Inspection on 28/07/06 for Rosewood Lodge

This inspection was carried out on 28th 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

Rosewood Lodge 07/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosewood Lodge 491 Clifton Drive North St Annes Lancashire FY8 2QX Lead Inspector Phil McConnell Unannounced Inspection 28th July 2006 09:30 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 Rosewood Lodge DS0000064309.V300342.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. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Lodge Address 491 Clifton Drive North St Annes Lancashire FY8 2QX 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) 01253 721601 Lakeview Rest Homes Ltd Mrs Agnes Woods Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 24 service users in the category OP (older persons 65 and over). 7th November 2005 Date of last inspection Brief Description of the Service: Rosewood Lodge is situated on the main bus route not far from the centre of St Annes and a short distance from the sea front. The home is registered to provide residential care for twenty-four service users of both sexes, above the age of sixty-five years. All the service users are accommodated in single rooms with en-suite facilities; the rooms are well decorated and furnished to a high standard. The property is a two storey detached house which provides ample and varied lounge space including a lounge for smokers. The home has a wellmaintained garden with a gazebo and seating areas. The present rate of charging is between £324.50 & £388.50 per week. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information, from questionnaires and comment cards from service users, relatives, GP’s and other professionals, (including the provider) since the last published report by the Commission for Social Care Inspection (CSCI) and an unannounced visit to the home, were all used to fully assess the key standards identified in the National Minimum Standards for older people. During the visit to the home three service users were ‘case tracked’ which means that their files were examined with some discussion-taking place with them throughout the inspection. Discussions also took place with other service users, who were not part of the ‘Case tracking’ process. The registered manager was available throughout the day and there was the opportunity to have conversations with other staff members, including the homes chef, care staff, and one of the service users’ relatives, who was visiting his mother, who had only lived in the home for a short time. This person said, “My wife and I think the staff are brilliant, we know all of their names after only one month, we are very pleased and my mum has settled in really well”. The returned questionnaires and comment cards were also very positive and complimentary regarding the standard of care given, for example, “I came in at short notice for respite care and have no complaints whatsoever” “Nothing is too much trouble, no matter what” and from relatives and friends, “I always find the home spotlessly clean at all times, any time I visit and the staff are always helpful when I phone up” and “The service given to my friend is excellent, couldn’t possibly fault anyone in the care home”. The homes policies and procedures and all care documentation were also examined. Feedback was given to the registered manager following the inspection visit, which lasted approximately seven hours. What the service does well: A large number of service users’ questionnaires and comment cards from relatives were returned to the Commission for Social Care Inspection (CSCI) and generally most of the comments were quite positive. There is a good standard of care being delivered at Rosewood Lodge and it is apparent that the registered manager is strongly committed to maintaining as much as possible this good level of care and support to vulnerable people. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 6 The home has a thorough and robust recruitment process in place, helping to protect and safeguard vulnerable people. A well-trained staff group are provided with good training opportunities to ensure they have the knowledge and skills to meet the needs of the service users. What has improved since the last inspection? What they could do better: Service users would benefit if their care plans contained more information/ detail, for example to include some of the individual service users background information, include hobbies and interests and likes and dislikes. To have separate files for service users, in order to maintain confidentiality, better organisation and easier access. Separate files would also be beneficial for the staff. The home could also provide more available activities in and outside of the home. It would be good to involve service users and their family members in deciding what recreational and leisure activities that people want to be actively involved in. The manager must also ensure that the Commission for Social Care Inspection is informed as soon as possible of all notifications that are required. Ensure that all health and safety certificates are available for inspection. Please contact the provider for advice of actions taken in response to this Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosewood Lodge DS0000064309.V300342.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 Rosewood Lodge DS0000064309.V300342.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 (intermediate care is not provided) “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” A thorough pre-admission process is in place with sufficient information and guidance, to enable a prospective service user to make an informed choice. EVIDENCE: The policy and procedure for a new service user moving to the home was examined and found to be thorough and satisfactory. Three service users were case tracked’, including the most recent admission to the home and all of their files contained relevant assessment documentation including: admission assessments, care plans, detailed social services assessments and up to date daily record sheets, however the service users care plans are in need of more detail, to help ensure that individuals assessed needs are adequately and appropriately met. The registered manager was also informed that it would be better practice to have individual files for each Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 10 service user, this would help prevent any confusion and give the assurance of confidentiality for individuals. Some of the service users, staff and relatives commented about being familiar with the admission process, one relative said, “ After my mothers assessment at the hospital we were given a list of residential homes and had no problem choosing Rosewood Lodge”. In discussion with some of the service users’ relatives, it was apparent that everything possible is done to ensure that a smooth and assuring transition for the service user is considered when moving to Rosewood Lodge. Rosewood Lodge DS0000064309.V300342.