Inspection on 30/06/05 for Chesterfield Gardens 80

This inspection was carried out on 30th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chesterfield Gardens 80 13/09/07

Chesterfield Gardens 80 20/06/06

Chesterfield Gardens 80 26/01/06

Chesterfield Gardens 80 02/11/04

Chesterfield Gardens 80 22/04/04

Chesterfield Gardens 80 23/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 80 CHESTERFIELD GARDENS London N4 1LR Lead Inspector Susan Shamash Unannounced 30 June 2005 @ 11.30 am 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 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 Stationary 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. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 80 Chesterfield Gardens Address 80 Chesterfield Gardens, London N4 1LR Telephone number Fax number Email 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 8350 6468 Mr Phivos Joannides Mr Phivos Joannides PC Care Home 3 Category(ies) of MD(E), LD(E), MD, LD registration, with number of places 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 3 people of either gender who have a mental disorder (MD); 2. and who may also fall into the category of old age (MD(E)); 3. or have a learning disability (LD); 4. and who may also fall into the category of old age (LD(E)). Date of last inspection 2 November 2004 Brief Description of the Service: This home is registered for three people who have a learning disability or mental health needs. There are three men living in the home. All have mental health needs. There are three single bedrooms but currently two men have chosen to share a room. The third bedroom has been temporarily turned into a lounge for these two men to share. The house is situated close to Green Lanes, with easy access to public transport and local amenities. There is an office on the ground floor, which is also used as a staff sleeping-in room. The home is one of a number locally, owned and managed by the Joannides family. This home is owned by Mr. Phivos Joannides who is also the registered manager. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced basis and lasted approximately two hours. There was one member of care staff on duty in the home when the inspector arrived. Builders were undertaking work on an extension to the rear of the home, during the inspection, as had been notified to the Commission prior to the inspection. The manager arrived at the home shortly after the inspector arrived, but explained that he could not stay for the inspection as he had to attend a hospital appointment. However his son, who is the registered manager of another home owned by the family, kindly made time to come to the home to assist with the inspection. The inspector had the opportunity to speak to two of the three residents who are living in the home (one at some length whilst the other only wished to talk briefly) and met the other resident although they did not wish to speak to the inspector on this occasion. A tour of the building was conducted, however it was not possible to see residents’ or staff records, nor health and safety records for the home as these had been relocated temporarily, for the duration of the building works at the home. It was therefore not possible to verify compliance with the majority of requirements made at the previous inspection. What the service does well: What has improved since the last inspection? 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 6 Since the previous inspection, works were being undertaken to extend the home to include increased communal space and a further bathroom and toilet. Whilst the work itself is causing disruption to residents at the home, it is expected that when finished, the changes will be beneficial to them. As required at the previous inspection the lock on the toilet door had been repaired and the provider had applied for a new enhanced CRB disclosure through the CSCI. 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. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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 standard(s) 2. An adequate system is in place to assess service users’ needs and goals effectively and ensure that these can be met. EVIDENCE: At the previous inspection it was the inspector’s view that the service users are appropriately placed and are settled in the home. The inspector noted that the statement of purpose sets out what the home aims to achieve and who the service is suitable for. There have been no new admissions since the last inspection. The inspector had the opportunity to talk with one service user at some length and another service user very briefly. Both indicated that their needs were being met appropriately. It was not possible to see the assessments produced for each service user due to records being relocated for the duration of the building works at the home. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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 standard(s) 6 and 7. There was insufficient evidence available to determine whether service users’ changing needs and goals are assessed and responded to adequately, taking account of their preferences. EVIDENCE: 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 10 Service users spoken to indicated that their needs were being met at the home according to their choices. At the previous inspection it was noted that service user plans and risk assessments are in place for the three service users. These were not available for inspection on the day of the inspection and therefore outstanding requirements from the previous inspection could not be verified. It remains required that further detail be recorded regarding the day-to-day arrangements in place to support service users in managing their finances. Copies of the relevant sections of each service users’ care plan should be provided to the local CSCI area office. It also remains required that the registered person write to the placing authority to request a CPA review for two service users, who have not had a CPA review with their placing authority within the past twelve months. The inspector was advised by the manager of another home owned by the registered provider (and son of the provider) that a review had been held for these two service users since the previous inspection. However it was not possible to verify this, as minutes of the meetings were not available. Copies of the letter sent to the placing authority and minutes of the CPA review meetings, should be sent to the local CSCI area office. