Inspection on 14/09/06 for Rosedale

This inspection was carried out on 14th September 2006.

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

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

Other inspections for this house

Rosedale 17/07/08

Rosedale 18/07/07

Rosedale 24/11/05

Rosedale 25/04/05

Rosedale 07/10/04

Rosedale 04/05/04

Rosedale 28/11/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Rosedale 1 Wide Way Mitcham Surrey CR4 1BP Lead Inspector Liz O`Reilly Unannounced Inspection 14th September 2006 10:30 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 Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Address 1 Wide Way Mitcham Surrey CR4 1BP 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) 0208 679 0752 Mr Kanagasabai Wignarajah Kailasananthan Mr Kanagasabai Wignarajah Kailasananthan Care Home 12 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number disorder, excluding learning disability or of places dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (12) Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Rosedale is an extended domestic property which provides accommodation and care for up to twelve older people three of whom may have dementia or suffer from mental illness. The home is owned and managed by Mr Kailasananthan. The property is in keeping with neighbouring houses and is not identifiable as a care home. The home is close to public transport, leisure facilities, a group of local shops and places of worship. Accommodation is provided on two floors. The shared areas of the home are on the ground floor. A garden is available to the rear of the building. The home is staffed twenty four hours a day. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector. The inspection consisted of two fieldwork visits to the home, on 14th and 21st September, discussions with residents, staff and the Registered Person. Questionnaires were provided for all residents and a sample of relatives or friends and other professionals involved with the home. The evidence and judgements in this report are drawn from all of these sources as well as observations made by the inspector on the day of the fieldwork visit. At the time of this inspection eleven residents were living at Rosedale two of whom were in hospital. What the service does well: What has improved since the last inspection? Since the last inspection of the home staff make sure that they have information on the needs of each individual before they are admitted to the home. Bedrooms have been redecorated. Staff continue to be encouraged to take up opportunities for training. Improvements have been made in the recording systems. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 6 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. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 7 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 Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 8 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): 3&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents have opportunities to visit and spend time in the home before they make a decision about moving in. Admissions are not made to the home until a full assessment of individual needs is carried out. Residents are provided with information on the home and the service they can expect through the Service User Guide. This home does not provide intermediate care therefore standard six does not apply. EVIDENCE: Residents are encouraged to visit the home and meet with staff and other residents before they make a decision about moving in. New residents are provided with a Service User Guide which sets out the aims and objectives of the home along with information on what they can expect from the service. Staff or relatives go though this document with each resident to make sure they are aware of their rights and responsibilities. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 9 A Care Management assessment is carried out for each prospective resident who is placed by a local authority. The home receives a copy of the assessment before the resident moves into the home. This information is used to set up an initial care plan to ensure that staff are aware of the needs and strengths of each individual before they move in. Staff from the home also carry out their own assessment. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Each resident is provided with a care plan which includes the basic information necessary to plan their care and risk assessments. Further work needs to be done on the care planning to make sure that the social and cultural needs of residents are recognised and addressed. The health care needs of residents are met. Medication is appropriately managed. Residents confirmed that they felt staff respected their privacy. EVIDENCE: Staff compile individual care plans which set out the needs of each person with information on how these will be met. Not all care plans or reviews were signed. The manager must make sure that all of those involved in the compiling and reviewing of care plans are requested to sign and date the records including the resident and or their representatives. Space is available for residents to share information on their personal history, and family background. However this is a brief section and could be expanded Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 11 to allow residents the opportunity to share with staff more of their history from their own perspective. Residents are requested to provide some information on their cultural and family background. There is little information on the social, cultural, sexual or religious needs and wishes of individuals. Care plans need to be made more person centred with the full needs and aspirations of individuals addressed. Staff keep good daily notes for each person. These notes include some information on the likes and dislikes of individuals. This type of information should be included in the care plan. All residents are registered with local GP practices and are supported to attend the GP surgery if possible. District nurses will attend the home if needed and at the time of this visit two community Psychiatric Nurses were visiting to provide advice and support to individuals. Residents have access to regular dental and optical checks. A chiropodist visits the home and residents also attend a walk in clinic for chiropody. Feedback from health and social care professionals indicated that the home worked in partnership with others and kept other professionals well informed of any changes or concerns they might have. Medication is safely stored and well managed. Up to date records are kept of all medication given, received into the home and returned to the pharmacist. First aid boxes are available for use in an emergency. Residents felt that staff were “respectful” and take care to respect their privacy and dignity. Staff were observed to offer advice and assistance in a discreet manner. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff support residents to continue with their own individual interests. Residents felt they made their own decisions about what activities they participated in. Staff were seen to support residents in maintaining or re establishing contact with relatives and friends. The social, cultural and religious needs and wishes of residents need to be included in the care planning. Further work should be done to offer wider opportunities for those less mobile residents. EVIDENCE: The home produces an activities programme but residents can also make choices on the day as to what they would like to do. Within the home residents said they liked to play dominoes, cards and to sit in the garden. Residents said that they had enjoyed a garden party week before this visit. Residents were observed reading newspapers and magazines and talking to staff. Residents said they made their own choices about joining in activities. One resident attends a day centre on a regular basis and another resident continues to attend the Oasis centre. Residents have the option of attending a lunch club at a local church. There is a Christian service in the home once a Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 13 month which all residents can attend if they wish. One resident attends a local church. Staff support residents in seeking out appropriate community facilities to meet their cultural and or religious needs. One resident was in the process of joining a local gym at the time of this visit. Another resident arranges their own coach trips which they take two to three times a week in the summer months. Residents go out for frequent walks around the local area and make trips to local shops. Consideration should be given to expanding the opportunities available to those residents who have difficulty in accessing community facilities. At the time of this visit none of the residents spoken to were involved in the domestic activities in the home. The Registered Person should consult with residents on what activities they may wish to be involved in and investigate widening the options open to them. Residents confirmed that they can have visitors at any time. Staff support residents to maintain and in one instance re establish communication with relatives and or friends. Feedback from relatives and friends was positive, visitors felt welcomed in the home by staff. Residents told the inspector that they made their own choices about day to day issues such as getting up, going to bed and what they have to eat. Residents made positive comments about the food provided. Staff discuss with individuals their dietary needs and wishes. Staff were found to be well informed about the individual preferences of residents and were able to adjust the menus accordingly. Comments from residents on the food included “its very nice”, “they are good cooks”, “I get plenty to eat, too much sometimes” and “it’s just like home cooking”. The home is able to provide specific diets for residents with cultural and or religious needs. Staff have supplied additional food for one resident during a stay in hospital. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are aware of the complaints procedure and who they should contact if they have a problem. All staff have received training on the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure which is on display. Residents spoken to at the time of this visit said that they knew they could make a complaint if they wanted to. Systems are in place for any complaint to be recorded along with actions taken to investigate and outcomes. The manager stated that no complaints had been received. The CSCI have received no complaints about the service. All staff have been provided with training on protecting residents from abuse. Staff were found to be aware of their responsibilities to report any evidence or allegations of abuse. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 15 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, 23 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Bedrooms have been redecorated however a number of areas are showing signs of wear and tear. Some maintenance issues have been outstanding for a significant length of time. An annual maintenance and redecoration programme needs to be put in place to make sure that all areas of the home are kept in good repair and decoration. Discarded equipment and rubbish must not be allowed to accumulate in and around the outbuildings. EVIDENCE: Since the last inspection of the home some areas have been redecorated. Residents spoken to at the time of these visits were pleased with their individual bedrooms. A number of residents have personalised their rooms. There are a number of issues which need to be attended to in the environment. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 16 The ground floor corridor is in need of redecoration. All bedroom doors are showing signs of wear and tear these need to be cleaned and repainted. The bathroom on the first floor is in need of redecoration. Work needs to be done in room 18 to box in pipe work and re paint the wall where work has been carried out. A small porch has been partly constructed at the end of the dining area and this has been without a properly fitted door for a significant period. This work must be completed. It was noted that a considerable amount of discarded items and rubble have been allowed to build up in and behind outbuildings. This must be cleared. The home owner must compile an annual redecoration and refurbishment plan so that the environment is maintained to a good standard. The work to be carried out in room 18 has been outstanding for a significant time. As noted in previous inspection reports the bedroom furniture in some of the rooms are showing signs of wear and tear and a planned programme for the replacement of bedroom furniture and the installation of appropriate locks to bedroom doors must also be produced and carried out. The majority of the home was found to be tidy but further attention must be paid to making sure that paintwork including doors is kept clean. Residents have access to a well maintained garden. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. All feedback about the staff group and their approach was good. Residents felt that staff were considerate and caring. There is a low level of staff turnover which means that there is a continuity of care and support. There needs to be a clear record of staff training. Further work to develop the keyworker system should be considered. EVIDENCE: The numbers of staff on duty at any one time are sufficient to meet the needs of the residents living at the home at the time of these visits. The staff group have worked in the home for a significant length of time and are well informed on the individual strengths and needs of the residents. Comments from residents about the staff were complimentary. Staff were described as “excellent”, “very good” and “lovely”. The inspector observed staff working with residents in a very considerate manner. The privacy and dignity of residents was seen to be respected and protected by staff. Feedback from other professionals contained positive comments about the staff. Staff were described as, tolerant and able to provide flexible care and to make visitors to the home feel welcome. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 18 The home owner is aware of changes in the legislation which now require a full employment history for any new member of staff and that references must be sought by the home owner rather than accepting generalised references addressed “to whom it may concern”. Staff felt they were provided with good opportunities for training. The deputy manager has completed management training and NVQ level 4. Three members of staff have completed NVQ level 2 training. All staff have participated in adult protection training and food hygiene. At the time of these visits plans had been made for moving and handling training and staff were planning to attend a “mental health day”. It was reported that all staff are provided with at least three paid days training each year. However the records of staff training were not up to date. A clear record of individual staff training needs to be kept in the home. To ensure that staff are kept well informed and work in line with the home’s aims and objectives staff meetings are held on a monthly basis, handover meetings take place at the start of each shift and individual staff supervision is carried out. Each resident is allocated a keyworker from the staff group. Discussions with staff indicated that keyworking involved ensuring that residents were well supplied with toiletries and clothing and that their individual health needs were met. The keyworking system is one area which could be further developed to involve care planning, reviews, life history work and links with relatives or friends. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 19 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, 33, 35 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. The owner/manager is taking part in appropriate training. Quality monitoring and assurance systems are in place but these need to be completed. The record of residents finance needs to be more detailed. Staff carry out checks to ensure the health and safety of residents and visitors to the home. The contract now in place in relation to rodents must be continued. EVIDENCE: Residents are provided with opportunities to make their views known on the service through regular residents meetings. Staff also meet with some residents on a one to one basis. Records are kept of the meetings and recent issues discussed include the meals provided, a garden party and a trip to Wisley gardens. Previously residents had discussed activities, current affairs, personal experiences and outings. Changes were seen to be made and Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 20 residents choices respected as a result of these meetings. The record of meetings show who was involved in discussions. Staff stated that they encourage residents to express their opinions and or concerns through the meetings or in one to one discussions. The owner/manager holds appropriate qualifications, has significant experience in the care sector and has commenced the registered manager award training. The home owner has partly completed a quality monitoring and assurance programme which includes seeking the views of residents and others on the way the home operates. A copy of the report produced following this review must be provided to the CSCI. Residents can deposit small amounts of cash with the home for safe keeping. Individual records are maintained. The present recording system needs to be reviewed. Clear records of any money deposited and any expenditure along with, the reason for the expenditure, the date, a numbered receipt, and a clear balance of remaining funds must be kept. All transactions must be signed by staff and unless not possible the resident concerned. At the time of the first visit the inspector saw a mouse on the premises. This was reported to the home owner who, by the second visit, had arranged a visit by pest control specialists. The owner informed the inspector that the specialists had found evidence of mice in certain areas of the home and that action had been taken to deal with the problem. The home now has a contract with the specialists to make regular checks on the premises. The home owner must ensure that these checks take place and that staff are made aware of the signs of rodent activity so that they can report any concerns without delay. Regular health and safety checks are carried out in the home with records kept. Staff check the fire alarm system weekly and professional maintenance checks are carried out annually. Weekly checks are also carried out on the temperature of hot water accessible to residents. Professional checks are carried out on the stair lift and assisted bath. A record of any accident which occurs in the home is maintained. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 21 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 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 1 X X X 2 X X 1 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15(1)(2) Requirement The Registered Person must ensure that all care plans and subsequent reviews are signed by all those involved and dated. The social, cultural and religious needs and wishes of residents must be included in the care plans along with information on how staff will support residents to meet these needs. The Registered Person must produce a programme for the replacement of worn bedroom furniture. (timescale of 01/02/06 not fully met) The Registered Person must produce a programme for the installation of suitable locks to bedroom doors. (timescale of 01/02/06 not met) 4. OP19 23(2)(b) (d) The Registered Person must produce a programme for the redecoration and maintenance of the home. DS0000027228.V312192.R01.S.doc Timescale for action 01/02/07 2. OP19 16(2)(c) 23(2)(c) 01/02/07 3. OP19 12(4)(a0 01/02/07 01/02/07 Rosedale Version 5.2 Page 23 This must include:Cleaning and repainting of bedroom doors. Boxing in of pipe work and repainting of the wall in room 18. The redecoration of the bathroom on the first floor. The fitting of a door to the porch/conservatory. A copy of the programme must be supplied to the CSCI. The discarded equipment and rubbish in and around outbuildings must be disposed of. 5. OP33 24(2) The Registered Person must provide a copy of the report produced following the annual review of the service. (timescale of 01/05/06 not met) 6. OP35 17(2) Schedule 4 (9) The Registered Person must ensure that individual financial records are signed and dated at each transaction, include the reason for any expenditure, receipt numbers and a running balance. The Registered Person must ensure that the contract in place for dealing with rodents is continued. 01/01/07 01/02/07 7. OP38 16(j) 23(2)(d) 12(1) 01/12/06 Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP7 OP12 Good Practice Recommendations The Registered Person should consider expanding the opportunities for residents to share with staff their life history. The Registered Person should investigate expanding the activity and exercise opportunities for those residents who are less mobile. Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Rosedale DS0000027228.V312192.R01.S.doc Version 5.2 Page 26 - 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!