Inspection on 31/10/05 for Rookwood Residential Care Home

This inspection was carried out on 31st October 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rookwood Residential Care Home 15/11/06

Rookwood Residential Care Home 06/02/06

Rookwood Residential Care Home 24/02/05

Rookwood Residential Care Home 08/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Rookwood Residential Care Home 219 Walmersley Road Bury Lancs BL9 5DF Lead Inspector Lucy Burgess Unannounced Inspection 09:30 31 October 2005 st Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 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 Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 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. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rookwood Residential Care Home Address 219 Walmersley Road Bury Lancs BL9 5DF 0161 761 7952 0161 761 7952 antric@tiscali.co.uk 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) Mrs Anna Geraldine Ellis Mr Colin Bruce Ellis Mrs Collette Mary Richmond Care Home 17 Category(ies) of Learning disability (17), Mental disorder, registration, with number excluding learning disability or dementia (17) of places Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered numbers there can be up to 17 MD and up to 17 LD The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection 24th February 2005 Date of last inspection Brief Description of the Service: Rookwood provides residential care and support for up to seventeen people who are recovering from a mental illness. The home is owned by Mrs A Ellis and managed by Mrs C Richmond. The property is a large converted house that is sited on a main road about a mile from Bury town centre. Accommodation is on three levels and comprises of three lounges, a dining room, eleven single bedrooms and 3 double rooms. There are also four bathrooms and eight separate toilets. The home is spacious, homely and well maintained. Service users have access to local shops, pubs and other amenities situated nearby and there is easy access to bus services. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day for a period of 6½ hours. The inspector took the opportunity to look round the home, view records as well as talk with a number of residents. Discussion and feedback was also held with the Owner. The home is registered to provide accommodation for up to 17 people. At the time of the inspection there were no vacancies. Not all the standards were looked at during this inspection. Key standards not addressed will be look at during the next inspection. What the service does well: What has improved since the last inspection? The home continues to provide well maintained accommodation for those that live there. Work has taken place to further enhance the appearance. Training opportunities have been made available for staff to develop their knowledge and skills. Supervision sessions also have started allowing for the manager and staff to discuss care practice and any further training and development needs ensuring residents are well cared for. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 6 The home has recently sought the views and opinions of the residents and families with regards to the overall care and services provided by the home. Feedback was very positive and comments made by family members was that they felt that the quality of care was good, staff were friendly and the cleanliness of the environment was excellent. Whilst the residents expressed that they didn’t like change and did not want more activities, they were happy with the food, the home and care provided. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 7 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 Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: The key standards will be addressed at the next inspection. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 to 10 Care plans clearly identify the support needs of residents and how these should be met ensuring their health and well being is maintained. Management strategies need developing with regards to identified risks ensuring staff and residents are safe. Residents expressed they were well cared for and were clearly involved in making decisions about their lives. EVIDENCE: Detailed information is held for each of the residents and includes information with regards to their physical, emotional and mental well-being. Files were orderly and separated into specific areas. Where specific needs had been identified this had been outlined within the plan along with appropriate action to take. Plans had been reviewed on an annual basis or more regularly if required, all changes had been clearly identified. Where possible plans had been signed by both staff and the resident evidencing their involvement and agreement. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 10 Further information was also held with regards to formal mental health reviews, which had taken place with health professionals. Minutes to meetings had been provided and copies held on file. Information clearly showed that the mental health needs, behaviours, routines and medication needs of residents were being monitored. Reviews were said to be carried out every 3 to 6 months depending individual assessed needs. The Community Psychiatric Nurses (CPN) and hospital consultants provide on-going support and advice to the team. Risk assessment documents had been completed in each of the resident files. Where concerns have been identified this information needs to be further detailed within the plan evidencing how this is to be managed. For example several residents smoke in their bedrooms although they have been requested not to do so. Due to the behaviour of one resident this is not managed safely. Whilst this behaviour may not be stopped information should be detailed on file with regards to how staff monitor this and ensure the risk is minimised and individuals are protected. Additional records are also held. Daily diaries are completed by both day and night staff for each resident. Records would also be used for monitoring purposes should changes in health or behaviour be noted. Residents are able to make decisions about their lives enabling them to increase their independence. Residents are able to come and go freely pursuing activities of their choosing and this was observed during the inspection. Residents follow various leisure activities, college courses, drop-in centres or day centres. Daily routines are based on individual preferences and motivational levels. As the home is relatively small, informal day-to-day contact is made between residents and staff with the views and opinions of both parties being easily aired. This method is preferred rather than formal meetings. From feedback received and through observations made residents are happy with the support they receive. Interactions with staff were seen to be open and friendly. Residents felt they could speak with the manager and staff in confidence. Staff were found to have a good awareness of individual needs. Information regarding the residents is held securely within the staff office. This is accessible to staff to refer to throughout the day. Clear information is held with regards to residents’ finances. Personal allowances are distributed each week and managed by the residents’ themselves. A number of residents also have separate savings accounts. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 to 17 Residents choose to participate both within the home and local community, enabling them to lead valued lives, develop skills and increase their independence. Support is offered where required. Regular contact is made with family and friends and visiting is encouraged. The meals are good and offer choice, providing residents with a varied diet. EVIDENCE: Each of the residents follow a variety of activities both in and away from the home. Whilst some of the residents lead quite active lifestyles others prefer a more relaxed routine. The home is situated on a main road and is easily accessible for the local buses to and from Bury. Each of the residents have a bus pass. One resident expressed that this enabled him to travel independently to various places of interest. There are also local shops, churches and pubs within walking distance of the home. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 12 Routines are very much dependant on the needs and wishes of individuals. Encouragement is offered enabling individuals to pursue their own interests. For example one resident enjoys embroidery and spent time making a new picture, which would then be framed and hung on the bedroom wall. Other residents spoken with enjoy making use of the local park where they go for walks. Other activities include doing puzzles, football, swimming, shopping trips, church and a local drop-in. Residents prefer not to have a formal group meeting therefore individual routines and support needs are discussed on a 12-1 basis. Menus are in place offering a variety of meals, which are eaten in the dining room. Alternative options are provided with regards to sugar free items. Ample stocks were available and included both fresh, frozen and tinned goods and milk is also delivered daily. Residents are also offered drinks throughout the day and suitable arrangements are in place for suppers. Additional monitoring is also undertaken where staff will record diet and individual weights. Residents expressed that ‘the food is good’ and ‘you get ample’. Those residents wishing to help in the kitchen with washing up are encouraged to do so. Residents also have regular contact with family and friends. Several individuals have regular visits to and from members of family and this is encouraged. The home has ample communal space to accommodate visitors. Individual rights are promoted. Residents are given their mail unopened and each have a key to their own room. Feedback was received included, ‘I’m perfectly happy’, ‘I get everything I need’, ‘ we fit in very well with each other’, ‘the meals are excellent and you get ample’, ‘the staff are good’ and ‘I feel safe’. One resident also expressed that should he have any concerns he felt able to discuss these with the manager and if she couldn’t help then she would put him in touch with someone else. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 The health and personal care needs of residents are consistently met ensuring their well-being is maintained. Positive relationships have been developed with specialist health services ensuring residents health is promoted. EVIDENCE: Information is held in relation to the mental and physical health needs of residents. Health care professionals are accessed for additional support and advise ensuring sufficient support and monitoring is provided in meeting the needs of residents. Formal reviews as required under the Mental Health Act are made and detail the stability, progress or concerns in relation to the resident’s mental health. Further information is also recorded within the care plans outlining the specific support needs of individuals and how they are to be met giving clear directions to those offering support. One file also evidenced the additional support and monitoring of a resident who has diabetes. Regular appointments are held for blood tests. Optical appointments had also taken place along with weight monitoring. The resident and staff also had a good understanding in relation to the dietary needs and what alternative provisions would be made available. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 14 Staff provide personal care support in varying degrees. This is very much dependent on individual needs. In the main residents are prompted in maintaining their own personal care. Bathing and toileting facilities are provided on each floor and are easily accessible to each of the residents. The medication system was inspected by the CSCI pharmacist on the 10th October 2005 therefore was not examined during this visit. Action identified has been detailed within a separate report. One of the new staff members has previously undertaken medication training. It is advised that a copy of the certificate is provided and held on file. The proprietor also expressed that further training would be provided in this area in relation to the system used within the home. This is good practice. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Systems were in place with regards to the investigation of complaints and adult protection issues, ensuring that residents were listened to and protected. EVIDENCE: The home has clear policies and procedures in place covering complaints and the protection of vulnerable adults. No complaints have been received either by the home or CSCI. The home also has a copy of the Local Authorities Vulnerable Adults procedure. The majority of staff have received in-house training as well as formal training in this area, this is still needed for the newest member of the team. Residents spoken with were clear about what they could do if they had any concerns or complaints. Residents felt they were able to raise any issues with the staff, manager or owner. The home also has further written policies and procedures for adult protection, these include dealing with whistle blowing and confidentiality. Additional policies still need to be drawn up in relation to recruitment and selection and the management of residents’ finances. In relation to residents finances each of the residents receive their full personal allowance each week and records are made of all transactions. The Proprietor is appointee for 9 of the residents. Those individuals that have additional accounts i.e. saving accounts these are registered in their own names. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Rookwood provides a comfortable, clean and homely environment for the residents living there. EVIDENCE: Rookwood is a large property that is in keeping with those around it. The proprietor continues to provide a good standard of accommodation for the individuals living there. Accommodation is spacious and comprises of 3 lounges, one of which is the designated smoking area, a dining room, kitchen, 11 single bedrooms and 3 double rooms. Residents were seen to spend time relaxing in all areas. There are also 3 bathrooms and 8 separate toilets, which are available on each floor, a basement laundry and staff office. None of the bedrooms have en-suite. On going refurbishment and redecoration takes place. The home has recently fitted new flooring for the bathrooms, purchased new blinds, bedding and curtains, redecorated one of the lounges as well as purchasing new furniture and new beds. This has further enhanced the homes appearance. The Proprietor has identified further work within the kitchen, hall, stairs and landings. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 17 Each of the bedrooms were seen. Residents had personalised their rooms with personal belongings. Residents spoken with were very happy with their rooms and felt they had everything they needed. All rooms have a sink provided and suitable door locks. Residents have keys for their own rooms. The home employs a domestic who undertakes a majority of the domestic tasks, however additional tasks are carried out by the support staff. The environment was seen to be clean, tidy and odour free. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 to 36 Staff at the home are in sufficient numbers to meet the needs of residents. On going training is provided to equip staff with the knowledge and skills needed in meeting the needs of service users. In the main recruitment and selection procedures are followed ensuring the residents are protected. EVIDENCE: The Proprietor works closely with the homes’ manager ensuring effective systems are in place to support both the residents and staff. Staffing levels are sufficient to meet the needs of the residents. The majority of staff and residents have worked at the home for a number of years therefore have developed good working relationships with each other. From observations made the rapport between residents and staff was relaxed and friendly. The staff team is small and consistent with little turnover. A new member of the team has recently been recruited. The staff personnel file was seen for the newest member of the team. Information included an application form, full employment history, health declaration, identification and references. A copy of the criminal record check carried out by the previous employer was held on file. Application has been made for a further check as well as a POVA 1st Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 19 check, however neither document had been received by the home. The manager is advised to access the POVA 1st request, which is provided on the completed criminal record application. This is to be held on file pending the return of the full check. This should be in place prior to new staff commencing employment. Various training courses have been provided for some members of the team, these have included food hygiene, moving and handling, protection of vulnerable adults, medication and risk assessments. Information and a video has also been sought with regards to mental health needs. This is available for all staff to further enhance their knowledge in relation to the needs of the residents. Further training has been identified with regards to supervision and managing aggression. Copies of training certificates are held on individual files. The home also hold a Topps induction booklet, this is undertaken as part of the in-house training with all new staff. New information has been forwarded to the home. Staff training has been provided with regards to the NVQ courses. One staff member has achieved level 3 and another has completed level 2 and is currently doing level 3. Three further staff have also achieved level 2 and another 4 are currently doing the course. A supervision system has recently been introduced. Records are made of the 1-2-1 support session held. The manager is to undertake further training in this area in the New Year. Staff spoken with felt fully supported and felt able to carry out their role effectively. Comments received included, ‘we have good team work and communication’, ‘we help each other out’ and ‘I really enjoy the work’. All staff spoken with felt able to approach the manager and proprietor if they had any concerns. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The home has actively sought the views and opinions of stakeholders with regards to the quality of service provided as part of their on-going development in meeting the needs of residents with mental health needs. EVIDENCE: The home has recently distributed quality assurance questionnaires to each of the residents and their families. A high number of responses were received. Those residents who wished to abstain were respected. Feedback received was very positive, families felt that the quality of care was good, staff were friendly and the cleanliness of the environment was excellent. Other comments included that relatives were kept informed, that they ‘felt reassured’ and were ‘more than satisfied’. The residents expressed that they didn’t like change and did not want more activities. They were happy with the food, home and care provided. Other systems are in place enabling feedback to be sought, this includes formal supervisions. The Proprietor and manager work directly with the Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 21 residents and staff and therefore communicate regularly with staff each day as well as being able to gain further feedback. Effective relationships have also been established with mental health professionals. The majority of residents have lived at the home for a number of years, with their mental health remaining stable. Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rookwood Residential Care Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000008425.V259780.R01.S.doc Version 5.0 Page 23 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 YA9 Regulation 13/23 Requirement Timescale for action 31/12/05 2. YA23 17 3. YA34 19 schedule 2 That a risk detailed assessment is undertaken in relation to the identified issues related to residents smoking in their bedrooms. (previous timescale of 31/5/05 not met) That policies are developed in 31/12/05 relation to the protection of service users as outlined within the report. (previous timescale of 31/5/05 not met) 31/12/05 That up to date criminal records st checks/Pova 1 checks are held on file prior to new staff commencing employment. 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 YA23 Good Practice Recommendations That training in relation to the protection of vulnerable adults is provided for the newest member of the team Rookwood Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Residential Care Home DS0000008425.V259780.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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