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 and 10. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. The storage, administering and recording of medication is thorough, helping to ensure that service users are safeguarded. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. This highlights that service users are valued and respected. EVIDENCE: Three service users’ care plans were examined and were found to be up to date, containing information with guidance on how to provide individual personal care and how to meet a person’s health care needs, however, as already mentioned service users would benefit if the care plans contained more Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 12 detailed information. The registered manager was informed of this and said that it would be addressed. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. This helps to demonstrate that people’s health needs are monitored and treated correctly when necessary. Medication procedures and records were examined and found to be satisfactory, with staff being appropriately trained in the storage, administration and recording of medicines. GP’s hold regular medication reviews for service users, which also helps to guarantee that correct medicines and dosages are administered to individuals, in order to safeguard, promote and maintain their health. In observation throughout the visit, service users were treated respectfully and with dignity and some comments received were, “I am extremely well cared for in every way and the staff are very kind to me and always courteous, which I appreciate” “My privacy is never abused in any way and I appreciate this so much, I am not a public kind of person” and “The staff are most caring and always helpful and most courteous and kind”. Rosewood Lodge DS0000064309.V300342.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 and 15. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” Leisure and recreational activities need to increase, in order to provide more interest, motivation and stimulation for service users Good contact is encouraged and maintained with family and friends. Meals are nutritious, with a balanced and wholesome diet being provided, helping to promote a healthy eating plan for service users. EVIDENCE: It was stated that recreational and leisure activities were available within the home, however there was limited documented evidence to confirm that this was the case. The activities book was examined and it was found to contain poorly recorded information, with regard to the regularity of any activities taking place. In discussion with some of the service users and information in the returned questionnaires, there was a general opinion that arranged activities are insufficient and what is available doesn’t always create interest or stimulation. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 14 This issue was discussed with the manager and it was suggested that the service users or their representatives are asked what interests, activities and hobbies they would like to participate in? There was also a suggestion to have regular service user meetings, where this issue could be discussed and monitored and possibly invite family or friends to actively get involved. The service users and relatives spoken to all commented that everything possible is done, in order for people to retain relationships with family and friends. Relatives commented that they are welcome to visit at any time and the staff, always give them information on the health and wellbeing of their relative, one comment was “I am always made welcome and staff are always helpful when I phone up”. It was observed that a good rapport between staff and visiting relatives existed. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. There was a choice of menus available, which were seen to be nutritious, varied and appetising. Some of the service users chose to have their meals in their own rooms, which demonstrated that mealtimes are flexible and service users’ wishes and choices are catered for. The homes chef commented, “I aim to give people what they choose, rather than me choosing for them”. The home presently accommodates six people who have diabetes and there was evidence that their dietary needs were being catered for. Comments from service users regarding the meals were quite positive including: “I know that I could always complain and the staff would listen to me and act accordingly, but the food is excellent”. Rosewood Lodge DS0000064309.V300342.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 and 18. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” Thorough satisfactory policies and procedures regarding the protection of vulnerable people are in place, helping to ensure that service users are protected from harm. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults, with no complaints having been received since the last inspection. Questionnaires and comment cards received from service users and relatives all indicated that people are aware of the complaints procedure and how to complain if needed and in discussion with members of staff they were fully aware of how to make a complaint. In a discussion with a number of service users, one person said, “I would speak to the manager or anybody ,if I had a complaint” and the other service users, all acknowledged agreement. There was also an awareness, that a person could contact the commission for social care inspection (CSCI) if they wanted to complain outside of the home. A service users’ friend wrote, “our friend is content at Rosewood Lodge and would be very vocal to us, if he wasn’t”. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 16 There was also the opportunity to speak to a relative who was visiting the home, he was also aware of how to make a complaint if he was unhappy about anything. There was a thorough policy in place to deal with a suspicion or allegation of abuse. The staff who were spoken with were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process, highlighting that staff had been trained in the protection of vulnerable people. All members of staff have had Criminal Record Bureau Checks, (CRB) helping to safeguard that only appropriate people are employed to support and care for vulnerable adults. Rosewood Lodge DS0000064309.V300342.