Inspection on 06/06/06 for Rookwood

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Rookwood 06/12/07

Rookwood 18/01/06

Rookwood 24/08/05

Rookwood 16/12/04

Rookwood 25/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rookwood 26 Silverdale Road Burgess Hill West Sussex RH15 0EF Lead Inspector Mrs A Peace Unannounced Inspection 6th June 2006 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rookwood DS0000014684.V292951.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. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rookwood Address 26 Silverdale Road Burgess Hill West Sussex RH15 0EF 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) 01444 232215 South Coast Nursing Homes Limited Mrs Charmain Holmes Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Rookwood is a care home able to provide personal care and support to 25 residents who are over 65 years of age. The property is detached and situated in a residential area close to the centre of Burgess Hill. Local shops and community facilities are close by. Private accommodation is arranged on two floors, the upper floor being accessed by passenger lift. Four bedrooms are on an upper mezzanine floor, which can only be accessed by a short flight of steps and six bedrooms are in the new extended part of the building. Communal space consists of a dining room and two lounges. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace carried out this unannounced fieldwork inspection on 6th June 2006. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, information was requested and received from the home in the form of a questionnaire. Records held on file and information received from the home since the last inspection were reviewed. CSCI received 16 satisfaction survey forms and 1 letter from residents and their relatives. They were all generally complimentary although 5 residents said that they were not always happy with the food on offer. Mrs Holmes the Registered Manager for the home was present for the inspection. A general tour of the home was undertaken and the majority of rooms visited, there was a nice homely atmosphere and staff were friendly and helpful during the visit. Residents looked comfortable and happy. A case tracking exercise from records of admission to care given was carried out for a number of residents. Staff records and relevant records relating to the administration and management of the home were examined. The records seen were in good order. The majority of the residents were spoken to and 10 at length. All of the residents spoken with were happy with the care they receive, comments included “ staff look after us extremely well ”, “ we are well looked after”, “we can please ourselves what we do with the help of staff”. Staff said they enjoyed working at the home; they were well trained and had support. The inspector sampled the midday meal, which was appetising and tasty. No immediate requirements were made so a feedback form was not left at the home following the fieldwork. Any issues identified, which needed action, were discussed with Mrs Holmes at the conclusion of the visit. The Fire Service has made requirements following their inspection; an action plan to address requirements is in place. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better: All staff should have basic training in adult protection procedures during their induction process. The fixed electrical installation in the home should be inspected and tested and portable appliances should also be tested regularly. To minimise the risk of accidents the two remaining uncovered radiators should be covered before they are turned on again for the winter. A quality assurance system should be developed, the views of residents, their families and friends should be sought formally so the company can measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 7 An audit should be undertaken with the residents to establish that the meals being prepared are what they want to eat because some of the residents said they would like more choice, the audit should also evidence that the activities arranged meet with residents wishes. It would be beneficial if staff administering medication had access to up to date information on drugs. 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. Rookwood DS0000014684.V292951.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 Rookwood DS0000014684.V292951.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): 1,2,3,4,5. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before a placement is offered. EVIDENCE: The fees for the home range between £400-£560 per week. The statement of purpose/service user guide was available and Mrs Holmes said that there had been no need at present to amend the document because there had been any changes. A notice saying that a copy of the latest inspection report was available in the home. Each resident is given a contract when they enter the home. Most of the residents had family or friends who were able to act upon their behalf. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 10 The Registered Manager Mrs Holmes assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the care records and resident’s needs had been updated appropriately. Residents have an opportunity to visit the home or have a trial stay to see if the home will meet their needs. The home does not take anyone in for intermediate care. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 11 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. The quality in this outcome area is very good. This judgement has been made using available evidence including a visit to this service Resident’s needs are reflected in the assessments and care plans. The medication procedure is safe and staff are trained to administer medication. Residents are able with assistance to make choices about their lives and the staff protect their privacy and dignity. EVIDENCE: A key worker system is operated on the home to ensure staff are aware of residents needs and for continuity of care. Care plans are well written and contain all the information necessary to look after the residents. They are reviewed and updated regularly. The inspector tracked care records to care given and spoke to the residents and could confirm that the staff care for the residents to a good standard. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 12 All of the residents spoken to were complimentary about the home and the staff. District nurses visit residents who are in need of short-term nursing care. General practitioners, opticians, dentists and other professionals also visit the home when requested and records are kept of all such visits. Medication was stored safely and records are well kept in regard to the administering and disposing of them. Designated staff are trained to administer medication and one carer who was spoken to was knowledgeable about the resident’s conditions and their medication. It would be beneficial if staff administering medication had access to up to date information on drugs. Through speaking with residents the inspector could confirm that both day and night staff do respect the privacy and dignity of residents at all times. One health professional who was visiting the home on the day of the fieldwork was very complimentary about the home and the way in which the staff care for the residents. He said that he is always treated in a professional manner when visiting and staff are very helpful. 