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 15, 16 and 17. A range of activities are available for service users at the home. Freedom is provided for service users to engage in personal relationships and maintain contact with family and friends. They are encouraged to be involved in all aspects of home life, and are provided with a varied selection of meals that meet their nutritional needs. However inappropriate storage of perishable foods whilst the building works are underway, may place service users at risk. EVIDENCE: 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 12 The inspector noted that the service users living in the home are generally quite independent and able to say what they like and don’t like, coming and going unaccompanied. One service user attends a supported workshop where they make and sell items, and also attends college on a part time basis. Another attends a day centre run by the charity Mind, in the mornings, whilst the other told the inspector that they consider themself to be semi-retired. It was not possible to check records of the support provided to service users, however staff and service users confirmed that service users are encouraged to maintain family links and beneficial friendships. The service users spoken to advised that they were satisfied with food served at the home, or at another home nearby (where meals are regular taken whilst building works are underway in the kitchen area). However inspection of the home indicated that milk, cheese and butter were being stored upstairs in service users’ bedrooms or a shared lounge area, so that they were not refrigerated for large periods of the day. This potentially placed service users at risk of food poisoning and an immediate requirement was therefore made. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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 standard(s) 18, 19 and 20. Service users receive appropriate physical and emotional support and are supported to take their prescribed medicines to ensure medication needs are met. However there is a need for improvement in the storage of medication and recording of administration, to ensure that service users are not placed at risk. EVIDENCE: The service users are mostly quite independent with regard to their personal care. Service users told the inspector that they have appropriate access and support to use all necessary healthcare services. On the day of the inspection the arrangements for storage of medication were not acceptable, as the medication was being stored in an unlocked cupboard. Although this was a temporary measure due to the building work in the kitchen, where the medicine cabinet is found, it is not appropriate for medicines to be stored in this way, and places service users at risk. An immediate requirement was therefore made regarding this issue. Two requirements remain from the previous inspection, as it was not possible to verify compliance. These are in respect of the records kept in the home regarding the administration of medication. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22 and 23. The home has an appropriate complaints procedure to ensure that the concerns of service users are acted upon effectively. Procedures are in place to ensure that service users are protected from abuse. EVIDENCE: There have been no complaints made to the Commission about the home and none recorded in the home since the last inspection. No adult protection issues have been identified since the last inspection and the adult protection procedure is of an acceptable standard. Service users are generally very able to express any concerns that they have about the home, and appeared to feel safe and comfortable around staff members and management. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24 and 30. Service users have adequate private and communal space, and the home is furnished to meet their needs. It is expected that the home will be improved by building works currently being undertaken. The home is kept clean (considering the work being undertaken). However the need for redecoration of the shared service users’ room may affect their comfort, and inadequately self-closing fire doors in the home may place all service users’ at risk. EVIDENCE: The registered person had notified the CSCI that he wished to extend the home and has sent plans of the proposed changes to the inspector. Service users have access to a lounge and a dining room. There are three bedrooms. However, at present two service users have chosen to share a bedroom and the empty bedroom is used as their lounge. The provider is aware that if one of these service users were to leave the home, the home would revert to three single bedrooms. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 16 The house was reasonably clean considering the work being undertaken. As required at the previous inspection, the lock on the toilet door had been repaired. However the carpet in the shared room was worn, the walls were stained and the curtains were not hanging effectively. A requirement is made regarding these issues. It was not possible to verify whether the water temperature at the kitchen sink was of a sufficiently high temperature, and this requirement made at the previous inspection, is therefore restated. The inspector noted that fire doors provided at the home were not fully selfclosing as required. A requirement is therefore made concerning this issue. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36. It could not be verified whether staff are sufficiently trained and supervised to meet the needs of service users effectively, nor whether a suitable recruitment procedure is in place for all staff, that adequately protects service users. EVIDENCE: The rota showed one staff on duty throughout the day and one sleeping-in staff member on duty at night. This staffing level was satisfactory to meet the service users’ current needs. As required at the previous inspection, the registered person had applied for a new, up to date enhanced CRB check through the Commission. Due to staff records, including training and supervision records, not being available for inspection at the home, the inspector was unable to verify whether sufficiently regular staff supervision was taking place as required at the previous inspection. Nor was it possible to ascertain whether all staff members had undertaken mandatory training courses. Although staff spoken to were able to advise the inspector of some training courses that they had undertaken. