Inspection on 03/11/05 for Cassini House

This inspection was carried out on 3rd November 2005.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cassini House 22/11/07

Cassini House 25/05/06

Cassini House 02/12/04

Cassini House 12/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Cassini House 13 Duckett Road London N4 1BJ Lead Inspector Peter Illes Unannounced Inspection 3rd November 2005 11:15 Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 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 Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 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 Adults 18-65. 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. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cassini House Address 13 Duckett Road London N4 1BJ 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 8340 1633 020 8340 1633 Precious Homes Limited Mr Simon Keith Atkins Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Cassini House is owned by Precious Homes Ltd and is registered to provide residential care for six younger adults with a learning disability. The home specialises in supporting service users with autism. Cassini House is a three-storey terrace house situated off Green Lanes, Haringey in North London. The home has six bedrooms and two bathrooms. The communal areas consist of a large lounge, a separate dining room and a kitchen. The garden area is of medium size with a paved area and access to the garden is via the dining room. The home is within easy access to local shops, restaurants, pubs, and public transport and near to Wood Green shopping city, Finsbury Park and Alexandra Park. Cassini House was registered in June 1998. The home’s stated mission is to be dedicated to creating a safe enabling environment in which individuals can experience respect, dignity and positive valuing and thereby sustain meaningful and fulfilled lives. The home also states that it seeks to provide high quality support in a residential care setting to adults with learning difficulties and challenging behaviour. This support reflects the individual service users unique needs and aspirations and cultural values, promotes autonomy and self-determination and enables the service users to lead their preferred way of life. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took approximately four and a quarter hours with the registered manager being present or available throughout. The registered manager had been registered as such by the CSCI since the last inspection. There were three service users accommodated and three vacancies at the time. The inspection consisted of: meeting one of the three service users independently although discussion was limited due to the service user’s needs, independent discussion with one relative that visited the home, discussion with the registered manager and independent discussion with three other staff members. Further information was obtained from documentation kept in the home and from a tour of the premises. What the service does well: The home continues to provide good quality and specialist care to service users with a range of complex needs including needs relating to their communication. The home is working hard to develop and improve communication with service users, relatives and relevant others and this is particularly appreciated by relatives. The home provides a domestic type environment and the registered manager and his staff are working hard to further develop meaningful and different activities that service users will enjoy. The inspector’s overall impression is that the new registered manager and his staff team are working hard to consolidate good practice and meaningfully improve the opportunities available to service users who often have very complex needs. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Prospective service users can be confident that their needs will be fully assessed and agreed with themselves and other stakeholders prior to admission to the home to enable these needs to be effectively addressed when they move in. EVIDENCE: All three service user files were inspected and these contained a range of satisfactory assessment information that related to the time of their admission. This had been undertaken by the relevant referring authority with an in-house assessment of need also being completed as part of the admission process. The registered manager stated that the home was currently in the process of seeking new service users to fill the three vacancies at the home with one referral in the process of being considered. The registered manager was also clear to the inspector that given the needs of the three existing service users the home would need to ensure that any new service users needs were compatible with the existing service users needs before a permanent place was offered. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 Service users assessed and changing needs were well documented in their care plans to assist the home’s staff and relevant others in meeting these needs. Service users are also supported to take appropriate risks in their lives to assist them to safely achieve their aspirations. EVIDENCE: The three service users care plans were inspected and were seen to be detailed with evidence of regular reviews. All the service users in the home have complex needs deriving from their learning disability, communication and where relevant their diagnosis of autism. A number of restrictions were seen to have been agreed for service users and were included in their risk assessments and care plans. The registered manager confirmed that the home was continuing to develop person centred planning for service users and evidence of this was seen on files in the form of evolving essential life plans for each service user. All three service users had current risk assessments with evidence that they are reviewed regularly at the same time as their care plans are reviewed. The Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 10 risk assessments covered a large range of individual identified risk situations. They also contained both reactive and preventative guidance for staff on how to minimise the identified risk. The relative of one service user spoken told the inspector of her apprehension about service users travelling to their planned holiday destination in the summer by public transport. She went on to say how this had in fact worked well through good planning and liaison by the registered manager and staff with relatives and others. She also stated that she thought the service users had really enjoyed the experience and indicated that the process had helped develop her trust in the current staff group. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 & 17 Service users enjoy a range of appropriate activities including within the local community. Contact with relatives and friends is maintained and encouraged in accordance with the service users wishes. They also enjoy balanced and varied meals of their choice. EVIDENCE: All three service users attend external day services, two of them five days a week and the third four days a week. There was evidence seen on some documentation of positive communication between the home and the day services. One staff member had been designated to develop more in-house activities for service users and the inspector was informed that the home had purchased some new equipment to progress this including an exercise mat and ball. The inspector was informed that activities that service users had recently been involved in included ten-pin bowling at Finsbury Park. The registered manager stated that this visit had been successful and that service users integrated appropriately with other bowlers during the session. The inspector was also informed that one of the service users goes horse riding fortnightly at stables in the Lee Valley. