I don’t know how confident the care home staff would have been to do it [make referrals] and also they changed on a daily basis, that was the biggest,… not the staff in the home but the floor that they worked on, yeah. So like you’d go do a ward round with (Doctor) and you’d sit there and you’d say ‘so how’s blah, blah been this week?’ and they’ll say ‘well I worked downstairs for the last five days then I had two days off’ and it would be like well what, you know we did say ‘please can you try and keep the same staff on the same floors’ and then you’d have RMN’s (Registered Mental Nurse) that worked on the middle floor which was more sort of general nursing and you would have an RGN (Registered General Nurse) on the bottom floor which was more psychiatric. There didn’t seem to be any consistency to be honest (Clinical Manager).