Inspection on 07/08/06 for Roseview Residential Home

This inspection was carried out on 7th August 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 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

Roseview Residential Home 03/07/07

Roseview Residential Home 10/11/05

Roseview Residential Home 28/07/05

Roseview Residential Home 24/01/05

Roseview Residential Home 27/07/04

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 Roseview Residential Home 17 The Limes Avenue London N11 1RE Lead Inspector Daniel Lim Key Unannounced Inspection 7th August 2006 11:45 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 Roseview Residential Home DS0000010679.V303533.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. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseview Residential Home Address 17 The Limes Avenue London N11 1RE 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) 020 8368 9195 020 8361 5114 Mrs Agatha Annin-Adjei vacant Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14) of places Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: The home is owned and managed by Mrs Agatha Annin-Adjei with the support of various members of her family. The registered provider owns another home in Haringey for service users suffering from mental illness. Roseview is registered to provide residential care to 14 older people who may also have dementia. The property is a semi-detached house with a large extension at the rear. The home is situated in a quiet residential street in New Southgate. There are nearby shops and the home is accessible to public transport with Arnos Grove station and buses to Palmers Green nearby. The homes aims are to enable service users to become independent and confident in making choices of their own and to encourage all service users to live a full and active life. The fees charged by the home range from £400 - £500 each week. The provider must make information about the service available (including reports) to service users and other stakeholders. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 7 August 2006 and took a total of five hours to complete. The inspector found that the overall quality of care provided was satisfactory. During this inspection, the inspector was assisted by Mrs Mercedes Adusei, the acting manager (also the area manager of the company) of the home. The inspector was able to two residents and a relative (by telephone). The feedback received from them indicated that they were generally satisfied with the care provided. The inspector attempted to interview a further two residents, but they were unable to comment on the services provided. Statutory records were examined. These included three residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including residents’ bedrooms, communal bathrooms, laundry, kitchen, gardens and communal areas were inspected. Three staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. In addition, the minutes of staff and residents meetings were examined. What the service does well: The feedback received from residents interviewed was positive. They stated that they had been treated with respect and dignity by staff. The premises were tidy and well decorated. Staff interviewed were knowledgeable regarding the needs of residents. The required safety inspection certificates were available. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Improvements are required in the area of health & safety. The registered person must ensure that window restrictors are fitted to all windows. Where this is not done, a risk assessment must be carried out and this must be documented and made available for inspection. The registered person must ensure that monthly checks of the emergency lighting are carried out. The temperature of the medication fridge must be maintained at between 4 – 8 C. Documented evidence of this (in the form of daily records) is required. The registered person must ensure that all staff put on protective clothing when entering the kitchen. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 7 Improvements are required in the care and care documentation of residents. The registered person must provide comprehensive care plans which address the holistic needs of service users (this must include mental, social, cultural and spiritual needs). The registered person must provide the inspector with documented evidence that staff have been trained in the care of a resident with a supra-pubic catheter and the responsible community nurse / GP is satisfied that care staff at the home are competent. The registered person must ensure that the resident with a supra-pubic catheter is provided with a fluid monitoring chart. The registered person must ensure that in the absence of a hoist, no resident who is not independently mobile or who need to be lifted is accommodated there. The registered person must provide CSCI with a report in response to recommendations made in the report provided by the occupational therapist into the facilities and services of the home. Improvements are required in the staffing arrangements. The registered person must ensure that the home has cleaning staff in addition to the care staff at the home. The registered person must ensure that all care staff receive training in the management of residents with challenging behaviour. The registered person must provide evidence in the form of certificates that 50 of care staff have NVQ L2 qualifications. The registered person must ensure that a full-time manager is appointed who has the qualifications, skills and experience necessary for managing the care home. The registered person must inform the CSCI in writing of the date of appointment and the appointed manager must apply to the CSCI to become the registered manager. Improvements are required in the area of quality assurance. The registered person must ensure that the home has effective quality assurance and monitoring systems. This must include a published report of the results of a recent consumer survey and an annual development plan for the home. The accompanying report and plan must be forwarded to CSCI. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 8 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. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 9 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 Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 10 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 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements were in place to ensure that residents’ aspirations and needs are assessed. This ensures that their needs can be identified and met at the home. EVIDENCE: The two residents who were interviewed indicated that their care needs had been met at the home and they were happy with the care provided. Comments made included, “well treated” and “well cared for”. A sample of three residents’ case records which were examined, contained comprehensive assessments. Risk assessments together with strategies for minimising risks had been prepared. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 11 The inspector was informed by the acting manager that the home does not provide intermediate care Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents had been treated with respect and arrangements were in place to ensure that the healthcare, personal and social needs of residents were attended to. Improvements are however, needed in care documentation and in ensuring that the healthcare needs of residents are fully responded to. EVIDENCE: Feedback received from the two residents interviewed indicated that residents had been treated with respect and dignity. Staff interviewed were knowledgeable regarding the care to be provided to residents. The sample of three case records examined were up to date and plans of care had been reviewed monthly. The case records contained details of personal, Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 13 mental, medical and healthcare treatment provided (including appointments with the optician, GP and community nurse. The plans of care examined, were however, not sufficiently comprehensive as not all of them addressed the cultural, spiritual and social needs of residents. This is needed to ensure that the holistic needs of residents are attended to. The care of a resident with a supra-pubic catheter was discussed. The inspector noted that this resident’s care had recently been reviewed with the social worker and family involved and there was documented evidence that some difficulties had been experienced in the care of this resident. In order to ensure that this resident is adequately cared for, the registered person must provide the inspector with documented evidence that staff have been trained in the care of a resident with a supra-pubic catheter and the responsible community nurse / GP is satisfied that care staff at the home are competent. In addition, this resident must be provided with fluid monitoring charts. The medication administration charts examined had been appropriately signed. Residents interviewed stated that they had been given their medication. The temperature of the cubicle where medication was stored had been recorded daily. This was satisfactory. The temperature of the fridge where medication was stored had not been recorded. This must be done to ensure that medication is appropriately stored. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is adequate. This judgement has been made form evidence gathered both during and before the visit to this service. The daily life and routines of residents were on the whole, well organised and they were able to maintain contact with their family. However, improvements are needed in the provision of meals. EVIDENCE: There was evidence that residents had been visited by their families. This was confirmed by the two residents and a relative who was interviewed. The bedrooms inspected had been personalised by residents with personal items such as photos and souvenirs. The kitchen was clean. A record of fridge and freezer temperatures had been kept. A fire blanket was in place. The menu was examined and found to be varied and balanced. The two residents who were interviewed stated that they were satisfied with the meals provided. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 15 The inspector further noted that a staff member did not have protective clothing or an apron when entering the kitchen. This is required for hygiene reasons. A bingo session was organised for residents on the day of inspections. The inspector was also provided with a programme of weekly social and therapeutic activities. This included games, reminiscence sessions, exercise and music sessions. The two residents interviewed were on the whole satisfied with the social activities provided. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. This ensures that residents are well treated and protected from abuse. EVIDENCE: The complaints record was examined. No complaints had been recorded. The acting manager explained that none had been received. A`carer who was interviewed was found to be knowledgeable regarding adult protection procedures. The staff records examined indicated that staff had been provided with instruction and guidance on adult protection. There was evidence that arrangements had been made for new staff to be provided with instruction and training on adult protection. The two residents who were interviewed stated that they had been well treated and no complaints were received by the inspector. Roseview Residential Home DS0000010679.V303533.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, 20, 21, 22, 23, 24, 25, 26 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a comfortable and pleasant home which is well maintained. This ensured that they felt happy and satisfied with their living accommodation. Improvements are however, required following recommendations made by the occupational therapist. EVIDENCE: The bedrooms and communal areas inspected were clean and well furnished. Residents who were interviewed stated that they were happy with the accommodation provided. The laundry room was inspected and noted to be well equipped. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 18 A special washing machine with a sluice cycle had been allocated for the laundering of soiled linen. There was evidence that safety inspections had been carried out on the portable appliances, gas installations and electrical installations. The facilities of the home had been inspected by an occupational therapist following a requirement made in the last inspection report. The report recommended that a hoist be provided. The inspector noted that the home did not have a hoist. This is required to ensure the safety of staff and residents who may require this facility. In the absence of a hoist, the home must not admit or accommodate any resident who is not independently mobile or who require assistance with lifting as this would compromise the safety of residents and staff. In addition, the registered person must provide CSCI with a report in response to recommendations made in the report provided by the occupational therapist into the facilities and services of the home. . Roseview Residential Home DS0000010679.V303533.