Inspection on 23/03/06 for Southfield Care Home

This inspection was carried out on 23rd 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.

Other inspections for this house

Southfield Care Home 26/06/06

Southfield Care Home 23/09/05

Southfield Care Home 13/07/05

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 Announced Inspection 23rd March 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Southfield Nursing Home DS0000029256.V282378.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. Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Southfield Nursing Home Address Belton Close Great Horton Bradford BD7 3LF 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) 01274 521944 sksouthfield@aol.com Southfield Health Care Limited Care Home 42 Category(ies) of Physical disability over 65 years of age (42) registration, with number of places Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection: 23 January 2006 Brief Description of the Service: Southfield is a care home offering personal care to male and female service users over the age of 65. It 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 a short walking distance of local shops and amenities. Accommodation is provided on two floors, there is a passenger lift. The home has 32 single and 5 double rooms, 24 rooms have 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 small lounge is a designated smoking area for residents. The home has a garden area and car parking is provided at the side of the building. Southfield Nursing Home DS0000029256.V282378.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. The home had its first inspection for this inspection year in July 2005; it was unannounced. That inspection identified a number of concerns about the standards of care in the home. As a result additional visits were done in July and August 2005 and a further unannounced inspection was done in September 2005. In October 2005 the CSCI received two complaints about the home. The complaints resulted in a number of additional visits being carried out in November and December 2005 and January 2006. The complaints were referred to the Adult Protection Team, one was upheld and one was partially upheld. Copies of the additional visit reports and summaries of the complaints investigation reports can be requested from the CSCI Rodley office. In January 2006 the provider made an application to change the registration of the home from a nursing home to a care home. The application was approved and since 23 February 2006 the home no longer provides nursing care. An acting manager was appointed in October 2005 and she has overseen the transition of the home from a nursing home to a care home. This inspection was announced and was carried out by one inspector who spent approximately 7.5 hours in the home. The purpose of this inspection was to assess how the changes had affected the home and the quality of care being received by the residents. During the inspection I spoke to residents, staff and management and looked at a number of records and the environment. I also checked if the requirements from previous inspections were being dealt with. It was a very positive visit and residents felt they had benefited from the recent changes, one person said, “it is more organised now”. The home has experienced difficult times recently, particularly over the past eight months. It is to the credit of the manager and staff team that they have created a homely and caring environment for residents in the relatively short time since February 2006. 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. Twelve comment cards were returned to the CSCI and overall showed a high level of satisfaction with the home. The views expressed in the comment cards have been incorporated into the relevant sections of this report. What the service does well: Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 6 The home has a very friendly and homely atmosphere, there was lots of friendly banter between residents and staff and visitors were greeted warmly. Residents were very complimentary about the staff, some described them as “caring” and “obliging” and one resident said, “the staff are very caring, understanding and helpful, it’s a delight to live here”. The standard relating to food was not looked at in detail, however residents said they were very happy with the food and were confident that the cook would do whatever she could to cater for their preferences. Residents are cared for in a way that respects their individuality and they are encouraged to maintain their independence. What has improved since the last inspection? What they could do better: There are nine requirements following this inspection, four of these have been carried forward from previous inspections. Some are related to the environment and include the call bell system, the gas safety certificate, the security of the medicine room window and the corridor carpets. While good progress has been made on staff training and supervision this is an area that needs further development and records of all training must be kept. The home must now implement a more formal and structured approach to quality monitoring based on seeking the views of residents and other interested parties. Southfield Nursing Home DS0000029256.V282378.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. Southfield Nursing Home DS0000029256.V282378.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 Southfield Nursing Home DS0000029256.V282378.