Inspection on 11/08/05 for Redlands Rest Home

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Redlands Rest Home 20/12/06

Redlands Rest Home 12/01/06

Redlands Rest Home 13/01/05

Redlands Rest Home 17/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Redlands Rest Home 44-46 Park Road Lytham Lancashire FY8 1PN Lead Inspector Denise Upton Unannounced 11 August 2005 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. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Redlands Rest Home Address 44-46 Park Road Lytham Lancashire FY8 1PN 01253 725835 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) Mrs Victoria Islam Mrs Susan Guy Care home only 23 Category(ies) of OP Old Age (23) registration, with number of places Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2005 Brief Description of the Service: Redlands is a care home providing personal care and accommodation for up to 23 older people who do not require nursing care. The registered provider does not live in the area although her appointed representative visits the home on a regular basis. In consequence a registered manager is appointed who undertakes day-to-day management responsibility at Redlands Care Home. The majority of service users currently accommodated are male who have previously lived a transient lifestyle. Staff are responsive to individual needs and requirements with social stimulation and activity determined by the individual and tailored in the main on a one to one basis with a member of staff. Redlands Care Home is situated in a convenient location close to the main shopping area of the Town and local resources and amenities. The home is arranged over three floors and offers individual bedroom accommodation for the majority of service users. Although bedroom accommodation does not provide an en-suite facility, bathing and toilet facilities are sufficient in number, conveniently situated and provided with appropriate aids. As the vast majority of service users smoke it is not a practical option to provide a none smoking area. A passenger lift is provided for ease of access throughout the building. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the period of almost eight hours. The inspector spoke with the home’s registered manager, one of the deputy managers and individual discussion took place with two members of the care staff team. Individual discussion also took place with the three service users who were ‘case tracked’ during the course of the inspection although one of these residents did not really want to become involved in any ‘in-depth’ discussion. Case tracking involves looking at these residents individual care files to make sure that the correct information is recorded and that the individual care plan, that tells staff what the resident can do for themselves and what help may be required, is reviewed on a regular basis and kept up to date. During the course of the inspection, informal individual or small group discussion also took place with several other residents in various communal areas of the home. A number of records and policies and procedures were examined and four Commission for Social Care service user comment cards were returned along with one relative/friend comment card and two General Practitioner comment cards. This provided further information on how residents and other people who visit the home felt that Redlands was meeting the needs and requirements of the people who live there. What the service does well: Redlands Care Home has an enthusiastic group of staff that enjoys working at the home and are keen to provide a good service to residents who live there. Staff and service users get on very well together with one resident saying that he had lived at the home for 15 years and ‘wouldn’t want to live anywhere else, I get enough freedom to do what I want whilst feeling secure’. Routines within the home are flexible so that the people who live there can enjoy the lifestyle of their choice. Residents are encouraged to have their say and help make decisions about the running of the home. The atmosphere in the home is welcoming, relaxed and friendly that helps residents feel comfortable and secure. The home has good systems in place to make sure that the staff group understand the needs and wants and wishes of each resident. Health care needs are well met with one doctor stating that the home work well with the surgery to ensure that residents receive any help required and there are also Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 6 good systems in place of the administration of medication to make sure that service users are well protected. What has improved since the last inspection? What they could do better: The registered manager and staff at Redlands Care Home work hard to ensure that the needs of residents are well met and that residents feel comfortable living at the home. However there are a number of things identified at this inspection that could be improved. Care plans that tell staff what a resident can do for themselves and what help may be needed should always include the outcome of any individual risk assessment that is required. It has been recommended that this information be included in the care plan or alternatively the actual completed risk assessment form be kept along side the care plan to advise staff of any specific risks and how these can be minimised. Although all staff have undertaken a variety of ‘short course’ training covering a variety of topics, care staff should undertake nationally recognised NVQ training in care to reinforce and expand on the training already undertaken. The registered manager should undertake a higher-level qualification in care Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 7 and management that is specific for managers of care homes to ensure they have the skills and knowledge to run a care home in the best way possible. 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. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 standard(s) 3 The pre admission assessment information to identify what the prospective service user can do well and what help may be required is detailed in order to establish if current needs, wants and wishes could be met at the home. EVIDENCE: Since the last inspection there have been no new admissions to the home. Service users are however only admitted to Redlands Care Home following a full assessment of current strengths and needs undertaken by a care manager of the prospective service user’s funding authority and when appropriate, other relevant professionals. A representative of the home also routinely visits all prospective service users in their existing environment in order to complete an initial assessment to establish if Redlands Care Home could meet current needs. This process is further supplemented by a detailed assessment of strengths and needs undertaken by the management team at the home. In practice however, as the vast majority of service users accommodated have previously lived a considerable distance from the home, in reality the home’s individual assessment document is completed only after admission. As observed at the time of inspection, the collated assessment information forms the basis of the initial care plan. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,& 10 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user needs. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure service user medication needs are met. The values of privacy and dignity are given high priority at Redlands Care Home to ensure these basis human rights are not infringed. EVIDENCE: All service users at Redlands Care Home have an individual plan of care that identifies the individual service user’s current strengths, needs, wants and wishes. As observed, this process also incorporates relevant individual risk assessments. Although the risk assessments are detailed, in some instances the outcome of the risk assessment is not identified on the care plan. It is recommended that the outcome of the risk assessment be incorporated in the actual care plan or alternatively the individual risk assessment be kept with the care plan with reference made on the care plan to refer to the risk assessment in respect of individual topics. All care plans are in the main, drawn up in Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 11 consultation with the individual service user and signed by the service user however on occasions this is dependent on the appropriateness of the action, given the nature and need of the individual concerned. Care plans are routinely reviewed on a monthly basis and updated as required. Although the service users individually spoken with were, in the main, not interested in care plans or the content of their care plan, they were able to confirm that the staff team provided all the help and support they required. The staff have a good understanding of service users support needs. This is evident from the positive relationships that have been formed between staff and service users. It was evidenced through observation of an emergency situation during the course of the inspection and through discussion and observation of documentation that service users health needs are fully met. There is a good relationship with health and social care professionals in order to maintain the health and social well being of service users accommodated. One service user spoken with described how recently the management team had arranged for her to visit a dentist urgently and of the treatment she received and the treatment still required. A Commission for Social Care Inspection General Practitioner comment card completed by a G.P also stated that the staff are ‘always very helpful and liaise with us closely’ All service users who wish to and have capacity to do so are enabled to self medicate within a risk assessment framework. The home has good systems in place for the receipt, recording, storage, handling, administration and disposal of medicines in order to safeguard service users. An independent pharmacist visits the home on a regular basis to undertake a pharmacy inspection and also provides advise to the home on medication matters. All staff with responsibility for the administration of medication have recently undertaken updated accredited medication training and a number of staff have also successfully completed a twelve-week distance-learning course in respect of drug abuse and misuse. Discussion with service users and staff confirmed that the maintenance of service users privacy and dignity is given high priority and upheld at all times. Similar comments were also indicated on the Commission for Social Care Inspection comment cards completed by several service users and a relative/friend of a service user who stated that ‘staff are extremely helpful and caring and treat everyone in the home with kindness and respect’. All staff receive induction training on how to respect service users rights that is reinforced in policy documents and evidenced in the home’s Statement of Purpose. The preferred term of address of each service user is identified at the time of admission, detailed in the individual care plan and always respected. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 standard(s) None of the four standards were assessed at this inspection. EVIDENCE: None of the four standards were assessed at this inspection. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 standard(s) None of the three standards were assessed at this inspection. EVIDENCE: None of the three standards were assessed at this inspection. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 standard(s) None of the eight standards were assessed at this inspection. EVIDENCE: None of the eight standards were assessed at this inspection. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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) 28, 29 & 30 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. However the staff group should consider undertaking nationally recognised NVQ training to supplement the short course training already undertaken. There is a structured and robust staff recruitment process applied in order to protect service users. The arrangements for the induction of staff are good with staff demonstrating a clear understanding of their roles. EVIDENCE: Currently two members of the care staff team have successfully completed a Level 2 National Vocational Qualification (NVQ) in care. Although the management team at Redlands are pro active in encouraging staff to develop their individual skills and abilities and the staff team have willingly undertaken a variety of external short courses, a number of staff are reluctant to consider undertaking NVQ training. Whilst it is acknowledged that the majority of the staff group have worked with the service users for a considerable period of time and are aware of, and able to address their current wants, strengths and needs, it is never the less recommended that staff are encouraged to reconsider their decision and undertake formal, nationally recognised NVQ training in care to develop and reinforce their existing skills and to ensure service users are cared for by a well qualified staff group. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 16 Communication within the staff team is very good and service users spoken with confirmed that they liked the staff and got on well with them. It was clearly evident from observation that there is an excellent rapport between service users and staff with a homely and family type atmosphere in evidence that service users responded well to. Staff recruitment and selection follows a structured process at Redlands Care Home, which is based on equal opportunities and in order to protect service users. All prospective employees are required to provide three satisfactory references and any gaps in the employment record are explored. In addition, all newly appointed staff are required to have a POVA First/Criminal Records Bureau clearance before they actually commence employment at the home. Staff spoken with confirmed that they had been provided with a statement of terms and conditions of employment that is issued after a trial period of three months employment. The home’s induction process for newly appointed employees at Redlands begins prior to employment and continues when employment commences. Since the last inspection a number of recently appointed staff have taken up employment at Redlands Care Home. It was confirmed that the new employees have all successfully undertaken the ‘Skills for Care’ induction training programme and are currently waiting for their certificates to be issued. As the ‘Skills for Care’ foundation training programme recommended to be undertaken by recently appointed care staff within the first six months of employment has been withdrawn because of the overlap with NVQ Level 2 training, it is recommended that following the ‘Skills for Care’ induction training programme, recently appointed staff are registered on a NVQ Level 2 training programme in place of the previously recommended foundation training. Since the last inspection, the majority of staff have undertaken training in a variety of topics that has included updated medication training, fire safety, falls prevention and emergency first aid. In addition, a number of staff have successfully completed a ‘Drugs Use and Misuse’ distance learning course and updated moving and handling and infection control training is planned to take place in September/October 2005. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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) 31,33,35,36 & 38 The manager provides clear leadership throughout the home. However it is recommended that the manager undertake a nationally recognised care manager’s qualification to ensure she has the required skills and abilities to manage the care home. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of, service users, staff and other stakeholders. Systems are in place to ensure as far as possible the health and safety of service users, staff and visitors. EVIDENCE: The registered manager at Redlands is very competent and experienced to run the care home and has undertaken periodic training to expand and update existing skills and knowledge. However there is a requirement that the registered manager must also obtain a relevant management and care Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 18 qualification at an advanced level. From discussion with the registered manager, it is understood that this course of study will be undertaken, but to date no progress has been made to register for this course. Please advise in the Action Plan of the proposed commencement date. On occasions service users at Redlands are reluctant to cooperate in formal systems to assist in the internal quality audit however some service users have now completed anonymous questionnaires. As recommended in the last inspection report, anonymous questionnaires for external stakeholders such as friends, medical personnel, care managers etc have also now been introduced that were evidenced at inspection. In addition, Redlands Care Home has very recently been assessed by an external professionally recognised quality assurance system and is hopeful that the ‘Investors in People’ award will soon be confirmed. It was evidenced that policies and procedures are regularly reviewed and updated as required in light of changing legislation. All service users with capacity and who wish to do so control their own money however there are a number of formal agreements with individual service users to enable the home to assist with daily budgeting of benefit entitlement. Facilities are available for the safe keeping of monies or valuables held on behalf of service users with relevant records and receipts kept. Since the last inspection, security in respect of the safe keeping of service users monies has been strengthened that now includes a burglar alarm system in the area where service users monies are kept. In order to ensure service users monies held at the home are kept to a minimum, service users have been encouraged to open a saving account and to deposit monies appropriately in these accounts. All staff at Redlands Care Home are appropriately supervised through both formal and informal processes. It was evidenced from staff supervision forms and discussion with a number of staff that formal, documented one to one staff supervision takes place at least six times a year covering a variety of topics. In addition, staff also has an individual annual appraisal. This process is further supplemented by continuous informal supervision as part of the usual management process. Recruitment, training and supervision policies were also evidenced that are compliant with recommendations. The registered manager ensures the health, safety and welfare of service users through the development of a variety of policies and procedures and staff training initiatives. All staff undertakes a variety of health and safety training and further moving and handling and infection control training has been arranged to take place in the near future. The majority of staff have completed the emergency first aid course and the remainder of the staff who have not undertaken this training are due to do so later this month. However from discussion with the registered manager, it in understood that to date no member of the staff team has undertaken the more advanced ‘First Aid at Work’ course and there is a recommendation that a person who has undertaken this more advanced course of first aid training be on duty at all Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 19 times. Equipment in the home is regularly serviced and physical risk assessments undertaken as appropriate in respect of safe working practices with significant outcomes recorded. All communal and private accommodation is routinely `audited` on a regular basis by a designated member of staff and any required action taken. It was noted that the home has a procedure for testing the water supply for Legionella and all hot water outlets in service user accommodation are fitted with a thermostatic device to control the temperature the water is delivered. The water temperature from these outlets is checked and recorded on a monthly basis. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x 3 x 3 3 x 3 Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 21 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. Standard 31 Regulation 26(4)(5) Requirement All monthly Regulation 26 written reports by the registered provider or their representative must be made available to the home’s manager and a copy provided the Commission for Social Care Inspection. (Time scale of 28/02/05 initially met but since then only met in part) Timescale for action 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations It is recommended that the outcome of the individual risk assessment be incorporated in the individual care plan or alternatively the risk assessment be kept with the care plan and reference made on the care plan to refer to the risk assessment. A minimum ratio of 50 trained care staff (NVQ Level 2 or equivalent) should be achieved by 2005. The registered manager should have a qualification at level 4 NVQ in management and care (or equivalent) by 2005. It is recommended that the annual plan be redeveloped to be comprehensive. A qualified first aider who has undertaken the more F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 22 2. 3. 4. 5. 28 31 33 38 Redlands Rest Home advanced First Aid At Work course should be on duty at all times. Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 Redlands Rest Home F57 F09 S9765 Redlands Rest Home V237553 110805 Stage 4.doc Version 1.40 Page 24 - 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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