Inspection on 23/01/07 for Green Lanes Projects

This inspection was carried out on 23rd January 2007.

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 no outstanding requirements from the previous inspection report, but made 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Green Lanes Projects 05/06/07

Green Lanes Projects 27/03/06

Green Lanes Projects 28/09/05

Green Lanes Projects 17/01/05

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 Green Lanes Projects 40 Myddleton Road Wood Green London N22 8NR Lead Inspector Jackie Izzard Key Unannounced Inspection 23rd January 2007 09:00 Green Lanes Projects DS0000057935.V322968.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 Green Lanes Projects DS0000057935.V322968.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. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Lanes Projects Address 40 Myddleton Road Wood Green London N22 8NR 020 8829 0996 020 8829 0996 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) Mr Pangisani Mabhena Ms Angela Mary Mabhena No registered manager Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th March 2006 Brief Description of the Service: Green Lanes Project is a registered care home providing care for up to six men and women who have a learning disability. The home is registered to care for adults between the ages of eighteen and sixty five years. The home is a large three storey house in Bounds Green, North London. The home is well situated for buses and overland trains and is a short bus ride away from the underground station at Wood Green. Service users of the home have easy access to local shops, churches, cafes etc within walking distance. The house has six single bedrooms with ensuite facilities and a large lounge, kitchen diner, conservatory and garden. The house is decorated and furnished to a good standard. The aim of the home is to empower individuals to live as independently as possible according to their preferences and abilities. The home currently has six service users. The fee for living at the home ranges from £750 to £2200 per week, depending on the level of care provided. Following “Inspecting for Better Lives”, the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 23 January 2007 and lasted one day. The home did not know the inspector was coming. The inspection consisted of the following: • • • • • • • • Tour of the home Inspection of service user and staff files Inspection of records and policies in the home Meeting with the manager and owner Talking to one staff member Talking in private to three people who live at the home Talking to a fourth person living at the home Observation of interaction between staff and people living at the home. What the service does well: What has improved since the last inspection? The home has gone through a period of instability since the last inspection with three changes of manager and changes in the staff team. In addition, three new people have moved in, so there have been challenges, however, the owner and new manager show a commitment to making improvements in the home. The staff have, since the last inspection, helped two service users to plan their wedding and support them through this which is very positive. The home has met the requirements made in the last inspection report. A computer has been purchased for use in the conservatory and security has been enhanced with providing CCTV, external door alarms and lighting. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Green Lanes Projects DS0000057935.V322968.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 Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed and the quality of the assessment is being improved upon. EVIDENCE: The inspector read the assessments for three of the six people currently living in the home. Their needs were adequately assessed. The manager showed a new blank assessment format which she said the home is planning to introduce. This document will improve the quality of assessment as it is more detailed. Risk assessments were comprehensive and related to each individual’s needs. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are protected by comprehensive risk assessments and satisfactory care plans but would benefit from an assessment of their individual cultural and religious needs. One service user needs a care plan in order to be confident that his needs are fully known and will be met. EVIDENCE: Three service users’ care plans and risk assessments were inspected in detail. Risk assessments were of a good standard and very comprehensive. Two care plans were good, in that they addressed the person’s needs in a number of different areas and were clear for staff to follow. The third care plan was still in progress and a draft was seen. This service user moved into the home in October 2006 and a requirement is therefore made that the care plan is finalised as soon as possible, within two weeks of this inspection. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 10 Religious and cultural needs were not properly addressed in the care plans. The owner told the inspector that one service user had no religion, three were Church of England and two were Muslims. None visited places of worship and the inspector was told that this was their preferences. Cultural needs and preferences were not recorded. A requirement is made to address this. Where service users have some challenging behaviour, written contracts regarding behaviour have been written and signed by the service user. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to live a good quality of life following their own interests and maintaing their relationships. Their rights and responsibilities are respected on a day to day basis. EVIDENCE: The inspector was able to meet and talk in private to three service users for their views on the quality of life they are living at this home. All three were enjoying a good quality of life and received support from staff to follow their interests. They said that staff support them to go shopping, do voluntary work, attend social clubs and cinema and cafes. All six service users attend college on a part time basis. Staff escort them on public transport and give them the support they need. People are well Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 12 supported to live their lives according to their own wishes with risk assessments in place where needed for their own safety. The home supports service users to keep in contact with family and friends and has helped some service users get in touch with family members where appropriate. Where a service user is at risk in the community, a clear risk assessment is put in place which they are aware of. From talking to three people, the inspector considered that they were made aware of their rights and their responsibilities towards others by staff. Two service users got married this year and told the inspector that they had a lot of support and help from staff at the home with their wedding and showed the photographs of the wedding to the inspector. From discussion with these three service users it was clear that