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): 1, 2 & 3 Standard 6 does not apply to this home. The Statement of Purpose and Service User Guide set out clearly the range of services and facilities offered by the home. This helps prospective residents and their representatives to make an informed decision. The needs of prospective residents are assessed before admission. EVIDENCE: The Statement of Purpose and Service User guide have been updated to reflect the recent changes to the home. Copies are prominently displayed in the entrance area and are given to all new residents and/or their representatives. All residents have a contract setting out the Terms and Conditions of their stay and including a breakdown of the fees. Pre-admission assessments had been done for new residents; the needs identified during this assessment were reflected in the care plans. The manager is clear about the admission criteria and will only accept new residents if she is confident that their needs can be met by the home. Southfield Nursing Home DS0000029256.V282378.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 Residents’ personal, health and social care needs are met in a manner, which respects their privacy and dignity and the care plans support this. Residents’ are protected by the home’s systems for dealing with medicines. EVIDENCE: The care records of three residents were looked at. The care plans set out how personal, health and social care needs would be met. The care plans showed that residents and/or their representatives had been involved in the care planning process. Residents and relatives confirmed this. Risk assessments were in place dealing with nutrition, falls and the risk of developing pressure sores. Residents who were at risk of developing pressure sores had been referred to the District Nursing team and specialist equipment had been provided. One resident had a pressure sore and the records showed that this was being treated by the District Nurses. Turn charts and food and drink charts were in place where needed and were completed properly. Care plans were in place to say how the risk of falling would be dealt with and the fall co-ordinator from the local PCT (Primary Care Trust) was due to visit the home on the day after the inspection. Weights were recorded. The records Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 11 showed that residents have access to health services via the General Practitioners and the Primary Care Trust. The manager said the home is getting a lot of support from the local District Nursing Teams. Chiropody is available in the home and opticians visit at least once a year and on request. Some of the care plans could be improved by including more detailed information about residents’ preferences and abilities. However the manager and staff are commended for the obvious hard work they have put into achieving such a good standard of care planning in a relatively short time. The treatment room was clean and well-organised, excess stock has been disposed of correctly. The home has all the required policies and procedure in place to make sure that medicines are dealt with safely. In addition to the manager five care staff have been trained in the safe management of medicines. A further three staff have almost completed their training and two more staff have been enrolled for this training. Self-medicating assessments have been done for all residents and a number are now responsible for some or all of their own medicines. There were no controlled drugs in use. One resident has insulin, which they give themselves under the supervision of the District Nurse. There were photographs of all residents and the medicine records were completed accurately. Staff spoken to had a clear understanding of their responsibilities and knew what action to take in the event of a drug error. The medicines fridge is not maintaining the recommended temperature and must be repaired or replaced. The window in the treatment room is not sufficiently secure. The residents who completed comment cards said they felt their privacy was respected. Residents can see their visitors in private. Southfield Nursing Home DS0000029256.V282378.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): 12, 13 & 14 Residents are supported in exercising choice and control of their lives. Residents are helped to keep in contact with their family, friends and the local community in accordance with their wishes. EVIDENCE: Daily routines are flexible, for example residents get up and go to bed when they choose and can spend their time in their rooms or in the communal areas. Staff routinely sit and chat with residents and a range of social activities are offered. Some residents go out on their own and those who have agreed now have an identification card giving details of their name and address in case of emergency. There are no restrictions on visiting, visitors were seen to come and go throughout the day. Relatives said they are made welcome at the home at any time. Residents are encouraged to maintain their independence, for example many are now administering some or all of their own medicines. Residents who are able to are encouraged to manage their own finances. Southfield Nursing Home DS0000029256.V282378.