Inspection on 13/07/05 for Southfield Care Home

This inspection was carried out on 13th July 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.

Other inspections for this house

Southfield Care Home 26/06/06

Southfield Care Home 23/03/06

Southfield Care Home 23/09/05

Southfield Care Home 04/03/05

Southfield Care Home 06/08/04

Southfield Care Home 16/06/04

Southfield Care Home 13/05/04

Southfield Care Home 22/04/04

Southfield Care Home 11/12/03

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 Southfield Nursing Home Belton Close Great Horton Bradford BD7 3LF Lead Inspector Mary Bentley Unannounced 13 July 2005, 9.30am th 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 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. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Southfield Nursing Home Address Belton Close Great Horton Bradford BD7 3LF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 521944 Southfield Health Care Ltd Mrs Sastrani Kammayya Care Home with Nursing 42 Category(ies) of Physical disability Over 65 (42) registration, with number of places Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/03/05 Brief Description of the Service: Southfield is a care home with nursing and is a Grade 2 listed building; the premises were formally a school and opened as a care home in 1995 following conversion of the property. It is located in the Great Horton area of Bradford and is within easy access of local shops and amenities. Accommodation is provided on two floors with access to all internal areas being provided by a passenger lift. The home has 32 single and 5 double rooms with 24 of these rooms providing en-suite facilities. Communal space is provided on the ground floor and consists of a large dining room, a conservatory and a small lounge. The home is registered to provide nursing and personal care for up to 42 older people with physical disabilities. The home has a garden area and car parking is provided at the side of the building. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection year runs from April to March and within that time, the CSCI is required to carry out a minimum of two inspections of all care homes. This was the first inspection of the home for this inspection year. The inspection was unannounced and was carried out by two inspectors; it started at 9.30am and finished at 4.00pm. Before the visit time was spent planning how the inspection would be carried out. The purpose of this inspection was to follow up on the requirements made at the last inspection, which took place in March 2005, and to assess the performance of the home against a pre-determined selection of the National Minimum Standards for Older People. The methods used in this inspection included discussions with the service users, staff and management, examination of records and tour of the home. Comment cards were left at the home to be given to residents and relatives these cards provide an opportunity for people to share their views of the home with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of the respondents. Since the last inspection the CSCI has received 10 comment cards from relatives, the comments were shared with the manager during the inspection and have been incorporated into the relevant sections of this report. What the service does well: What has improved since the last inspection? A number of the requirements identified at the last inspection have been addressed, the fire safety work has been completed and improvements have Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 6 been made to the environment, which include a new carpet in the dining room. The home now has a second hoist and a fax machine has been provided. 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. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 standard(s) 2, 3, & 4. Standard 6 does not apply to this service. The pre-admission assessment procedures are not robust enough to assure future service users and/or their representatives that the home can meet their needs. EVIDENCE: Pre-admission assessments were available in the care records seen, however in three of the five sets of care records seen the assessment forms did not show who had been involved in the assessment and in two there was no record of who had carried out the assessment. The records of two recently admitted residents showed that the main reason for admission was due to dementia, the home is not registered to care for people with dementia. Signed copies of the homes terms and conditions were seen; in most cases the fee rates and the room to be occupied had not been entered on the form. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 standard(s) 7, 8 & 10 Service users have care plans that for the most part set out how their health, personal and social care needs will be met but they do not have the opportunity to be involved in these plans. Overall the health care needs of service users are met but the home must make sure that nutritional needs are identified and met. EVIDENCE: The care records of five service users were seen. For the most part the care plans addressed the needs identified during assessment, however in the case of the residents with dementia the care plans were not specific enough. One service user was identified as being at high risk of developing pressure sores; a care plan was in place but did not provide clear information such as the type of pressure relief equipment to be used. The home does not have a copy of the pressure area care policy produced by the local Tissue Viability Nurse. All the care plans had been reviewed monthly. There was no evidence of involvement by service users or their representatives in the care plans seen. Nutritional risk assessments had not been completed in the care records seen. In the case of one service user concern about nutrition had been identified at Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 10 the time of admission, although the service user had been weighed weekly dietary intake was not monitored with the result that the service user became dehydrated. Recording of dietary intake was then started but discontinued after six hours when the service user’s condition was considered to have improved. It was not clear from the records if a doctor had been consulted. The weigh records for another resident showed a steady weight loss over recent months but there was no information on what was being done about this. The records showed that service users have access to chiropody and eye tests. Service users said that medical examinations are always carried out in private and that staff respect their privacy and dignity. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 standard(s) 12, 13 & 15 Overall the social and recreational needs of service users are met and they are supported in keeping in contact with family, friends and the local community as they wish. EVIDENCE: Daily routines are flexible and based around the needs of services users, meals are served at set times every day but other than that residents are free to choose how and where to spend their time. Approximately 15 service users were spoken with, overall they were satisfied with the range of activities provided. Some commented that the home does not employ an activities organiser and when the home is short staffed for whatever reason care staff do not have time to organise anything. Service users described the food as good both in terms of quality and presentation and said there is always a choice of two main courses at lunchtime. On the day of the inspection there was no choice because the cook had taken emergency leave and the laundry assistant was doing the cooking. Food for one service user was being purchased from a supplier specialising in Caribbean food. No religious services are held in the home. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 standard(s) 16 Service users representatives are not fully informed about the homes complaints procedures and therefore cannot be confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: The complaints procedure is displayed in the home however six of the ten relatives who filled in comment cards said they were not aware of the homes complaints procedures. The home keeps a record of complaints; no complaints have been received since the last inspection in March 2005. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 standard(s) 19, 21, 22, 24, 25 & 26 Service users do not live in a clean and safe environment. Offensive smells in many of the bedrooms create an unpleasant environment for service users. Poor working practices place service users at risk. EVIDENCE: The majority of bedrooms were seen, they were not clean and there was an unpleasant smell in several rooms. The commodes were not clean and many of the washbowls had been left with soap scum, in one room resident’s dentures were being soaked in a washbowl. A number of bedroom carpets were badly stained and in some rooms beds had been remade with stained bed linen. There were no towels in many rooms and several soap dispensers were empty including the one in the sluice room. Many of the towels seen were worn thin and were frayed around the edges, some bed linen was also worn thin and in one room a threadbare and torn sheet had been left on the bed. Dirty commode pans were piled up in the sluice room and soiled incontinence pads were not double bagged. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 14 The fans were not working in number of the toilets and in two the fans had been removed leaving electrical wires hanging from the ceiling. Sheets of plasterboard had been left on a corridor creating a potential hazard. Previous reports have identified a number of issues about the environment and progress has been made since the last inspection. The dining room carpet has been replaced. The carpet in the conservatory is badly stained and in need of replacement, the manager said new carpet has been ordered for the conservatory and for the corridors. In the kitchen the tiles at the base of the pillar have been repaired and fly screens have been fitted to doors and windows. It was not clear what is happening with regard to the extractor fans. A new deep fat fryer has been provided and some work has been done on the floor although it remains in need of further attention. A second hoist has been provided to assist with the moving and handling of service users. Work was in progress on the boundary fence, some residents expressed very strong views about this with one saying it felt like living in a prison camp and another saying it now looked like a farmyard, another resident said he could no longer walk all the way around the home because the gate is locked. Many of the communal bathrooms were cluttered with linen skips and other items of equipment and it was not clear which bathrooms were in use and which were not. Only one bathroom had a bath thermometer, which is required to check the water temperature before service users take a bath. The laundry was clean and tidy however a number of items of clothing, including underwear, were not named. There were no call bells in a number of bedrooms and en-suite facilities of occupied rooms. Requirements have been made about these standards. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 28 There are not enough staff working in the home to meet the needs of service users. EVIDENCE: The duty rota shows that there are five care assistants on the morning shift and four on the afternoon shift. However there is no kitchen assistant and on 6 days of the week one care assistant is required to help with kitchen duties between 8am and 11am and therefore is not available to provide care at one of the busiest times of the day. The cook finishes work at 2pm and therefore one care assistant on the afternoon shift is again taken away from care duties to attend to the evening meal and kitchen duties. There is only one domestic assistant on duty for six hours every day and the hours worked by the handyman have been reduced to 15 per week, these hours are clearly not adequate, the home was neither clean nor safe as detailed in the environment section of this report. The manager supernumerary hours have been reduced, she now works as a nurse for 18 hours every week, and this does not allow her enough time to manage the home and monitor care practices. Five of the 22 care staff have a level 2 National Vocational Qualification (NVQ) and the remaining staff are registered for NVQ training. The training records were not available however all the staff spoken with were positive about the Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 16 training they are receiving and said that the manager actively encouraged staff training both to meet the needs of residents and for personal development. The manager said that no new staff have been employed since the last inspection therefore recruitment procedures were not inspected. Requirements have been made in relation to one standard. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 & 38 The management approach to the home does not make sure that service users receive a consistently good level of care. This results in some practices that do not promote and safeguard the health, safety and wellbeing of the people using the service. EVIDENCE: The manager said the provider visits the home every day and keeps notes of issues discussed in his diary; no records of provider’s visits were available for inspection and none have been sent to the CSCI. Residents meetings are held approximately every 6 months and the minutes of the last meeting were seen. Questionnaires have been sent to service users, relatives and other stakeholders such as General Practitioners to seek their views of the service. The home had received a number of completed forms Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 18 from service users, the manager said the responses would be analysed and an action plan put in place. The last staff meeting was held on March 10th 2005, the manager was unable to find the minutes of this meeting. Staff said that the manager was approachable and that they felt supported by the nursing staff. Some concern was expressed that the new