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 18 The inspector was also unable to verify whether one reference was being obtained from new applicants’ current or most recent employer, prior to their commencing work at the home. It remains required that the registered person must provide a copy of the NVQ training schedule arranged with Oaklands College to the inspector. The inspector was concerned to note that the staff member left in sole charge of the home, had only been working there for a couple of days, and was unclear as to the specific medication recording procedure. Although she appeared to have administered medication appropriately, on the evening and morning before the inspection, she did not record this until the afternoon of the inspection. A requirement is therefore made regarding specific induction training relevant to the home for all staff (including those who work in other homes owned by the provider). 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 and 43. Inadequately self-closing fire doors may place service users at risk of harm. It was not possible to verify whether service users benefit from accountable management, due to inadequate information regarding the insurance cover for the home. EVIDENCE: It was not possible to check health and safety records within the home due to the circumstances of the visit. However the inspector noted that fire doors were not effectively self-closing and a requirement is made accordingly. At the previous inspection it was noted that the certificate of liability insurance displayed in the home did not include the address of the care home and a requirement was made in respect of this. However information provided by the home did not clarify whether the maximum cover provided on the certificate was spread across all the homes, or was provided for every home owned by the provider. A requirement is made accordingly. 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 2 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 80 CHESTERFIELD GARDENS Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 2 G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 21 YES Are there any outstanding requirements from the last inspection? 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 6 Regulation 14, 15 Requirement The registered person is required to write to the placing authority to request a CPA review for the two service users who are placed by Brent Social Services Department. (Compliance with the previous timescale of 30/12/04 could not be verified at this inspection). Copies of the letter sent to the placing authority and minutes of the CPA review meetings should be sent to the local CSCI area office. (This requirement is amended). The registered person must ensure that the arrangements described in service users’ plans regarding the management of their financial affairs are more comprehensive and detailed. (Compliance by the previous timescale of 30/12/04 could not be verified at this inspection). Copies of the relevant sections of each service users’ care plan should be provided to the local CSCI area office. (This requirement is amended.) 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 22 Timescale for action 12th August 2005 2. 7 15, 17 12th August 2005 3. 17 13(4)(a) (c) The registered person must ensure that all foods or beverages requiring refrigeration are stored in a refrigerator at all times when not in use in order to minimise the risk of contamination. Confirmation that this is being undertaken must be sent to the local CSCI area office. IMMEDIATE REQUIREMENT The registered person must ensure that a list of specimen signatures is kept of all staff who administer medication in the home. (Compliance with the previous timescale of 30/12/04 could not be verified at this inspection). A copy of this list must be sent to the local CSCI area office. (This requirement is amended). The registered person must ensure that staff complete a note of explanation on the back of the record of the administration of medication to clarify if it is signed in error, or if medication is not given or is refused. This record must be signed and dated by the staff member concerned.(Compliance could not be verified at this inspection). The registered person must ensure that all medication is stored in an appropriate locked facility at all times when not in use. Confirmation must be sent to the local CSCI area office. IMMEDIATE REQUIREMENT The registered person must ensure that the curtains are rehanged, the carpet is replaced and walls are repainted in the shared service users room. 4th July 2005 This requiremen t was met. 4. 20 13(2) 12th August 2005 5. 20 13(2) 30th November 2004 6. 20, 42 13(2) 13(4)(a) 4th July 2005 This requiremen t was met. 12th August 2005 31st August 2005 Page 23 7. 26 23(2)(b) (d) 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 8. 30 16 (2) (g) 13 (4) 9. 34 10. 35 17 (2), 17 (4), 19 and Schedule 4 (6) and Schedule 2 18 (1) (c) 11. 35 18 (1) (c) 13(4)(a) The registered person must ensure that the water temperature at the kitchen sink is around 60°C. (Compliance could not be verified at this inspection). The registered person must ensure that in recruiting staff, one reference is obtained from the applicant’s current or most recent employer. (Compliance could not be verified at this inspection). The registered person must provide a copy of the NVQ training schedule for the manager, arranged with Oaklands College, to the inspector. (Previous timescale of 30/12/04 not met). The registered person must ensure that all staff working in the home have training in food hygiene, first aid, working with people with mental health problems, adult protection and equality and diversity. No staff member should start working alone in the home without receiving an extensive induction into procedures at the home. The registered person must ensure that all staff receive formal one to one supervision a minimum of six times per year. (Compliance could not be verified at this inspection). The registered person must ensure that all fire doors within the home are effectively selfclosing and that they are monitored on a regular basis. The registered person must provide evidence that each home owned by the provider is covered for a minimum of £5 million per 30th November 2004 30th May 2004 and from then on. 12th August 2005 9th September 2005 12. 36 18 (1) (c) 21 15th July 2005 30th November 2004 13. 42, 24 13(4)(a) 23(4)(c) (iv) 25(2)(e) 12th August 2005 14. 43 12th August 2005 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 24 home. 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 Good Practice Recommendations 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 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 80 CHESTERFIELD GARDENS G59 S10817 80 Chesterfield Gardens V224736 30.06.05 Stage 4.doc Version 1.30 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. 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