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 12 All three service users have regular contact with relatives and stay with their respective relatives for some or all of most weekends. Contact with family was recorded on files inspected including any particular issues or preferences that the relative may have. The relative of one service user stated that she was very satisfied with the progress of the home since the current registered manager and new staff team were appointed earlier in the year. The registered manager stated that a relatives meeting at the home was being planned for the end of November 2005. A satisfactory autumn/ winter menu was seen that the registered manager stated had been reviewed and changed since the previous inspection. Service users food preferences had been sought and were recorded in their files. Evidence was also seen in minutes of a recent service user meeting that one service user had requested the home provides more Chinese meals with the registered manager stating that this request was being acted on. Evidence was also seen from staff meeting minutes that staff were further developing the pictorial menu for service users. Food was stored appropriately, matched the menu and was within its use by date. The registered manager confirmed that the bulk of the food stored in the home was kept locked because of identified service user needs and this remained recorded on service user’s documentation. The kitchen and dining room were clean and tidy. A satisfactory record of fridge and freezer temperatures was seen. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Service users receive appropriate personal support in accordance with their needs and preferences. Their emotional and physical healthcare needs are met on an individual basis including being supported to attend regular health checks. Service users are protected by effective polices and procedures regarding medication and its administration. EVIDENCE: The registered manager confirmed that all three service users need structured prompting and supervision regarding their personal care and often needed physical assistance regarding this. The relative of one of the service users spoken to indicated that she was confident that the new staff group provided appropriate personal support to service users. Evidence was seen that all three service users are registered with a GP and that their health needs are effectively dealt with. Evidence was seen of a very recent health and psychiatric review for one service user and this had included a review of their prescribed medication. Evidence was also seen of medication and health reviews for the two other service users that had taken place earlier in 2005. The inspector was informed that one service user had a minor health care procedure undertaken at the home by a relevant health care professional since the last inspection. The procedure was undertaken at the home rather than a health base because of the service user’s specific support needs and Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 14 this was considered preferable to having the procedure carried out in hospital. There was also evidence that this process had taken some time to arrange and in the inspector’s opinion, this demonstrated a commendable persistence and sensitivity to the service users needs from the registered manager and his staff team. Medication and medication administration records (MAR) charts were inspected for two of the service users and was found to be satisfactory. A satisfactory record of the temperature in the medication cupboard was also seen. A requirement is made in the Staffing section of this report regarding staff training in the safe administration of medication. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users and relatives are able to express their views and concerns and have these appropriately dealt with by the home. Service users are also protected by a satisfactory adult protection policy that staff are aware of. EVIDENCE: The home has a satisfactory complaints procedure that was seen. The inspector was informed that there had been feedback from one relative as part of the home’s quality assurance survey that they were not sure they had received a copy of the home’s complaints procedure. The registered manager stated that he sent out copies of the procedure to all three service users families. The relative spoken to confirmed this although this relative stated that she was conversant with the home’s complaints procedure having used it in the past with previous registered managers and staff groups. The registered manager stated that no complaints had been received at the home since the last inspection. The inspector was pleased to see that the home had obtained a copy of the adult protection procedures for the local authority the home is situated in as required at the last inspection. A flow chart with relevant local authority and CSCI contact details was also seen displayed in the home to supplement the home’s own adult protection guidance for staff. There was also evidence seen from the minutes of a staff meeting in October 2005 that these procedures and guidance to staff had been discussed and reinforced with staff. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Service users live in a home that is comfortable, and well maintained and meets service users needs. The home was clean and tidy throughout creating a pleasant environment for both those that live and work at the home as well as for those that visit it. EVIDENCE: The home is a converted three story domestic premises that remains well decorated and well maintained and which continues to provide a pleasant environment to meet the current service users needs. The registered manager had undertaken an audit of the physical environment when he was first appointed. In October 2005 the registered manager had asked each staff member to fill in an environmental risk assessment that invited staff to answer the question “how can we make Cassini nicer and safer” with a number of response being made to this question. The registered manager confirmed that the home operates a weekly maintenance check with a report from each check going to the provider organisation’s head office. The inspector undertook a tour of the premises during the inspection and was informed by the registered manager that service user bedrooms were due to be redecorated later in November 2005. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 17 The home had satisfactory laundry facilities although the inspector noted that the machines are somewhat noisy when in use. The registered manager stated these worked satisfactorily and the noise was not problematic. The home was clean and tidy during the inspection. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 The home has a generally effective staff team, in sufficient numbers, to support service users and to assist in meeting their assessed needs. However management action is needed to ensure that sufficient staff are appropriately professionally qualified. The system for retention of documentation in the home to evidence a robust recruitment procedure to protect service users needs to be improved. Staff are offered a range of relevant training to assist them in their own personal development and in meeting service users needs although additional training is needed in an identified area. EVIDENCE: The entire current staff group had been recruited in 2005. The registered manager stated that the majority of staff were undertaking the learning disability award framework (LDAF) training and that was due to be completed by the end of November 2005. He went on to say that staff would be registered for national vocational qualification (NVQ) training following that. A requirement is made that a minimum of fifty percent of care staff must have achieved, or be registered on, NVQ level 2 training in care by the end of December 2005. A satisfactory staff rota was seen that showed two staff on the early shift, three staff on the late shift and one waking and one sleeping-in staff at night. The registered manager stated that when there was only one identified service user at the home on identified weekends the night cover could be reduced to Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 19 one sleeping-in staff. Staff on duty matched those recorded on the rota. There were six support staff and the registered manager employed at the time. The registered manager stated that this was satisfactory for the three service users accommodated although the home was currently advertising for more support staff in anticipation of more service users being accommodated. The registered manager stated that the home could call on the provider organisation’s bank staff or failing that use agency staff if a vacancy on the rota needed to be covered in the event an unexpected absence of a member of staff. A requirement was made about identity documentation that included a photograph for one identified member of staff at the last inspection. This was no longer applicable as that member of staff subsequently left their employment at the home. One new member of staff had been appointed since the last inspection. The home had a note of the criminal record bureau (CRB) clearance for this member of staff. However, the remaining documentation to evidence a robust recruitment procedure for this member of staff could not be located at the home and was therefore not available for inspection. The registered manager had already identified this as a problem. The registered manager was also clear that the documentation had been received and the recruitment procedure fully implemented. A record was seen that the provider organisation had been informed before this inspection that this documentation could not be located and if necessary would have to be obtained again with the CSCI being informed if that was the case. A requirement is made the home must have a copy of the required documentation available for inspection at the home. Staff spoken to independently confirmed that they had satisfactory induction training. A staff training profile was seen that showed each staff’s member’s training record including when refresher statutory training was needed. This was generally satisfactory except that five staff needed to have current training in the safe administration of medication. There was evidence that the registered manager had identified this need and had been seeking the training from the national organisation that supplies the home with prescribed medication but without success. Given that this was proving problematic for the registered manager a requirement is made regarding this with a negotiated timescale. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Service users benefit from a well run home with a registered manager who is knowledgeable, experienced and keen to further develop the service offered to them. The home has an effective quality monitoring system to ensure that service users views are known and that these are able to contribute to the development and ongoing improvement of the home. Health and safety procedures in the home protect service users, staff and visitors to the home although an identified area needs to be further improved. EVIDENCE: The manager had been registered as the registered manager of the home by the CSCI since the last inspection. A condition of this registration was that the provider organisation supports the registered manager in completing his NVQ level 4 training. The registered manager stated that arrangements for that were in hand. He was knowledgeable regarding the needs of service users accommodated and was implementing clear management strategies for reviewing and improving the care offered by the home. The relative spoken to Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 21 was very appreciative of the registered manager’s efforts to improve the care offered to service users since he had been in post. The home had undertaken a quality assurance audit of relatives and other stakeholders since the last inspection and developed an action plan from this. This was seen by the inspector and was satisfactory. Issues identified in the survey were seen to have been addressed. Examples of action taken following the audit included recirculating the complaints procedure to relatives and clarifying contact details of senior staff. A copy of the provider organisation’s business plan for 2005 to 2008 was seen and was also satisfactory. Although it covered the whole of the provider organisation’s business there were objectives that were relevant to the home. These included staff training and development and a commitment to transparency in the overall management of the organisation and the services it provides. A requirement made at that inspection that the LFEPA was consulted on the home’s fire plan and fire risk assessment was seen to have been complied with. A range of satisfactory health and safety documentation was seen at the last inspection. The registered manager stated that he undertook a monthly health and safety check of the home with a member of the support staff. During a tour of the premises it was noted that identified fire doors, held open by electro-magnetic devices, did not close effectively when released. A requirement is made regarding this. No other health and safety issues were identified. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 2 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cassini House Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000010730.V264240.R01.S.doc Version 5.0 Page 23 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 YA32 Regulation 18(1)(c) Requirement Timescale for action 31/12/05 2 YA34 19(1&5), Sch 2 & 4 3 YA35 13(2) 4 YA42 23(4) The registered persons must ensure that a minimum of 50 of support staff have achieved, or be registered on, NVQ level 2 training in care. The registered persons must 31/12/05 ensure that a copy of the recruitment documentation for an identified member of staff, which is specified in the national minimum standards, is kept at the home for inspection. The registered persons must 31/01/06 ensure that all staff that administer medication must have up to date training in the safe administration of medication. The registered persons must 31/12/05 ensure that all fire doors in the home must close effectively when released. Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 Page 25 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 Cassini House DS0000010730.V264240.R01.S.doc Version 5.0 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!