working arrangements for the manager are causing communication problems with other members of the nursing staff team. The manager said that formal supervision for staff was being done but the records were not available, however staff said that they had appraisals but were not receiving formal supervision. One fire exit was obstructed with wood and a ladder and cans of paint were left in another. There was moss on the ramp outside one fire exit creating a risk of falling. Paint and other flammable materials were stored in the boiler house. Builders rubbish was left at the rear of the patio creating a hazard for service users. The paperwork on the fire extinguishers showed that the annual maintenance check was overdue, the manager said it had been done but there was no record of this in the home. Accidents were recorded but the system was confusing with some forms being left in the accident book and others being filed with care records, some of the accident forms seen were not dated. The action taken to follow up accidents/incidents was not always recorded, one service user appeared to have sustained bruises and scratches while in hospital and there was no record that the home had investigated this. The manager said that one of the nurses was doing an audit of accidents but there was no record of this in the home. Requirements have been made about these standards. Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 2 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 1 x 2 2 x 2 2 1 STAFFING Standard No Score 27 1 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 2 2 3 x x 2 2 2 Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 20 Yes Are there any outstanding requirements from the last inspection? 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. 2. Standard 1 2 Regulation 4 5 Requirement The registered persons must operate the home within the agreed categories of registration. The terms and conditions must include information on the fees payable and the method of payment. The pre-admission assessment records must provide information on who has carried out the assessment and provide evidence of consultation with service users and/or their representatives. The care plans must provide evidence of consultation with service users and/or their representatives. Service users plans must include information on how nutrition needs are being identified and met. The registered manager must make arrangements for the naming of service users personal clothing so that service users can be sure they are wearing their own clothes at all times. The registered persons must Provide the CSCI with evidence Version 1.30 Page 21 Timescale for action 10 August 2005 10 September 2005 10 August 2005 3. 3 14 4. 7 15 10 September 2005 10 September 2005 10 September 2005 5. 8 17(1)(a) Schedule 3, 3(m) 12(4)(a) 6. 10 7. 19 23(4) 23(2)(b) 10 August 2005 Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc the annual check on the fire extinguishers has been carried out. Clean the moss from the fire exit ramp identified during the inspection Make sure that fire exits routes inside and outside the home are kept free of obstrcutions and maintained in a safe condition at all times. and Replace the carpet in the conservatory (Previous timescale of 31/05/05 not met). Access to the call bell system must be provided in all areas used by service users. Bedding and towels must be of an acceptable standard. The extractor fans in the communal toilets and en-suite facilities must be repaired or replaced. Bath thermometers must be provided in all bathrooms used by service users. The home must be kept clean and free of offensive odours and the correct procedures for dealing with clinical waste must be followed. The registered provider must ensure that there are at all times sufficient staff working in the home to meet the needs of service users. The registered persons must submit proposals for staffing levels for service user numbers of 31 upwards. (Previous Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 22 8. 9. 10. 22 24 25 23(2)(c ) 16(2)(c ) 23(2)(p) 13(4) 10 September 2005 10 September 2005 10 September 2005 11. 26 16(2)(k) 10 August 2005 12. 27 18 18 July 2005 timescale of 29/04/05 not met) 13. 28 18 A minimum of 50 of care staff must achieve NVQ level 2 or equivalent within the target timescale. Previoulsy agreed timescale of 31/12/05 The registered persons must make sure that all the required pre-employment checks are carried out before new staff start work in the home. The registered persons must make sure that recruitment procedures comply with the Home Office guidance on the prevention of illegal working. (Carried forward from the last inspection) The manager must compete the registered manager award within the target timescale. Previously agreed timescale of 31/12/05 The registered persons must provide evidence that visits to the home are made in accordance with this regulation. Previous timescales of 8/11/04, 25/02/05 & 31/05/05 not met. Staff must receive formal supervision at least six times a year. Previous timescale of 30/06/05 not met. A detailed record of all accidents and incidents involving service users must be maintained. 31 December 2005 14. 29 19 10 September 2005 15. 31 9 & 10 31 December 2005 16. 32 26 10 September 2005 17. 36 18 10 October 2005 18. 38 17(1)(a) Schedule 3. 3(j) 10 September 2005 Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 Page 23 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 8 12 13 Good Practice Recommendations The home should obtain a copy of the local Primary Care Trusts policy on the prevention and treatment of pressure sores. Consideration should be given to the appointment of an activities organiser. (Carried forward from the previous inspection) With the permission of service users, consideration should be given to the creation of an identity card for those service users who go out alone, to carry in case of accident or emergency. (Carried forward from the previous inspection) The registered manager should make sure that service users representatives are made aware of the homes complaints procedures. Consideration should be given to converting one of the first floor bathrooms to a shower room. (Carried forward from the previous inspection) References should be date stamped when they are received in the home so that it is clear from the records that references are obtained before new staff start work.(Carried forward from the previous inspection) The insurance cover for the amount of cash held in the home should be checked to make sure appropriate insurance cover is in place. It is recommended that a system of numbering receipts to correspond with the running record of entries be implemented to make auditing and checking the records of transactions more straightforward. (Carried forward from the previous inspection) 4. 5. 6. 16 21 29 7. 35 Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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 Southfield Nursing Home J52 J03 S29256 Southfield V230117 280605 Stage 4.doc Version 1.30 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!