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): 16 & 18 Residents can be assured that the manager will take their complaints seriously. The home has the required policies and procedures in place to make sure that residents are protected from abuse. EVIDENCE: The complaint procedure is displayed in the home and copies have been sent to relatives. Residents and relatives said they were aware of how to raise any concerns they might have. Over the past two months the CSCI has received two anonymous complaints about the home. Both of these were dealt with appropriately by the home and did not require any further action by the CSCI. As a result of the complaint made in October 2005 referrals are to be made to the NMC (Nursing and Midwifery Council) and the POVA (Protection of Vulnerable Adults) register. The CSCI is waiting for confirmation from the provider that this has been done. The local authority Adult Protection procedure is available in the home. The manager is familiar with the procedure. Staff have received training on abuse and Adult Protection. Southfield Nursing Home DS0000029256.V282378.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, 20, 22, 24, and 26 Overall the home was clean, safe and comfortable. However in order to make sure that residents continue to live in a safe and comfortable environment some further improvements are needed. EVIDENCE: The entrance area, dining room, conservatory and small lounge have been redecorated and several people commented on how nice the home now looked. Some lounge chairs have been arranged in the dining room for those residents who prefer to sit in this area. Some dining tables have been moved into the conservatory and the lounge chairs have been arranged into small groups. Some new furniture has been provided and there are lots of pictures and flower arrangements, the combined effect of which is to create a very homely and comfortable setting for residents. As a result of a recent complaint about the smoky atmosphere the home has changed the smoking policy. The small lounge is the designated smoking area for residents and during the day staff are not permitted to smoke in the home. Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 15 The areas of the home that were seen were clean and there were no offensive smells. Two corridors have been closed temporarily due to reduced occupancy. The corridor carpets have not yet been replaced. New bedding and towels have been provided. Residents’ rooms were clean and suitably equipped. Residents had lots of their personal belongings around them. The situation with the call bells has been temporarily resolved in that there are enough for the current number of residents. However this matter still needs to be dealt with, as there are not enough call bells for the number of registered places (42). There were appropriate systems in place for dealing with waste. At the managers request a Control of Infection nurse from the local PCT has visited the home. Her recommendations have been implemented and staff have received training on control of infection. The manager said that all the recommendations made by the Fire Officer had been dealt with. Southfield Nursing Home DS0000029256.V282378.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 There are enough staff on duty to meet residents needs. Residents are protected by the home’s recruitment procedures. Staff are being supported in developing their knowledge and skills. EVIDENCE: Duty rosters are available. In addition to care staff the home employs kitchen, housekeeping and laundry staff. A maintenance man works 3 days a week. The manager is supernumerary. The NVQ (National Vocational Qualification) training programme is ongoing, 25 of staff have achieved an NVQ at level 2 or above. Six staff are doing NVQ training and a further two are waiting to be enrolled. Since January 2006 the manager has given priority to making sure that mandatory training is up to date. The majority of staff have now completed moving and handling training. There are regular fire drills and fire training. Training has been provided on pressure area management, the management of diabetes, diet and diabetes, nutritional assessment, infection control, food hygiene and first aid. Staff have also received training on care planning and record keeping. Training sessions booked for the coming months include palliative care, the prevention of falls and continence. Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 17 One new member of staff gave a detailed account of the induction training she had received when she started work at the home, however there was no record of her induction training. The manager is aware of the Skills for Care induction standards and plans to implement these over the next couple of months. The files of two recently appointed staff were looked at; they showed that all the required checks had been done before they started work in the home. Southfield Nursing Home DS0000029256.V282378.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): 31, 32, 33, 35, 36, 37 and 38 The wellbeing of residents is very important to the manager and she is working very hard to make sure that they are cared for in a safe and proper manner. The financial interests of residents are safeguarded. EVIDENCE: The manager has been in post since the end of October 2005. Immediately prior to taking up her post at Southfield she was the registered manager of a care home for older people in the Bradford area. Before that she worked at Southfield for many years as the deputy manager. She has made an application to the CSCI to become the registered manager for Southfield. Many of the residents said they were very happy to see her back at the home. There has been one formal residents’ meeting since October 2005. The transition period was a very anxious time for many residents and their relatives and during this time a lot of discussion and