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, 28, 29, 30 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing arrangements were on the whole, satisfactory. This ensures that residents are supported by a competent and effective staff team. Improvements are however required in the staffing arrangements. EVIDENCE: Residents who were interviewed indicated that staff were well mannered and respectful. The duty rota was examined. It indicated that in addition to the acting manager, there was normally at least 2 staff during the day and night shifts. Following a requirement made in the last inspection report, a review of staffing had been carried out and a chef had been recruited. Cleaning duties were still carried out by care staff. A requirement is therefore made for the home to be provided with a cleaner. Staff who were on duty were interviewed on a range of topics associated with their work (such as health and safety, adult protection, fire procedures and the Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 20 healthcare of residents). They were noted to be knowledgeable regarding their roles and responsibilities. There was documented evidence that some staff had been provided with essential training. This included food hygiene, lifting and handling, care of residents with dementia, administration of medication and health and safety. The inspector was however, not provided with evidence that 50 of care staff had the required NVQ training. The registered person must provide the inspector with a plan to achieve this target. The staff records examined indicated that the required recruitment standards and procedures (including obtaining satisfactory CRB disclosures and references) had been followed. Not all staff had received training in the care of residents with challenging behaviour. This is required. Roseview Residential Home DS0000010679.V303533.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, 38 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Systems were in place to protect the interests and welfare of residents and staff. However, further improvements in the management of the home and in health and safety are needed. EVIDENCE: Compliments and positive comments regarding the management of the home and the care provided had been received from relatives. Documented evidence of these were available for inspection. Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 22 The registered manager resigned in February of this year. Since, then the home has had an acting manager (She is also the company’s area manager) She was noted to be knowledgeable regarding the management of the home. The registered person must ensure that a full-time manager is appointed who has the qualifications, skills and experience necessary for managing the care home. The registered person must inform the CSCI in writing of the date of appointment and the appointed manager must apply to the CSCI to become the registered manager. The acting manager informed the inspector that a prospective manager was due to be interviewed soon. Window restrictors were not provided in one of the bedrooms inspected. The acting manager informed the inspector that the resident concerned was not at risk. A risk assessment was however, not provided. This must be carried out and documented to ensure the safety of the resident and provide the required information. The fire log book was examined. The weekly fire alarm tests had been documented. Fire drills and fire training had been documented. The home had a fire risk assessment. This had been updated. The emergency lighting had only been checked twice a year. This must be done at least once a month to ensure that any malfunctioning is promptly identified and rectified. A current certificate of insurance was displayed. The latest accounts of the company were available for inspection. These indicated that the company was financially viable. The inspector was further provided with evidence that residents had been consulted regarding the management of the home. The minutes of these meetings were available for inspection. The inspector was not provided with an annual development plan or the results of any consumer survey (as mentioned in Standard 33). This is required to ensure that the home has effective quality assurance and quality monitoring systems. A requirement is made for this to be done. Roseview Residential Home DS0000010679.V303533.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 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Roseview Residential Home DS0000010679.V303533.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 OP7 Regulation 13(1) 14(1) 15(1) 2 OP9 13(2) Requirement The registered person must provide comprehensive care plans which address the holistic needs of service users (this must include mental, social, cultural and spiritual needs). The registered person must ensure that the temperature of the medication fridge is maintained at between 4 – 8 C. Documented evidence of this (in the form of daily records) is required. The registered person must provide the inspector with documented evidence that staff have been trained in the care of a resident with a supra-pubic catheter and the responsible community nurse / GP is satisfied that care staff at the home are competent. The registered person must ensure that the resident with a supra-pubic catheter is provided with a fluid monitoring chart. The registered person must ensure that all staff put on DS0000010679.V303533.R01.S.doc Timescale for action 07/10/06 30/09/06 3 OP8 13(1) 14(1) 15(1) 13/10/06 4 OP8 12(1) 30/09/06 5 OP38 13(4)(c) 30/09/06 Roseview Residential Home Version 5.2 Page 25 protective clothing when entering the kitchen. 6 OP22 13(4)(c) The registered person must ensure that in the absence of a hoist, no resident who is not independently mobile or who need to be lifted is accommodated there. The registered person must provide CSCI with a report in response to recommendations made in the report provided by the occupational therapist into the facilities and services of the home. The registered person must ensure that the home has cleaning staff in addition to the care staff at the home. The registered person must ensure that all care staff receive training in the management of residents with challenging behaviour. The registered person must provide evidence in the form of certificates that 50 of care staff have NVQ L2 qualifications. The registered person must ensure that window restrictors are fitted to all windows. Where this is not done, a risk assessment must be carried out and this must be documented and made available for inspection. The registered person must ensure that a full-time manager is appointed who has the qualifications, skills and experience necessary for managing the care home. The registered person must inform the CSCI in writing of the date of appointment and the appointed manager must apply to the CSCI to become the registered DS0000010679.V303533.R01.S.doc 30/09/06 7 OP22 12(1) 13(4)(c) 13/10/06 8 OP27 18(1)(a) 13/11/06 9 OP30 18(1)(c) 13/11/06 10 OP27 18(1)(a) 30/10/06 11 OP38 13(4) 30/09/06 12 OP31 9(1)(2)8 (1)(2)(a ,b) 30/10/06 Roseview Residential Home Version 5.2 Page 26 manager. 13 OP38 13(4) 23(2)(c) 24(1)(2) (3) The registered person must ensure that monthly checks of the emergency lighting are carried out. The registered person must ensure that the home has effective quality assurance and monitoring systems. This must include : a published report of the results of a recent consumer survey and an annual development plan for the home. The accompanying report and plan must be forwarded to CSCI. 30/10/06 14 OP33 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Roseview Residential Home DS0000010679.V303533.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!