977 690606 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) Mr John Fieldhouse Mrs Jill Fieldhouse Mrs Jennifer Tucker Care Home 38 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (38), Old age, of places not falling within any other category (38), Physical disability over 65 years of age (7) Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Millfields is a care home providing personal care and accommodation for 38 older people. The home and its sister home, Stella House, is owned by Mr John Fieldhouse and Mrs Jill Fieldhouse. The home is situated in a residential suburb approximately one mile from the town centre of Pontefract, is close to local amenities and has been in operation and under the same management for 8 years. Accommodation is arranged on two floors and has a passenger lift. All bedrooms are single and six rooms have en-suite facilities. There are appropriate communal facilities provided by the home, including pleasant gardens which are accessible to service users. At the time of the inspection weekly bed fees for permanent residents at the home were £359. Information about the home is made available through the home’s Statement of Purpose and Service User Guide both of which are available, on request, from the home. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s annual key inspection which took place between 08.30 hrs and 13.30 hrs. As part of this inspection, CSCI has had contact with the following people residents, their relatives, the service provider, staff members, social workers and GPs. During the visit to the home records, observations and discussions with both residents and staff, were undertaken. Ten resident surveys were sent out, all of which have been returned. In writing this report, information and evidence was not only obtained by way of visiting and looking around the home but information and evidence was obtained from notifications sent to the CSCI since the last key inspection, questionnaires, and the last inspection report. The inspection has concluded that residents’ needs, both personal and recreational, are met. Residents reside in a relaxed and informal homely environment. The inspector would like to thank the residents, manager and staff for their hospitality and patient co-operation throughout the inspection. What the service does well: A strong focus is placed upon staff training and development, a large proportion of care staff are currently undertaking National Vocational Qualifications in Care levels 2 and 3. Residents spoke of receiving quality care from a dedicated staff team within a very homely, friendly environment. The registered owners have daily input into the home and are committed to delivering quality care and pursuing the development of the service. Support systems in place within the home ensure that both residents and members of staff have access to either a member of the care team or management to discuss any concerns as they may arise. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 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 Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents move into the home knowing that their assessed needs will be fully met. EVIDENCE: Millfields did not have any vacancies at the time of the inspection. The registered manager confirmed that all of the residents have a contract of residence which states what is and is not included within the weekly bed fee. Information regarding the trial period, notice of termination of contract and services available within the home is also included within this contract. Of the ten resident questionnaires returned to the Commission, all confirmed that they had received a contract of residence. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 9 The registered manager spoke in detail about the admission process into the home, and confirmed that social services assessments are used to form the basis of the homes care plan. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information of residents’ health, personal and social care needs are set out in an individual plan of care. Residents are protected by the home’s medication policies and procedures. Records viewed identified that residents’ health care needs are met. Residents are always cared for in a manner that maintains their dignity and affords respect. EVIDENCE: All 4 care plans examined were found to lack detail. For example when a need is identified in the care plan, such as the individual service user’s care needs, it identifies what the service user’s needs are but then fails to advise staff how those needs are to be met in the home. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 11 A sample of resident care plans were viewed, while all were found to contain details relating to the circumstances surrounding the individual’s admission into the home, their personal, healthcare and social care needs, the level of information recorded varied greatly. Risk assessments are in place however they lack detail and do not address all the risks, eg manual handling as described more fully within the health and safety section of this report. A discussion took place with the registered manager of the home regarding the benefits to making all care plans more resident specific and, in particular, how this would assist care staff in the provision of care to those residents with limited communication. The registered manager spoke of holding regular reviews with general practitioners and social workers to ensure that residents are receiving the level of support needed. Throughout the inspection, staff were observed clearly displaying knowledge of each individual resident’s needs. Of all the residents spoken with on the day of the visit, all had an awareness as to the contents of their care plan and confirmed that, should they wish to see the plan, staff would provide assistance. On the day of the site visit the inspector highlighted the need to ensure manual handling assessments are reviewed on a regular basis and provide a consistent approach to the safe handling of a resident. All of the resident surveys returned to CSCI indicated that they always or usually receive the care and support required. Five surveys stated that staff are always available when they are needed, four said usually and one said sometimes. Daily records contained sufficient information, detailing the individual’s activities for the day and staff observations. All of the residents spoken to at the visit complimented the dedication of the care staff, commenting, “they are a part of my family” and “if I need anything I just have to ask”. One resident said that she has been made to feel at home. A sample of medication administration records were viewed and found to have been completed correctly. The manager confirmed that each resident has a medication assessment within their individual care plans which clearly details the needs and methods of administration as instructed by their GP. Medication was found to be stored in accordance with the Royal Pharmaceutical Guidelines of Great Britain. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 12 The registered manager also explained that everyone involved in the management of residents’ medication has completed a safe handling of medication training course. Of those residents spoken with, positive comments were given surrounding the standard of care given by members of staff and the positive and homely atmosphere within the home. One resident said “it’s like a four star hotel”. Individual care plans and medical notes viewed indicated that any problems identified were quickly addressed. Throughout the site visit, staff were observed treating residents with respect and dignity whilst remaining positive and supportive. Millfields Residential Home DS0000006200.V329330.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ daily life and activities meet the needs of all residents. Discussions with residents described how, on the whole, the lifestyle they experienced within the home met their expectations and preferences and satisfied their social and religious interests and needs. Residents maintained contact with family and friends and members of the local community as they wished. Family and friends feel welcome and know that they can visit the home at any time. Residents are encouraged and supported to exercise choice and control over their lives. Residents receive a varied and nutritious diet within a pleasant dining environment. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 14 EVIDENCE: A variety of activities are available within the home. These include music, films, bingo, charades, card games, arts and crafts. During the visit to the home, residents were seen undertaking activities of their choice, some were busy preparing for Easter making Easter bonnets. Many residents were sitting within the communal lounges chatting to one another. Staff members were busy on the day of the site visit, however they were observed being very responsive to residents when anything was asked of them. Of the ten resident surveys returned, three said that there were always activities arranged in the home that they could participate in, five indicated that there were usually, and two surveys said that only some activities were accessible to them. One resident spoken with said that they are happy to watch television in their room as this is what they would be doing if they were in their own home and that they didn’t want to participate in any activities. The manager spoke of organising day trips, excursions to the coast and the local garden centre. One resident’s care plan indicated that they had specific religious interests prior to moving into the home, however no information or guidance was held within the care plan explaining how staff could support the individual to maintain this interest. A discussion with the registered manager confirmed that, despite it not being recorded in the care plan, the resident was fully supported in maintaining this interest. Residents spoke of staff encouraging them to make decisions regarding activities, meals and personal care. One resident spoken with said that staff do not take anything for granted and, “even if they know what I like, they always ask”. The registered manager confirmed that resident meetings are held on a regular basis. One resident said that “the manager always comes and says good morning and that both the manager and staff were approachable to discuss any problems or worries”. Feedback from those spoken with, and eight of the surveys returned to CSCI, confirmed that the meals are of good quality and are usually or always to their taste. Feedback from one survey indicated, “Sandwiches are offered too often”. Residents confirmed that snacks and drinks are available throughout the day. Menus sent to the Commission prior to the site visit indicated a varied and nutritious diet. The presentation of the dining room was of a good standard with fixtures and fittings being domestic in nature. Dining tables had been arranged in a layout that encourages small groups of residents to converse during mealtimes. The Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 15 manager said that, for those residents who do not wish to eat within the dining room, a tray is provided in their bedroom or lounge area. It was observed that those residents requiring a greater level of care or who had speech difficulties were offered the same choices as those more able, for example regarding what clothes to wear, where they would prefer to sit and what they would like to eat. The registered manager spoke of friends and family being encouraged to visit at any time. A resident who spoke of their family being made to feel very welcome whenever they visit confirmed this. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that their complaints would be listened to and acted upon. The service has a complaints policy that is up to date, clearly written and is easy to understand. Systems in place for the protection of service users from possible abuse are good. EVIDENCE: A copy of the home’s complaints policy is on display within the entrance hall and is also included within the Service User Guide provided to each resident upon admission into the home. The policy is easy to read and provides clear guidelines for anyone wishing to complain. Of the ten resident surveys returned, eight indicated that they were aware of how to complain and who to speak to if they weren’t happy. Information supplied to the Commission prior to the inspection, and records examined on the day of the visit, confirmed that the home holds a detailed Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 17 record of complaints held within the home, with sufficient information regarding the nature of the complaint, timescale and the action taken. The home has an open door policy which provides residents and their families with the opportunity to discuss problems at any time with the registered manager, or owner. Letters of appreciation and compliments were viewed, highlighting the quality of the service provided. A copy of the Wakefield Adult Protection policies and procedures was available within the staff office. The registered manager explained that all staff participate in adult protection training as part of the induction process. On the day of the inspection the home had no outstanding adult protection alerts. Enhanced Criminal Records Bureau checks and POVA First checks were in place for all of the staff files evidenced on the day of the site visit. The registered manager confirmed that only staff that have been appropriately vetted are offered a position within the company. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing residents with an attractive and homely place to live. Infection control measures are in place which promote the wellbeing and health of both residents and staff. EVIDENCE: On the day of the visit, a tour of the home was undertaken. A good standard of decoration and furnishing was found throughout the home. The majority of fixtures and fittings were domestic in nature and of a good quality. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 19 To the rear of the property, there are large garden areas which are laid mainly to lawn; this provides additional seating and leisure space for residents during the summer months. Car parking is available to the front of the property. The home has an ongoing programme of maintenance and redecoration. All residents spoken to said that their bedrooms were comfortable and that they had everything they needed. A large proportion of bedrooms viewed by the inspector had been personalised by the resident. The manager spoke of encouraging residents to make their room their own by bringing in items of furniture, pictures and trinkets. Feedback from ten resident surveys identified the home as being “always” or “usually” fresh and clean. On the day of the site visit the home was found to be clean and tidy, no offensive odours were present. Staff training records sampled indicated that all staff receive infection control training as part of the induction programme. Throughout the course of the visit to the home, all staff were seen to be adhering to infection control guidelines. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are sufficiently met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are fully protected by the home’s recruitment policy and practices. Staff are sufficiently trained and competent to do their jobs. EVIDENCE: Good levels of staff were on duty during the site visit, staff rotas sent to CSCI indicated that good levels of staff were on duty at all times to ensure service users’ needs could be fully met. All of the residents spoken to commented on the staff’s patience and understanding and were very complimentary of all members of the management. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 21 Staff were observed interacting well with all residents and were seen to take a proactive role with regards to meeting individual requests in both personal care and leisure activities. The registered manager explained the recruitment procedure in detail, confirming that no member of staff works within the home without a clear enhanced criminal records bureau check. Of the staff files viewed, all were found to contain a criminal records bureau check, two written references and forms of identification. The home has a comprehensive staff induction programme which ensures that new staff do not work unsupervised until they are confident and sufficiently trained to do so; this involves the new starter shadowing an experienced member of staff. The registered manager said that only when they feel that the new starter is competent are they given separate duties. Of those staff files sampled, all contained evidence that regular supervision is undertaken. Details of identified training needs and personal development requirements are also formally discussed and recorded on a regular basis. A wide variety of training courses are accessed on a regular basis to ensure the changing needs of residents are fully met. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality assurance procedures within the home ensure the home runs in the best interests of the residents. The management of the home is good and records are well managed. The manager provides clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The health, safety and welfare of residents and staff are generally promoted, however moving and handling assessments would benefit from review to ensure the safety of all residents and staff. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 23 EVIDENCE: The home places a high priority on ensuring quality care for all residents. In addition to the annual inspection from CSCI, the home regular quality audits. The registered manager and owners play an active part in the home on a daily basis. The manager has a clear understanding as to the goings on within the home, residents spoke of the manager and owners being very friendly and approachable and that they like to get involved. The manager spoke of having an open door policy for staff and residents to discuss personal issues and worries. Records relating to the day to running of the home were found to be well maintained, accurate and regularly reviewed. Financial records relating to a sample of residents’ finances were examined and were found to tally against funds held within the home. No incidents surrounding the management of residents’ monies have been reported to CSCI since the last inspection. Health and safety certificates viewed identified a consistent and responsible outlook being placed upon residents wellbeing within the home by the management team. Records viewed, and information received prior to the site visit, indicated that regular fire safety checks are carried out and electrical appliances are tested annually. The registered manager confirmed that the local fire inspector has reviewed the home’s fire risk assessment and that it was found to be adequate. A copy of this risk assessment was examined as part of the inspection. Training certificates viewed identified all staff undertake health and safety training as part of their induction process, with updates as required. Each of the residents’ care plans sampled contained risk assessments. On the day of the visit to the home, moving and handling plans sampled were found to lack detail relating to the level of assistance each resident requires, what equipment should be used and how staff should provide assistance. However, on the day of the visit to the home, staff were observed undertaking the moving and handling of residents in a safe and appropriate manner. A discussion took place with the registered manager regarding the need for residents’ moving and handling plans to contain more detail. The home has made adequate provision for the removal of clinical waste from the home. Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations Residents’ care plans should: Give specific detail of service users’ current needs. Detail actions necessary to maintain service users’ safety. Be newly developed when a review indicates a change of needs or an assessment highlights specific needs. Include details of residents’ abilities. How to meet the residents’ social and religious interests. A minimum ratio of 50 of care staff should have a National Vocational Qualification Level 2 or above. Residents’ moving and handling risk assessments should clearly detail what equipment is to be used, how many staff and how they should undertake the manoeuvre. 1. 2. OP28 OP38 Millfields Residential Home DS0000006200.V329330.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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