Inspection on 25/07/06 for Rosedale Care Home

This inspection was carried out on 25th July 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosedale Care Home 07/06/07

Rosedale Care Home 09/02/06

Rosedale Care Home 10/08/05

Rosedale Care Home 03/03/05

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

CARE HOMES FOR OLDER PEOPLE Rosedale Care Home 36 Lansdowne Road Luton LU3 1EE Lead Inspector Leonorah Milton Unannounced Inspection 25th July 2006 11.15 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 Care Home DS0000062137.V304524.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 Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Care Home Address 36 Lansdowne Road Luton LU3 1EE 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) 01582 481188 01582 481188 Mr Cornelius Crowley Mr Stephen Giles Betty Ann Woolford Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (20), Physical disability over 65 years of age (20) Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Numbers of service users 20. Age over 65 years including the two named service users under the age of 65 years who are currently accommodated at Rowles House. Categories: Older people with physical disorders, mental disorders or dementia OP, PD(E), MD(E), DE(E). 9th February 2006 Date of last inspection Brief Description of the Service: Rosedale is a large three-storey home located in a residential suburb of Luton within a mile of the town centre. There are local shops, parks and churches close by. The home is registered to provide care for 20 service users with a variety of needs. The registration for physical disabilities was not applicable because the home could accommodate those with physical disabilities associated with the onset of old age under the Older Persons category. Accommodation is provided on three floors linked by stairs and a passenger lift. All the bedrooms are single rooms. Communal accommodation consists of a lounge/diner on both the ground and first floor and a conservatory off the ground floor lounge. Some off-road car parking is available at the front of the home with time limited road parking available on the street outside the home. Whilst there was no advertised list of fees the manager stated that these ranged from £395 to £410 per week. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report sets out the significant evidence that has been collated by the Commission for Social Care (CSCI) since the last visit to and public report on, the home’s service provision in February 2006. Reports from the home and other statutory agencies, and information gathered at the site visit to the home, which was carried out on 25th July 2006, from 11.15 to 17.30 hours, were taken into account. The visit to the home included a review of the case files for three service users, conversations with five service users, a visitor to the home, two members of staff and the manager. Much of the time was spent with service users in the ground floor lounge/diner, where the daily lifestyle was observed. A partial tour of the building was carried out and other records were reviewed. The home had a friendly, family run atmosphere and provided a good standard of care for its service users. What the service does well: Service users were well cared for in an environment and atmosphere that was conducive to their welfare. Personnel on duty were observed to treat the service users with friendliness and respect. Areas of the home seen at this inspection were well maintained, clean and orderly. There was a particular emphasis in creating a homely appearance and atmosphere. Service users and the visitor who contributed to the inspection were complimentary about the personnel in the home, the manager being described as approachable and helpful and the staff as “very nice”, “kind, attentive and helpful”. One stated, “I wouldn’t want to live anywhere else”. Service users confirmed that they were satisfied with the daily routines in the home. Compliments were passed about the provision for their meals, “ The food is good”, “Meals are nice and we get enough”. The home was accommodating four service users who were frail and had been confined to bed for a considerable time. The arrangements for their care were good and had ensured that they had remained comfortable in their beds with no lasting deterioration to the condition of their skin. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: It had been suggested to the proprietor after the previous inspection that the conditions of registration be reviewed in relation to the provision for people who have a mental disorder. As this has not happened the service must demonstrate that it has the capability to meet such needs. This means that staff must receive suitable training to enable them to understand the needs of those with a mental disorder and how these would be best met. The manager, who has not undertaken any such training, must undertake a comprehensive course in the management of such a service. There also needs to be further training for staff in meeting the needs of those with dementia. The manager must also under take such training. New personnel must undergo thorough induction training. Recruitment of personnel must include the obtaining of two satisfactory references, and the receipt of all necessary checks on previous employment history before employment commences. Staff must use safe manoeuvres to move and handle service users. Service users must not be admitted unless a current assessment of need has been obtained/carried out to ensure that the home has the capability to care for service users properly. This requirement is exempt for emergency admissions. The decision to omit the use of wheelchair footrests when transporting service users must be qualified by an assessment of the risks involved. Accurate records must be maintained for the administration of Controlled Drugs. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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 Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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): 3,4,6. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the home. Insufficient information about a service user’s needs had been obtained before the decision to admit the service user to the home had been made to determine whether the home had the capacity to meet assessed needs. There was a risk therefore that some needs would not be met. EVIDENCE: The case file for a service user who had been admitted the day before the inspection visit was assessed. There were few documents on file. The assessment of need was headed “Ambassador House”, which is a residential home also owned by the proprietor of Rosedale. The assessment was dated 18th May 2006. The manager stated that the service user had stayed at Ambassador House previously and that she would be obtaining more detailed assessment and care planning documents from the home later that day. Given that the record indicated that the service user had complex needs, including issues for care at night, personnel must be given sufficient information to ensure they can properly care for service users. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 10 There had been inadequate training for personnel in meeting the needs of those with a mental disorder. Only four members of the team had received any training. There was no evidence to show that this training had been in sufficient depth. Documents available only identified the name of the course. There was no information to show the course content. The home did not provide an intermediate care service. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. Whilst there were some omissions to record keeping it was evident that staff were sufficiently versed with service users’ needs to care for them. EVIDENCE: Three care plans were assessed. That for a service user who had lived in the home for a significant time provided much guidance to the service user’s needs. Case files were also assessed for two service users who had been recently admitted to the home. The plan for a service user who had been admitted three days before the inspection visit was blank except for the preadmission assessment of need provided by the Local Authority. The manager stated that the care planning document would be completed that day. There was no care plan for the service user, mentioned previously in Standard 3, who had been admitted the previous day. The manager must ensure that sufficient written guidance pertaining to service users’ needs are introduced shortly after admission even though these plans may be subject to revision as the home becomes more conversant with individual’s needs. Priority must be given to Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 12 needs that require an assessment of risk to prevent the service user from coming to harm. Records and conversations with a service user and a service user’s relative identified that satisfactory arrangements had been in place to meet service users’ healthcare needs. A service user stated that they had seen their doctor promptly when they had been unwell and had received regular chiropody treatment and routine dental and optical check ups. A senior member of staff was observed as she administered the lunchtime medications. Her practice followed safe procedures. During a subsequent conversation the senior carer demonstrated that she was aware of safe practice. Medications were secured in a trolley for safe transportation around the home. When not in use the trolley was secured in a walk in cupboard. The cupboard also contained a metal wall cupboard for the storage of Controlled Drugs. Records seen for the administration of medications had been properly recorded with two exceptions. There were no times on the record for two entries to show when the drugs had been given. There were no staff signatures against these entries. The manager felt that this was an oversight. Given that other medication records were satisfactory, the inspector was also of this opinion and was confident that the manager would ensure that this would be an isolated incident. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Service users had been supported to experience a lifestyle that, where practical to do so, met their needs and expectations. EVIDENCE: The home had a relaxed atmosphere that was conducive to service users’ wellbeing. It was noted that a few service users with cognitive impairment wished to wander a little. This need was accommodated. Staff only intervened when service users seemed unhappy with this pursuit or were encroaching on other service users. These interventions were handled with tact and kindness. Service users had been provided with opportunities to participate in a range of meaningful activities, including a monthly ecumenical religious service and a fortnightly visit by a provider of armchair exercises. A service user commented that there was plenty to do but that they didn’t always wish to join in. The service user’s wishes had been respected. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 14 A service user and a relative confirmed that visitors were welcomed into the home. The visitor stated that staff were friendly and kept her up to date with her relative’s care and any changes in need. Records showed that service users had been consulted about their preferences for the routines of daily life. One service stated they could get up and go to bed as they wished and that there had been no pressure to take part in activities that were not to their liking. Service users expressed satisfaction with meals and beverages. A meal was observed in progress. It looked and smelt appetising. Service users confirmed that it was tasty. One service user confirmed that that plenty of drinks were served throughout the day and that they were served a hot drink in their bedroom in the mornings and again when after retiring for the night. Menus were assessed and showed a nutritious choice for each meal. The cook on duty was knowledgeable about service users’ preferences and their nutritional needs. It was noted that those who required assistance to take their meals were given appropriate support. Those who required liquidised food were served with meals where different portions of the meal had been liquidised separately to maintain the appearance of the meal. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. Whilst recruitment practice was unsatisfactory, checks had established that service users had been protected from abuse by ensuring that members of staff with a previous history of abuse were not employed. EVIDENCE: Previous reports had commented that the home’s written complaints procedure was satisfactory. The manager reported that there had been no complaints for a significant time. A service confirmed that they felt able to raise concerns if need be. The manager was readily available to service users; her daily routine was to administer the morning medication and then to greet each service user. Records indicated that eleven of the eighteen staff had undertaken training in adult protection procedures. Staff explained that their induction had also included an overview of protection issues and showed that they understood their responsibilities for the protection of service users. Records also showed that recruitment practice had included applications to the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) First register for disclosures. The record for one employee showed that they had been employed on a POVA First check, before the receipt of the CRB disclosure. The manager explained that the employee had not had any unsupervised access to service users until receipt of the CRB disclosure. There was no evidence however to show that the employee had informed about this Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 16 condition of employment or whether co-workers were also aware. Personnel must not commence employment until both disclosures have been obtained. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The premises were suitable for the care of service users accommodated at this inspection. EVIDENCE: As noted previously standards of comfort and cleanliness were good. The home provided individual bedroom accommodation, over the three floors. The majority of the rooms did not have en-suite facilities; all had wash hand basins. A previous report had commented, “Although all the bedrooms were in excess of 10sq.m, the shape and layout of some did not make them suitable for those service users who had mobility problems and needed to use of wheelchairs and hoists.” The registration for twenty service users with physical disabilities was therefore not appropriate. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 18 Risk assessments in relation to the environment were seen. They had been reviewed this year. Safety aspects covered included, routine testing of electrical equipment, safe handling and storage of hazardous substances, risks of burns and scalds, infection control, use of equipment and maintenance of the same, flooring doors and smoking. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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): 27,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. Whilst there were some gaps in the staff training provision, the collective skills of the team meant that service users had been mostly well cared for. EVIDENCE: The majority of the staff had worked in the home for a significant time and were well acquainted with service users and the routines of the home, which appeared to operate well. Staff had been supported to work effectively. Rotas indicated that a member of the senior team was on duty on most day shifts. Members of staff confirmed that they had been given sufficient support and guidance to carry out their work. Recruitment and training records for two personnel were assessed. It was explained that recent recruits were employed to work in all three of the proprietor’s residential homes. The files showed that one person had been employed with one reference only and before the receipt of a CRB disclosure. There were no records of interview processes as should be in place to evidence good recruitment practice. The records of induction for both members of staff were poor. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 20 The overall training record showed that most aspects of statutory training had been met and further training was scheduled for the remainder of the year. Gaps in training were as previously reported in relation to induction, dementia care and understanding mental disorder. There was also a need to review manual handling practice. Two members of staff were observed to transfer two service users using the “drag lift”. This method of handling has been identified for a number of years as an unsuitable manoeuvre that can result in injury to the service user. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 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): 31,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home had been well managed to the benefit of service users and staff. EVIDENCE: Comments from the previous report were still applicable, “The day-to-day operation of the home was well organised. It was evident that the manager had taken daily opportunities to monitor the actual delivery of the service to the residents (service users) in the home……..It was encouraging to note that the some supervisory and other management tasks had been appropriately delegated to members of the senior staff so that the professional management of the home was carried by a team rather than just one person, which can result in a slide in standards during a manager’s absence. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 22 There were systems in place to enable service users and their representatives to comment on the service provision.” The home did not hold money on behalf of service users. The home’s policy was for service users to hold their own monies or where they are unable to do so for their families to act on their behalf. Service users’ representatives were invoiced for extra charges for hairdressing and private healthcare treatments such as chiropody. The manager stated that supervision for personnel was in place but the provision for some staff had not happened with the frequency set out in the standard. Records seen had mostly been maintained to a good standard. Omissions noted were those already stated with regard to assessment and care planning arrangements and the records for the administration of medicines. The rota for the week of the inspection visit was not accurate; one senior, two carers and the cook were shown on the rota for the day of the visit with no working times entered against their names. First names only were entered on the rota. Entries must show times at which shifts have been scheduled to commence and finish and detail employees’ last names. Risk assessments were in place in relation to the management of safety. The safety arrangements were marred by the poor moving and handling practice observed at the inspection visit. It was also noted that one service user was transported in a wheelchair without having the footrests in situ. The manager stated that this was the service user’s preference. Such arrangements must be qualified through risk assessment. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 23 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 1 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 2 2 2 Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 12(1)(a) 14 Requirement Service users must not be admitted unless a current assessment of need has been obtained/carried out to ensure that the home has the capability to care for service users properly. This requirement is exempt for emergency admissions. The registered person must demonstrate that the home has the capability to meet assessed needs by providing adequate training for personnel in meeting the needs of those with a mental disorder or dementia. Sufficient written guidance to service users’ needs must be introduced shortly after admission to ensure information is available to staff to enable them to properly care for service users. Personnel must not be employed until satisfactory disclosures have been obtained from the Criminal Records Bureau and the POVA First register. Personnel must not be employed DS0000062137.V304524.R01.S.doc Timescale for action 31/08/06 2. OP4 12(1)(a) 18(1)(c) (i) 30/11/06 3. OP7 12(1)(a) 15 31/08/06 4. OP18 12(1)(a) 13(6) 31/08/06 5. OP29 12(1)(a) 31/08/06 Page 25 Rosedale Care Home Version 5.2 19 6. 7. OP30 OP37 12(1)(a) 18(1)(c) (i) 17, Schedules 3 and 4 12(1)(a) 13(5) 8. OP38 before two written references have been obtained. Staff must receive thorough 31/08/06 induction to National Standards as they commence employment. Records must be maintained 31/08/06 properly to include preadmission assessments of need, care planning arrangements and staff rotas. The registered person must 30/09/06 make suitable arrangements to provide a safe system for moving and handling of service users. 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 OP36 OP29 Good Practice Recommendations Staff should receive supervision at least six times a year. Records of interview processes should be maintained to evidence good recruitment practice. Rosedale Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Care Home DS0000062137.V304524.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!