consultation took place on Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 19 an individual basis. Now that the home is settling down the manager is planning to hold residents’ meetings every two months. Residents will continue to be consulted on an individual basis through their care reviews. A small questionnaire was issued to some residents recently on the subject of children visiting the home. The manager is in the process of devising questionnaires to be sent to residents, relatives and other interested parties. The intention is to issue these questionnaires at least once a year and put together a report of the findings. There have been two staff meetings and staff handovers are also used to discuss issues relating the to the day-to-day running of the home. The manager plans to hold staff meetings every two months. The owner visits the home regularly and has provided the CSCI with a report of following his most recent visit. A programme of staff supervision has been established and approximately half of the staff have had one supervision session. The manager hopes to complete at least one supervision session for the remaining staff within the next month. The systems for dealing with residents’ finances were looked at in detail in January 2006 as part of a complaint investigation. At that time the home was managing the finances of three residents, records were kept of all transactions and receipts were available in most cases. The home is dealing with the requirements and recommendations made at that time. The home will no longer take responsibility for managing residents’ finances. In order to reduce the number of cash transactions the home is now asking all new residents to pay their fees by standing order. The manager is arranging meetings with existing residents and/or their representatives to sort out their finances and where possible to change the method of fee payment to standing orders. A new system for recording transactions to allow for the numbering of receipts has been put in place. Since she has been in post the manager has made sure that the CSCI have been notified, as required by law, of incidents in the home that adversely affect the well being of residents. The home has made good progress with mandatory training as detailed in the Staffing section of this report. The maintenance records showed that in most cases equipment and installations were serviced and maintained at the required intervals. A current gas safety certificate was not available; an appropriately qualified person must check gas installations annually. Southfield Nursing Home DS0000029256.V282378.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 3 X 2 X 3 X 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 2 3 2 X 3 2 2 2 Southfield Nursing Home DS0000029256.V282378.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 OP9 Regulation 13(2) Requirement The drugs fridge must be repaired or replaced. The window in the treatment room must be made secure. The CSCI must be informed of the outcome of the complaint made on behalf of a service user on 25/10/05. Specifically the owner must provide confirmation that the required referrals to the NMC and POVA have been made. This is brought forward; the previous timescale was 31/01/06. The corridor carpets must be replaced. The registered persons must make the necessary arrangements to ensure that there is easy access to the call bell system in all areas of the home used by residents. This is brought forward: previous timescales were 10/09/05, 18/11/05 and 23/02/06. Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 Page 22 Timescale for action 26/05/06 2 OP16 22 28/04/06 3 4 OP19 OP22 23 23(2)(c) 30/06/06 23/02/06 5 6 OP30 OP33 19 24 The home must keep records of all induction training undertaken by staff. The registered persons must establish and maintain a system for quality assurance and quality monitoring based on seeking the views of residents and other stakeholders. A report on the findings of the quality review must be made available to residents and other stakeholders. The programme of supervision for care staff must be maintained. 30/06/06 22/09/06 7 OP36 18 30/06/06 8 OP37 This has been brought forward; a new timescale has been negotiated. CSA The registered person must carry 28/04/06 Section 31 out an investigation of the discrepancies identified in the care records as detailed in our letter of 13/01/06 and must provide the CSCI with a full report of this investigation. This is brought forward; the previous timescale was 31/01/06. The owner must make sure that the gas appliances are checked by a CORGI registered person at least once a year. The CSCI must be provided with a copy of a current Landlords certificate. 9 OP38 13(4) 28/04/06 Southfield Nursing Home DS0000029256.V282378.R01.S.doc Version 5.1 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 4 Refer to Standard OP7 OP28 OP35 OP38 Good Practice Recommendations The care plans should include more detailed information about residents preferences and abilities Progress should be maintained to achieve the target, set by the National Minimum Standards, of having 50 of staff training to NVQ level 2. The owner should carry out random audits of the personal money held on behalf of residents. The bed rails risk assessment document should be reviewed. Southfield Nursing Home DS0000029256.V282378.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 Southfield Nursing Home DS0000029256.V282378.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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