Inspection on 28/02/07 for Duchess Close

This inspection was carried out on 28th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Duchess Close 16/05/07

Duchess Close 21/11/05

Duchess Close 01/06/05

Duchess Close 21/02/05

Duchess Close 02/09/04

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 Duchess Close 5 & 6 Friern Barnet London N11 3PZ Lead Inspector Wendy Heal Key Unannounced Inspection 28th February 2007 1:00 Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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 Duchess Close 5 & 6 DS0000010425.V310648.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 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. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Duchess Close 5 & 6 Address Friern Barnet London N11 3PZ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (If applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8368 7131 www.pentahact.org.uk Adepta Anne Lees Murray Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: 5 & 6 Duchess Close, is residential care homes for six adults, male and female, who have a learning disability with an autistic spectrum disorder. The home was first registered in November 2000, and was established in partnership with Birnbeck Housing Association and Barnet Council. The home, which was built, as part of a larger general needs housing development, on the old Friern Barnet Hospital site, is situated in a quiet culde-sac. The property is comprised of two adjoining semi-detached houses, with through-access on the ground floor. This arrangement provides separate group-living areas, each with their own kitchen-diner, lounge, toilet and bathroom. There is a bedroom on the ground floor, and two first-floor bedrooms in each house. There is space for car parking at the front, and a large garden at the rear of the property. There is a good range of shops, pubs and restaurants nearby, and there is good public transport access to the area. The last inspection report and purpose and function document are available to be viewed in the staff office. The current fee is £416.00 per week. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took approximately six hours. The Deputy manager and senior members of the staff team assisted the inspector throughout the day. The inspector undertook a tour of the building, spoke with a number of service users and members of the staff team. Further information was obtained by an inspection of the documentation kept in the home including care plans, assessment information and health and safety documentation. The inspector would like to thank the service users present during the inspection, the manager and staff for their openness and participation. What the service does well: There is a range of clear assessment information, which ensures the service can meet service users needs prior to admission. There are detailed and up-to-date care plans, which ensure that staff can meet service users needs in a consistent way. There are clear risk assessments in place, which identify potential risks for service users, which ensures the health safety, and welfare of service users and staff is taken seriously. Service user information is handled appropriately which ensures that service users confidentiality is respected . Service users have established links with the community, which allows for social interaction. Service users take part in a range of stimulating activities, which, provides service users with the opportunity for personal development. The complaints book contained information, which had been clearly recorded and action had been taken within appropriate timescales, which ensures that service users complaints had been taken seriously. The home benefits from an experienced stable staff team, which improves the quality of care provided to service users. Staff are receiving regular supervision, which ensures staff are provided with the opportunity for personal development. Staff files were inspected and contained all the necessary criminal records bureau checks staff references and staff identification records, which ensures service users are protected from potential abuse. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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 Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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): 1,2,5, Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Service users have the information they need to make an informed choice about whether the service is suitable for them and their needs are addressed prior to them receiving the service. Service users have an individual contract of terms and conditions, which ensures their rights are respected. EVIDENCE: The home has an up-to-date statement of purpose which ensures that prospective service users and their families have sufficient information available to them regarding the service to make an informed choice about whether the service can meet service users individual needs. Two service users files were inspected and contained a comprehensive needs assessment, which was completed by the manager and a staff member and ensures service users needs can be met prior to admission. There was a contract of terms and conditions, which was in a pictorial form which ensures that it is accessible to service users and had been signed by the identified service user which ensures their rights are respected. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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): 6,7,9,10, Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Service users needs and aspirations are clearly set out in their care plans to ensure their individual needs are consistently met. The service is good at enabling service users to make decisions for themselves about what they want to do and when they want to do it. Service users risk assessments did contain accurate information relating to the service users needs, which results in consistent standards of care. Service users information is stored appropriately and kept secure which ensures service users confidentiality is safeguarded. EVIDENCE: Two service users care records were inspected and the care plans were very comprehensive. The care plans were based on individual current and changing needs. The care plan of the identified service user evaluate all aspects of service users needs for example family background, religious and cultural needs, health communication, social interaction to name a few. There is also information in relation to personal goals, which ensures that service users Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 10 needs can be fully met. Information is clearly recorded which ensures that staff work in a consistent way. The plans specify the areas in which service users make decisions about their lives with assistance. The inspector saw evidence that care plans are being reviewed, which ensures service users changing needs are met. The risk assessments to show potential risks for service users are being reviewed the areas covered include road safety, going out alone, public transport, using the cooker and understanding first aid which ensures the health safety and wellbeing of service users is taken seriously. Service user information is handled appropriately. The main files are kept in the office in a lockable cabinet. Information kept on the computer is accessed by a password. The inspector observed the level of confidentiality in the home and is satisfied that the staff working at Duchess Close keep all information regarding service users secure, which ensures their confidentiality is respected. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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): 12,13,15,16,17, Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Service users have the opportunity for personal development. Service users have established links with the local community. Service users take part in a range of stimulating and appropriate activities. Service users have appropriate personal family, relationships. Service users are offered a healthy diet and are involved in selecting their meals. EVIDENCE: On the day of the inspection the service users activity records were inspected. The service users attend day services and transport is organised based on service users particular needs. During the inspection a member of staff went with a service user and supported them whilst they made an appointment to get their hair cut which promotes their self-image. There was evidence of service users going out to local amenities on the evening of the inspection the service users had discussed and agreed to go to the pub, which allows the opportunity for social interaction. The service users are supported to maintain links with their families and a number go home at weekends, which benefits their emotional wellbeing. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 12 Each service user has an individual menu, which reflects their preferences. The menu was varied and nutritious, and two service users were on weight reducing diets, and included low fat cheese, skimmed milk, which is beneficial to their health and wellbeing. One service user spoken with who completes his own menu said, “I am very happy with the food I eat”. Service users care plans detailed service users’ likes and dislikes and cultural and religious preferences, which ensure their rights, are being respected. Service users involvement is further encouraged by the use of pictorial symbols on the doors of cupboards, which allows easy identification and access to their chosen items. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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, Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Service users receive personal support in a way they prefer and require. The health care needs of service users are met. Medication procedures need to be tightened to ensure that all recording of medication is recorded to fully protect the wellbeing of service users. EVIDENCE: Service users receive support in a way they prefer and require and their preferences are noted in their care plans, which ensure their wishes are respected. There were good records of healthcare appointments, which included GP, psychology and the chiropodist, which ensures service users physical and emotional health care needs are met. The administration of medicines records were inspected but a service user who had received his medication from his parents from their own supply at home and this information had not been noted on the medication record to show why his medication was still in the blister pack, this action does not ensure that good practice is being followed. The Deputy manager acted immediately to rectify the situation and the inspector has been assured this will not happen Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 14 again, therefore a requirement has not been made. The medication cabinet was inspected and found to be in good order, which benefits the health and wellbeing of service users. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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, Quality in the outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Service users can be confident that their views are listened to and acted upon since the recording of complaints and action taken is good. Staff need to undertake up-to-date adult protection training to ensure service users are protected from abuse neglect and self-harm. EVIDENCE: The home has received three complaints since the previous inspection, which had been resolved satisfactorily and within a reasonable timescale, the information was clearly recorded which ensures that service users complaints are taken seriously. On the day of the inspection the inspector could not be provided with evidence that staff had attended adult abuse and protection of vulnerable adults training which will ensure that staff have been fully informed in relation to the professional practice to be followed, which improves the quality of care provided to service users. A requirement has been made in relation to this. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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): 24,25,27,30 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to the service. Service users do live in a clean, hygienic home. However it is not a comfortable environment for them to live in, as improvements need to be made. Service users bedrooms currently do not suit their needs as furniture, which is broken and needs to be replaced. There are sufficient bathrooms but improvement needs to be made in relation to the flooring. EVIDENCE: Birnbeck Housing Association is responsible for the maintenance of the home. The inspector carried out a tour of the building and identified the following areas that need action: Both of the kitchens need to be redecorated and action needs to be taken to repair the hole in the ceiling where an electric cable passes through. The kitchen sinks are damaged and need to be replaced to ensure service users are living in a homely environment. These were requirements made at the previous inspection that have been restated at this inspection. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 17 At the last inspection the previous inspector noted that there were several recessed ceiling lights but only one worked in a service users bedroom. The inspector was concerned to see that a large number of lights in all rooms were not functioning effectively which means that service users are not being provided with lighting that is effective which is not beneficial to their health and wellbeing. The inspector would like a professionally qualified person to investigate the problem and a copy of their report along with the action taken to resolve the problem needs to be sent to the Commission For Social Care inspections local area office. A requirement has been made in relation to this. At the inspection the inspector noted that the stair carpet is wearing and does not ensure that service users are living in a safe environment as the continued wear could lead to trips or falls. The carpet must be replaced. A requirement has been made in relation to this. The carpet in the staff office is worn and starting to crease posing a potential risk in relation to falls and the carpet must be replaced. s The metal cabinets, which, are impacting on the easy access and exit of the office, must be positioned in a more suitable location, as currently this situation does not promote a safe environment for service users and staff. Requirements have been made in relation all of the above. The sink in an identified service users bedroom has tiles, surrounding it which are cracked and these must be replaced, as currently the sink is not hygienic for the identified service user to use. A requirement has been made in relation to this. The flooring in one identified bathroom needs to be replaced, as it is dirty and worn. A requirement has been made in relation to this. The chest of drawers in two separate service users bedrooms must be replaced to ensure they are provided with suitable furniture for their use. A requirement has been made in relation to this. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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): 32,34,35,36, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are well qualified and there is a stable staff team in sufficient numbers to support service users and assist them in meeting their assessed needs. Service users are protected by an adequate recruitment procedure, which is operated by the home. Staff are well supported and supervised, which benefits the quality of care provided to service users. EVIDENCE: The homes rota showed adequate members of staff on shift in relation to the number and needs of current service users in the home, which means that service users needs can be met. The staff on duty matched those on the rota which ensures that service users are supported by a stable staff team who are familiar with the service users needs, which improves the quality of care service users receive. The manager is currently undertaking his NVQ level 4, and undergoing the registration process.The Deputy manager is undertaking his NVQ level 3 and senior staff are undertaking their NVQ level 2 which increases the knowledge and skills of the staff which improves the quality of care provided to service users. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 19 The staff supervision records were inspected. Staff are receiving supervision, which ensures that staff have the opportunity to express their views and the manager can ensure that effective communication systems are in place, which benefits the quality of care provided to service users as staff work together in a consistent way. The inspector observed a motivated staff team working to develop professionally and support service users to experience a good standard of care, which makes service users feel valued. Staff files were inspected and contained all the necessary criminal records bureau checks, staff references and the required staff identification records, which ensures service users are protected from potential abuse. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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, Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Service users benefit from a management approach, which promotes person - centred working. Service users cannot be confident that their views underpin all self- monitoring review and development by the home until a quality assurance audit is undertaken. The health safety and welfare of service users and staff are promoted. EVIDENCE: The current manager has been in post approximately one year and is currently undertaking his NVQ level 4 which assists him to develop his skills further which is beneficial to service users and staff. The inspector examined a range of health and safety documentation, which included the recording of fire drills and fire point testing, which were found to be in order. The Deputy manager informed the inspector that a fire drill was Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 21 due to be carried out that day. The home has electronic magnetic door closures fitted which assist to contain fire for a given period and protect the wellbeing of service users and staff. Both of the homes gas safety certificates were inspected and found to be in order, which protects the health and safety of service users and staff. The home has thermostatic valves fitted, which ensures that the water temperature is controlled and prevents service users and staff from being scalded. A quality assurance audit was not available on the day of the inspection. A quality assurance audit must be undertaken involving service users, families and relevant professionals and the information that is obtained must be compiled into a report and acted upon. A requirement has been made in relation to this. Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 Page 23 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 YA24 Regulation Requirement Timescale for action 25/05/07 2. YA24 3 YA24 4 YA24 5 YA27 23(2)(b)(d) The Registered Person must ensure that both of the kitchens are redecorated and the hole in the kitchen ceiling is repaired and the kitchen sinks are replaced. These requirements have been restated from the previous inspection. Timescale of 31/03/06 not met. 23 (2) (b) The Registered Person must ensure that a professionally qualified person investigates the effectiveness of the lights in the home and sends their report along with the action that has been taken to the local CSCI area office. 23 (2) (b) The Registered Person must ensure that the carpet in both the office and on the hall stairs is replaced. 23 (2) (a) The Registered person must ensure that the office cabinet is repositioned to allow easy access or exit of the staff office. 23 (j) The Registered Person must ensure that the identified service users bathroom sink tiles are replaced. DS0000010425.V310648.R01.S.doc 20/05/07 10/05/07 02/04/07 20/03/07 Duchess Close 5 & 6 Version 5.2 Page 24 6 7 YA27 YA25 23 (b) 23 (b) 8 YA39 35 9 YA23 13 (6) The Registered Person must ensure that the flooring in the identified toilet is replaced. The Registered person must ensure the two identified service users chest of drawers are replaced or repaired. The Registered Person must ensure that a quality assurance audit is undertaken and then compiled into a report and acted upon. The Registered Person must ensure staff attend Adult protection training. 01/06/07 20/03/07 10/04/07 01/05/07 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 Duchess Close 5 & 6 DS0000010425.V310648.R01.S.doc Version 5.2 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 Duchess Close 5 & 6 DS0000010425.V310648.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!