16 satisfaction surveys were returned to CSCI and they were all complimentary about the staff and the care they give. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents stated that they are generally happy with their lifestyle, are able to keep in contact with their family and friends and able to have choice and control over their daily tasks. A number said they would like more activities. Good home cooked food is provided, although some residents did say they would like more variety. EVIDENCE: The home does not employ an activity co-ordinator but does provide some activities for the residents if they wish to join in. The staff are presently organising a summer fete. Seven residents said that they would like more activities but when the Inspector spoke to Mrs Holmes she did say that activities were arranged on a regular basis but not all residents wanted to take part. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 14 There was an activity calendar available which indicated that outside entertainers do visit the home. Mrs Holmes said that staff spend time with residents playing board games and running quizzes. Residents said they could get up and go to bed when they wished to. Residents were generally complimentary about the food but said that they would like more variety; the main meal served on the day was home made Cottage Pie with fresh vegetables followed by a homemade dessert. The Inspector sampled the meal which she found it to be well cooked and delicious. The menus indicated that nutritious good home cooked food is served, alternatives are available at all times and the chef was aware of the likes and dislikes of residents. Out of the 8 residents satisfaction surveys returned to CSCI, 5 recorded “sometimes” when asked if they liked the food. This was discussed with Mrs Holmes at the conclusion of the inspection. The Inspector asked about the timings of meals and because the evening meal is served from 5.30pm and the breakfast between 7 & 8am it seemed a long time between meals. She was told that residents have a hot drink and biscuits about 9.15 and also some residents liked sandwiches or toast. This was confirmed by speaking with residents. It is recommended that that a quality assurance survey with the involvement of residents be planned regarding the variety of the meals and provision of activities Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 15 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 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Complaints are handled in accordance with the home’s procedure and residents stated that their views are listened to and acted on. In the majority of cases residents are protected from abuse. EVIDENCE: Records indicated that the majority of staff have been informed of the procedure regarding protection of vulnerable adults or have attended Adult Protection Training; a copy of the West Sussex Protection for Vulnerable Adults was available in the office. New staff have to work through an induction sheet when the start work at the home, this informs them of the procedures they have to follow in the home. Some new members of staff did not have adult protection on their induction sheet so there is no evidence that they had been informed of what to do if abuse is suspected or witnessed. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 16 There have been no complaints made about the home to the CSCI and the complaint book in the home had one complaint recorded since the last inspection. This had been investigated appropriately and action taken in line with the homes complaint procedure. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 17 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): 19,20,21,22,23,24,25,26. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents live in a comfortable, homely, clean and comfortable environment and there are sufficient facilities and equipment to meet their needs. There are still outstanding requirements from the Fire Safety and Rescue service. EVIDENCE: Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 18 The location and layout of the home is suitable for its stated purpose. It is well maintained both externally and internally and meets service users needs in a comfortable and homely way. The Inspector toured the premises and found the service user’s rooms to be fresh and clean, beds had been made and washbasins and toilets were clean and fresh. Residents rooms are personalised by the addition of small items of furniture pictures ornaments and photographs. Two bedrooms have been refurbished and new furniture purchased since the last inspection. The Inspector questioned whether there was enough ventilation in one of the rooms as there was only one small window that could be opened. Mrs Holmes was asked to bring this to the attention of the providers during their next visit. The communal accommodation consisting of two lounges, one a sun lounge and a dining room is homely, comfortable and well decorated. Building work at the home has only recently been completed so the gardens and areas around the side of the home are still being worked on. Mrs Holmes said that she intends to get them looking nice in time for the summer fete. There is a pleasant and safe patio area with garden furniture arranged so residents can sit outside if they wish. The premises comply with the requirements of The Environmental Health Department. Maintenance and other service records were available for examination and were well organised. The West Sussex Fire and Rescue Service carried out an inspection in September 2005, following this they made requirements that improvements are made to the home to ensure the premises are safe. Some requirements had to be addressed immediately and others requirements have completion dates, the Inspector could confirm that work to meet these requirements is ongoing. To minimise the risk of accidents the two remaining uncovered radiators should be covered before they are turned on again for the winter. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 19 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. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service There are sufficient staff employed to ensure that resident’s needs are met. The home has a sound recruitment policy and appropriate checks are made. Staff training is provided and staff are competent to do their jobs, however all staff must have instruction in adult protection procedures. EVIDENCE: Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 20 From observation and discussions held during the fieldwork visit the Inspector concluded that the staffing levels are appropriate to the assessed needs of the service users presently accommodated. There are two waking staff on duty during the night. One member of staff had gone off sick on the day of the fieldwork so Mrs Holmes was working on the floor supporting care staff in the morning. The Inspector discussed with Mrs Holmes the need to use agency staff if permanent care staff are unable to cover future shifts so the home is not left short of staff. Care staff are supported by an appropriate number of ancillary staff. All staff employed at the home have undergone Criminal Records Bureau (CRB) checks to ensure safety for the residents, copies of these were available for inspection. Staff training had been undertaken in all areas and the evidence showed that all staff are offered training relevant to their work. The policy for the home says that there will be a documented training plan for all staff specific to the requirements of the job position. Mandatory training provided is Manual handling, fire adult protection, health and safety, first aid, infection control. Dates were displayed for training in adult protection procedures. Only the records of the new staff were examined, all had basic induction which included the above but not all had basic adult protection. NVQ is encouraged and the Pre inspection questionnaire submitted states that 45 of carers have achieved this. The training officer for the company was in the home on the day of the fieldwork assessing a member of staff. There was a notice that distance training is available for staff and a copy of the yearly training plan for all staff was displayed. The records of 7 new staff were examined and the Inspector could evidence that robust recruitment processes are in place. Two of the staff did not have two references and the references for one member of staff could not be found, these had been seen at an earlier inspection and the Inspector was told that due to the re organisation in the office they may have been misplaced. These missing references will be reviewed at the next visit. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 21 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): 31,32,33,35,36,37,38. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a well-qualified, caring and competent manager and is run in the best interests of residents. Resident’s financial interests are safeguarded and in the majority of cases the health and safety of residents are promoted and protected. The views of residents, their families and friends are not sought formally so the company have yet to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. The majority of the health and safety systems are maintained according to standard. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 22 EVIDENCE: Mrs Holmes the Registered Manager is an experienced manager who has completed the registered managers award. Staff confirmed that there were clear lines of accountability within the home and said they felt well supported in their roles. On the day of the fieldwork visit the Inspector noted there to be an open and friendly atmosphere within the home and a visiting health professional said this was always the case. Mrs Holmes does carry out her own audits on various issues, however, to meet the standard a full quality assurance and monitoring system should be commenced in the home, the need for this was discussed during the inspection. Appropriate policies and procedures were available and the Inspector confirmed that Insurance cover is available in the home. Service users are encouraged to manage their own affairs with the help of relatives or advocates if necessary. A staff supervision and appraisal system is in operation the Inspector could also confirm that supervision is given on an informal basis continually. From reviewing records, speaking to residents and staff the Inspector concluded that service users rights and best interests were safeguarded by the home’s record keeping. Staff training records are available to indicate that staff have received training in appropriate health and safety procedures and that further training is been planned throughout the year. The Providers send regular brief Regulation 26 reports to the Commission. These reports should provide information on a monthly basis on the conduct of the care home and to reassure the Commission, residents, relatives and representatives that the Providers are monitoring the home on a regular basis. In view of government plans to implement proportional inspections it would be in the Providers interests to ensure that the Commission receives good quality Regulation 26 reports and evidence of internal quality assurance systems. These will have a bearing on the Commission’s risk assessment for homes which will determine how often homes are inspected. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 23 There is a suggested format for these reports for use of providers available on the CSCI website. The record to certify when the fixed electrical installation for the home had last been inspected and tested was dated November 2000. The Institution of Electrical Engineers (IEE) recommend that fixed electrical installation should be inspected in care homes at least every five years. The records for the checking of portable electrical appliances in the home to ensure they are still safe was last dated 2003. These should be checked yearly. The West Sussex Fire and Rescue Service carried out an inspection in September 2005, following this they made requirements that improvements are made to ensure the premises are safe. Some requirements had to be addressed immediately and others requirements have completion dates, the Inspector could confirm that work to meet these requirements is ongoing. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 3 3 3 3 3 2 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 3 2 1 X 3 3 2 2 Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 25 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 OP19 Regulation 23.4 Requirement Requirements of the Fire Officer must be carried out. The registered person shall inform the CSCI of the timescale for work to be completed by Timescale for action 31/07/06 2 OP33 24 3 OP18 13.6 The registered person shall 31/07/06 establish and maintain a system for reviewing at intervals and improving the quality of care provided at the care home. CSCI to be informed of action that will be taken by The registered person shall make 31/07/06 arrangements by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm and abuse. CSCI to be informed of action taken by Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard OP9 OP25 OP38 Good Practice Recommendations Care staff should have access top up to date information on medication. To minimise the risk of accidents the two remaining uncovered radiators should be covered before they are turned on again for the winter The fixed electrical installation in the home should be inspected and tested and portable appliances should also be tested regularly. Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Rookwood DS0000014684.V292951.R01.S.doc Version 5.1 Page 28 - 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!