Inspection on 11/01/07 for Southfields

This inspection was carried out on 11th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 no outstanding requirements from the previous inspection report, but made 20 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Southfields 25/05/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Southfields 54 Southfield Road Gloucester Glos GL4 6UD Lead Inspector Mr Paul Chapman Unannounced Inspection 11 January 2007 09:00 th Southfields DS0000067436.V326051.R01.S.doc Version 5.2 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 Southfields DS0000067436.V326051.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 Adults 18-65. 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. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfields Address 54 Southfield Road Gloucester Glos GL4 6UD 01452 545367 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) www.holmleigh-care.co.uk Holmleigh Care Homes Ltd Miss Donna Annette Morris Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/12/05 Brief Description of the Service: Southfields is registered to provide accommodation for up to seven people with learning disabilities. The home is a detached property in a residential suburb approximately two miles from Gloucester City centre. All of the service users have single bedrooms and these are situated over the first and ground floor. On the ground floor there is a communal lounge, dining room and kitchen. To the rear of the property is a substantial secure garden. Locally there are facilities including a shop, post office and pub that are used by service users. The home is staffed 24 hours a day, 7 days a week. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed over a period of 8 hours on a day in January 2007. The manager was present throughout the day and the deputy manager joined after lunch. The principle method used to gather evidence was case tracking. This involves examining the care notes and other related documents for a select number of people living at the home. This is followed up by talking to them or their relatives/representatives, or observing them. This provides a useful, in depth insight as to how people’s needs are being met from more than one source of evidence. At this inspection the inspector aimed to case track three of the people living at the home. After examining the limited information for the first service user the manager was open with the inspector and explained that all of the other service users files were as limited as this. As no relatives or representatives were at the home the CSCI have sent surveys for the home to distribute to people. The responses to these surveys have been poor. Service users files provided no evidence of needs assessments, care plans, reviews, other health professionals input, activities. The new manager has started to address this. The standard of accommodation was poor but this had already been recognised by the service provider and the manager explained that renovation of the home had been planned to begin at the start of February. What the service does well: What has improved since the last inspection? People are now being offered a healthy, varied diet. The number of organised activities has increased since the new manager has been in post. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 6 What they could do better: All of the people need to have a copy of the Service User’s Guide. All of the people must have an individual contract or statement of terms and conditions. All of the people must have their needs assessed by appropriately qualified staff. All of the people must have care plans in place that meet their assessed needs. Staff must ensure that all people have choices in their everyday lives, for example in activities and meals. Risk assessments must be developed to minimise potential risk to people in their everyday lives. All of the people must be informed of the complaints process and how they are able to use it. Staff must complete training in the protection of vulnerable adults to ensure potential risk are minimised. People’s personal care needs must be identified and met by the staff team. No health assessments have been completed and this should be addressed to minimise potential risks to people. The manager must ensure that there is an ongoing programme of maintenance for all parts of the home. The manager must ensure that staff complete training in protection of vulnerable adults. The manager must ensure that all staff files and training records are kept in the home. The manager must ensure that all staff receive regular supervision sessions. Quality Assurance systems must be put in place. These systems should involve people living in the home. The manager must ensure that the appropriate COSHH data sheets are available for all of the chemicals stored in the home. The manager must ensure that the appropriate fire safety checks are completed regularly. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The manager must review the home’s admission procedure to ensure that it accurately reflects what steps would be taken to ensure no person is admitted to the home whose needs can not be met. Contracts of residency must be in place that clearly state the responsibilities of each party. EVIDENCE: None of the service users have been given a copy of the Service User’s Guide and the manager must address this. No new service users have been admitted to the home since the previous inspection. The manager must review the home’s admission policy to ensure that it accurately reflects what steps would be taken when admitting a new service user. No contracts of residency were present. The manager must ensure that this is addressed. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. It is impossible to confirm that people’s needs are being met as no needs assessments have been completed. There are limited care plans available and this makes it impossible for service users needs to be met consistently by the staff. Poor administration means that it is impossible to identify where service users have been supported to make decisions. Limited risk assessments put the service users at unnecessary risks. EVIDENCE: Information about the service users needs was extremely limited. Since the previous inspection the registered manager has left and a new manager and Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 11 deputy have recently started. Both of the new staff spent the majority of the inspection with the inspector. The new manager and her deputy showed the inspector a service user’s file that contained no needs assessments or care plans. They agreed that this was an example of what they had found for each of the service users. The manager has developed a new format for service user files. One example was in the process of being completed and contained a section for daily notes, record of appointments, record of accidents, a protocol for the use of “as required” medication. Before the manager starts to complete care plans for each of the service users they must firstly complete needs assessments for each of them. Due to the poor administration system currently being used it is difficult to find evidence of where people are supported appropriately to make decisions about their lives. The manager must ensure that where staff support people to make decisions that it is recorded. The manager stated that service users are now being asked to be involved in tasks around the home. These instances must be documented. The manager has completed fire risk assessments for all of the service users and there are number of risk assessments completed by the previous manager. The manager stated that they had already identified the shortfalls found as part of this inspection. They stated it had been arranged for the registered manager from one of the organisation’s other homes to work with them to develop a system to meet the criteria of these and standards and regulations. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The number of activities completed by the service users has increased but further development is required before the home can be sure they are meeting everybody’s needs. Staff support service users to maintain relationships with their relatives. Menus are chosen by the service users with staff support and advice about healthy diets. EVIDENCE: The manager stated that one of the senior care workers is going to become an activities co-ordinator. At present staff sit with each of the service users on a Sunday and ask them what they would like to do in the following week. Their Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 13 choices are then recorded on an “activity programme sheet”. A sample of these sheets were examined and showed activities including playing pool, visiting the pub, going into Gloucester shopping, attending college and seeing parents as being completed. On the day of the inspection the majority of the service users were going into town shopping and for some lunch. Speaking with one service user they stated that sometimes activities are not completed, but usually they are. Service users have various degrees of contact with their relatives and staff support service users to do this where needed. The management team are also developing good working relationships with parents, an example of this is one parent helping complete care plans for her son and advising the management team of her son’s needs. The management team at the home have recognised the need for people to be given the opportunity to develop skills and take responsibility. This is at an early stage of development at present. A good example is that they have started asking service users to be involved in the preparation of food and taking part in cleaning around the home. The manager stated that when she started at the home that the freezer was full of frozen “ready meals” (a number of these were out of date). These have all been disposed of now. Menus are now chosen with service users each Sunday and a sample of the menus showed that people were offered a good range of a meals. Menus showed that the special dietary needs of ethnic minorities are addressed. Speaking with a service user they stated that since the new manager has been in post the food has improved “now it is fresh” and that they are able to help cook their meals. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Personal care needs have not been assessed making it impossible for the home to confirm that people’s needs are being met. Poor records make it impossible to confirm that people’s health needs are being met by other professionals. Medication administration has improved and helps to minimise the risk of potential errors. EVIDENCE: None of the service users personal care needs have been assessed and the manager must complete this. Once the assessment has been completed care plans need to be developed to meet those needs. Due to the poor administration of the service users records the manager has been unable to find records of the service users appointments with doctors and dentists. In addition to this there was no records of any input for service users Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 15 from the Community Learning Disability teams. One person uses Makaton to communicate and the manager has made a referral to speech and language therapy for some support to develop communication systems for them. The manager stated that none of the staff had completed any communication training. This becomes a requirement of this inspection report. Four staff have been trained to administer medication. The manager stated that when she started at the home untrained staff were administering medication that was 3 months out of date. This practice has now stopped. The manager stated that they are waiting for a new medication cupboard to be delivered and fitted. The home has a fridge to store insulin in, and the temperature should be monitored and recorded daily. This was brought to the attention of the manager. An examination of the medication cabinet showed that it was well organised. A sample of medication administration sheets were seen and a couple of gaps were found where staff should have signed to confirm that medication was administered. The manager must monitor this. None of the service users records that were seen have any evidence about meeting people’s needs in the area of ageing and illness. This should be addressed as part of the development of new care plans. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure but it has not been explained to people. This may cause confusion with some people and make them feel as if they cannot complain. Previous practices at the home have been poor and not met the needs of the service users. EVIDENCE: The organisation/home has a complaints procedure that is produced in writing and picture formats, but none of the service users have been issued with a copy. The manager must address this and it is recommended that key workers go through the procedure with each person on a 1 to 1 basis. A service user said that they were aware of the complaints procedure although they have never needed to use it. Throughout the inspection the manager made a number of allegations about the poor practice of the previous manager. This is being addressed by the CSCI. The manager stated that when she started at the home one drawer of the filing cabinet was filled with loose receipts for service users spending. The manager has now developed a new system that links receipts to their spending. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 17 Financial records for three people were sampled and found to be correct. One service user manages their own money, and the manager provides varying levels of support to all of the service users. It is a recommendation that the manager gets a signed agreement from service users or their representatives where possible that they agree to their money being managed by staff at the home. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environment in the home is poor but this has been recognised by the provider who will be addressing it. EVIDENCE: The manager stated that the home is due to be renovated throughout and that this work was due to start at the end of January. The provider must supply the CSCI with a copy of the plans for this work with timescales for its completion. No specific requirements have been made, as any shortfalls identified by the inspector were due to be addressed as part of the renovations. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. It was impossible to confirm that staff recruitment records met the criteria of the regulations. It was impossible to confirm that staff have the appropriate training to meet the needs of the service users, as training records were not present. EVIDENCE: None of the staff training records, or staff files were present in the home. The manager stated that they were at the organisation’s head office. The manager stated that they intended to start holding staff meetings and staff supervision sessions. None had been completed by the date of this inspection. The staffing rota showed that there was usually a minimum of 3 staff on duty up to 2100hrs when the home was staffed by waking night staff and another staff member “sleeping in”. The rota also showed that 4 of the staff were booked to complete positive behaviour management training at the end of January. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new manager had identified the majority of shortfalls at the home before this inspection and was in the process of addressing them. Quality assurance is currently not being addressed and any future system must put the service users views as central to the process. Service users are being put at unnecessary risks due to inconsistent monitoring of health and safety issues. EVIDENCE: The manager of the home has not yet been approved to become a registered manager with the CSCI. The manager must ensure that her application is Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 21 submitted without hesitation. Before becoming manager of the home she worked as a deputy team leader for the organisation’s domiciliary care service and is a qualified staff nurse. At the time of this inspection the manager had nearly completed her registered manager’s award and will be starting her NVQ (National Vocational Qualification) level 4 in care. The provider is completing regulation 26 visits each month. The manager stated that they have sent surveys to the parents/relatives of the service users asking for their opinions of the home. This will form part of the home’s quality assurance system. The manager must ensure that she develops a system that puts the opinions of the service users at the centre of any quality assurance. The manager has completed a fire risk assessment for the home. Examination of the fire equipment checks showed that they were not being done regularly and this must be addressed. An engineer serviced the fire alarm panel and extinguishers in June 2006. The home has a COSHH cupboard which was locked at the time of this visit. There was a COSHH file that contained data sheets for chemicals used in the home. It is recommended that the file is reviewed as it contained a large number data sheets and it is unclear whether all are still required. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 1 2 2 3 X 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 1 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 X 34 1 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 1 1 2 X 2 X 2 X X 2 X Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 23 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. 1. Standard YA1 Regulation 5 Requirement The registered person must ensure that all of the people living at the home have a Service User’s Guide. The registered person must ensure that each person has a statement of terms and conditions signed by either the person, or their representative. The registered person must ensure that needs assessments are completed for each of the people living at the home. The registered person must ensure that people’s identified needs are addressed in their individual care plans. The registered person must ensure that all people are empowered to make decisions about their lives and records are kept evidencing this. The registered person must ensure that all people are given the opportunity to participate in the day-to-day running of the home. The registered person must ensure that risks to people are assessed, minimised and DS0000067436.V326051.R01.S.doc Timescale for action 02/03/07 2. YA5 5 (1) b 30/03/07 3. YA6 14 30/03/07 4. YA6 15 27/04/07 5. YA7 15(2) c 02/03/07 6. YA8 16(2) m 02/03/07 7. YA9 13 (4) b, c 30/03/07 Southfields Version 5.2 Page 24 8. YA18 12, 14 9. 10. YA19 YA21 12, 14 14, 15 11. YA22 22 12. YA23 13(6) 13. YA24 23(2) 14. YA32 7, 9, 19 schedule 2 (4) 7, 9, 19 schedule 2 18 (c) 15. YA34 16. YA35 17. YA36 18 (2) 18. YA37 8(2) managed appropriately to enable people to live fulfilling lifestyles. The registered person must ensure that people’s personal care needs are assessed and that care plans are developed to meet those needs. The registered person must ensure that all people’s health needs are assessed. The registered person must ensure that people’s wishes relating to ageing and illness are identified and met. The registered person must ensure that all people are aware of the home’s complaints procedure. Each person must be given a copy of the procedure. The registered person must ensure that all staff complete training in the protection of vulnerable adults. The registered provider must supply the CSCI with a timetable for when the renovation of the home will be complete. The registered manager must ensure that training records for all of the staff are available for inspection at any time. The registered person must ensure that staff recruitment records are available for inspection at any time. The registered manager must ensure that staff have the training required to meet the needs of the service users. The registered manager must ensure that all staff receive regular supervisions and appraisal. The registered provider must ensure that an application to become a registered manager is submitted to the CSCI. DS0000067436.V326051.R01.S.doc 30/03/07 30/03/07 27/04/07 02/03/07 29/06/07 30/03/07 30/03/07 30/03/07 29/06/07 30/03/07 30/03/07 Southfields Version 5.2 Page 25 19. YA39 24 20. YA42 13(4) The registered manager must develop a quality assurance system that puts the views of the service users as central in the process. The registered manager must ensure that risks to the service users are minimised through regular health and safety monitoring and recording around the home. 27/04/07 30/03/07 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 YA2 YA22 YA23 YA42 Good Practice Recommendations The manager should review the home’s admission policy to ensure that it accurately reflects the actual practices. Key workers should go through the complaints procedure with each of the service users. The manager should ask service users to sign an agreement that they are happy for the home to manage/hold their monies. The manager should review the COSHH file and remove any of the data sheets that are no longer required. Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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. Extracts may not be used or reproduced without the express permission of CSCI Southfields DS0000067436.V326051.R01.S.doc Version 5.2 Page 27 - 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!