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 and 26. “Quality in this outcome area is – ‘Adequate’. This judgement has been made using available evidence including a visit to this service”. Although the majority of the home is clean, safe and hygienic, the kitchen is in need of being refurbished and upgraded, in order to help promote a healthier and safer environment for service users and staff. EVIDENCE: The home was found to be generally clean and homely, with service users’ bedrooms demonstrating their own personality, containing individual’s own personal possessions, including photographs, ornaments and items of furniture, with their name on the door, helping to demonstrate that people are encouraged to bring their own belongings into the home, helping to maintain familiarity and identity. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 18 Some of the comments received from service users and relatives included: “Whenever I visit I always find the home spotlessly clean” “The home is clean with no smells” and service users wrote, “The home is always clean, I wouldn’t stay here if it wasn’t” “it’s a very nice place to live”, and “It’s like living in a hotel, it’s excellent”. The laundry has undergone some renovation work since the last inspection report was published and it was seen to be well equipped and satisfactory to meet the homes requirements. The service users’ smoking lounge is in need of redecoration. Most of the home is adequately furnished and comfortable for the service users, however the kitchen is fairly poor with regard to hygiene and safety, for example, the flooring was seen to be cracked and broken. This needs to be replaced with an impermeable floor covering, some of the work tops have bad cuts and are wearing out in many places, with the work top joints being unhygienic. Overall the kitchen does not meet an adequate standard. This was discussed with the registered manager during the inspection visit. The outside grounds are well maintained to a good standard. Rosewood Lodge DS0000064309.V300342.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 and 30. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” The staff team have the necessary skills and experience to provide a good standard of care to vulnerable people. The home has a thorough recruitment process, which gives the confidence that service users are protected and safeguarded as much as possible. The training provided is very good and helps to ensure that the service users are cared for and supported by well-trained staff. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory. Three staff files were examined, one of which was the most recent employee to join the staff team and they all contained the necessary information regarding experience, skills and training that had been received, including forms signed by staff members confirming that they had read and understood the policies and procedures of the organisation, there were statements of employment, which again had been signed and dated. The staff were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 20 There is a thorough recruitment in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained. (This was a previous requirement). Thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. The training records and training matrix were examined and found to be up to date and concise, with a colour coded training matrix giving clear indication of when a training course was completed, currently running or was due. All staff have achieved the national vocation qualification in care level 2 (NVQ). One staff member said, “The training is really good and it was a big achievement for me to get my NVQ, I was encouraged all the way”. Some of the training is provided by the home and some is provided by outside trainers. Some of the outside courses included: stress management, falls prevention / active for life and foot care for people with diabetes, which was provided by a local PCT district nurse. It was also noted that the newest member of staff had completed thirteen training courses since January 2006, which highlights that the provider is committed to ensuring that staff are appropriately well trained, in order to provide a quality service to vulnerable people. Rosewood Lodge DS0000064309.V300342.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 and 38. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. The financial arrangements for service users were thorough enough to ensure that individuals’ finances were protected. EVIDENCE: The manager has a number of years experience in care work and has managed Rosewood Lodge for the past ten years. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 22 She has relevant qualifications for the post of registered manager, including a certificate in management, NVQ level 4 in care management and more recently has obtained a diploma in management level 5. The comments regarding the management received from service users and their relatives were complimentary and very positive, including “The manager is superb, when we first came to view Rosewood we thought she was very nice” and “she is lovely, approachable and always available”. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. Staff meetings are held every 2 to 3 months and service user meetings are held annually, it was suggested that the service users meetings could take place more frequently. All staff have received relevant and appropriate training, including: safe moving and handling techniques, food safety, first aid and infection control. The homes health and safety certificates were inspected and most of them were found to be up to date and in order, including: legionella bacteria check, electric inspection, fire alarm and emergency lighting inspections, lift servicing certificate and a recent satisfactory fire safety report from the Lancashire fire rescue service. There was evidence of a gas inspection having taken place, however, no certificate was available regarding a gas inspection. (Also see the section on environment, regarding the kitchen and health and safety). There were procedures in place, regarding service users’ finances, with appropriate and adequate records and receipts being kept, helping to ensure that people’s finances are safeguarded. Rosewood Lodge DS0000064309.V300342.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NONE 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 OP12 Regulation 16 (2) (m) Requirement Consult service users about their social interests and arrange for people to participate in their chosen recreational and leisure activities. The kitchen is in need of being renovated in order to meet an acceptable standard. Timescale for action 30/09/06 2 OP19 23 (2) (B) (C) (d) 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP37 Good Practice Recommendations Service users to have their own files, with their own individual information. Rosewood Lodge DS0000064309.V300342.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Rosewood Lodge DS0000064309.V300342.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!