the home works hard at trying to meet each person’s needs. A fourth service user was spoken to but was able to give limited information. However, by inspecting daily records the inspector assessed that this person was also being supported to make choices about his/her daily activities and lifestyle. The food provided was inspected in detail. This involved discussing the meals with three service users, inspecting care plans regarding food preferences, menus and daily records of food eaten. The menu for the main meal for the week where this inspection took place was varied and consisted of; chicken curry, rice and salad; cod, chips and mushy peas; creamy mushroom fettuccine, garlic bread and salad; sausage, mash and baked beans; lasagne and salad; salmon parcels, noodles and broccoli; chicken, roast potato, cabbage and carrots. Two of the three service users spoken to said they liked all these meals. Five weeks’ menu records were inspected and found to be nutritious and balanced, however there was a lack of culturally appropriate food reflecting the preferences of service users from different ethnic backgrounds. One person said he did not like the food and would prefer Turkish food. Another was eating the meals but records indicated he was more used to a different ethnic diet. A requirement is made to review the menu and ensure each service user’s cultural preferences are included. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ physical and mental health needs are well met but they are at risk from untrained staff giving medication. EVIDENCE: Three service users’ files were inspected for evidence of their health needs being addressed. In addition, the health needs of all six service users was discussed with the registered provider. Two people are not registered with local GPs but have retained their previous GP. There was evidence that service users’ health needs were being met. Records were kept of appointments with a dentist, optician and GP and two were using specialist services, ie speech and language therapist and psychiatrist. Mental and physical health needs were recorded. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 14 The inspector asked two service users if they had support from staff and both said that if they were unwell staff would make an appointment to see their GP and had gone with them to hospital appointments for support. Although health needs aere being well met, improvements were needed in medication. None of the current staff had medication training and dossett boxes were being used which increased the chance of an error being made with medication. The provider and manager were advised that dossett boxes should be filled by the pharmacist or else a blister pack from the pharmacist or the original containers should be used. The home has still to obtain a copy of the medicines policy for residential care homes despite this being a requirement at previous inspections. Requirements are made on these three matters. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although staff need training in adult protection issues, service users can be assured that their views, their safety and protection from abuse are carefully addressed by the home. EVIDENCE: The home has a complaints policy which meets the required national minimum standard. The policy is lengthy but the complaints form is user-friendly. There is a written procedure for staff to follow should there be any allegation or incident of abuse. This adult protection procedure and the emergency telephone numbers for each service user’s placing authority and the local adult protection officer are easily accessible to staff. Where service users have been subject to abuse, clear written safeguards are in place to protect them. The owner and manager showed through discussion of individual service users with the inspector that they take adult protection seriously and have a good understanding of the risks to particular service users and address these risks through written risk assessments. There have been changes in the staff team since the last inspection and current staff need training in adult protection. This is addressed in the section on staffing in this report along with other training requirements. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a homely, well maintained environment to live in, which will be further improved by new carpets and removal of damp from one bedroom. EVIDENCE: This home blends in well with other houses on the street and is well situated for public transport and local amenities. The inspector looked at all communal rooms and four of the six bedrooms. All rooms are well decorated and furnished with good quality furniture. The general cleanliness of the home was of a very high standard. Carpets were stained and not able to be cleaned. The registered provider said that he planned to replace the carpets and a date of 31/05/07 was agreed for replacement of all stained carpets. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 17 Bedrooms are personalised, spacious and all have en-site facilities. One service user said he would like a lamp in his room and this request was passed to the manager by the inspector. One bedroom had damp on one wall which was black and posed a health risk. The other walls also needed cleaning in this room. The service users in this room expressed concern to the inspector about the damp. A requirement is made to address this and clean the walls within a week of this inspection. All other rooms were clean and tidy. The cleanliness in the kitchen was of a very high standard. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by staff but would benefit from staff being provided with more training and supervision in order to carry out their duties in a more informed way. EVIDENCE: The inspector looked at records of staff training, four staff members’ personal files, staff rotas and records of supervision in order to assess these stafnrds. There are two staff on duty during the day and sometimes three. This is satisfactory for meeting service users’ needs. Three service users were asked for their views on their relationship with staff and how well they were supported. All three said they liked the staff, got on well with them , were supported with their needs and treated respectfully. This is very positive. Training records were not up to date and there was no evidence of a satisfactory induction programme. This is partly due to three changes of manager in the last year and changes in the staff team. A requirement is made that each staff member has an assessment of his/her training needs and Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 19 a training plan is produced and sent to the CSCI with dates of the training courses booked. Another requirement is made to enrol 50 of staff on NVQ 2 training. Of the four staff files inspected, one had been enrolled on NVQ 2 training. The recruitment procedure for four staff was looked at in detail. All had completed an application form, attended an interview and had a criminal records bureau check completed. All had two references as required but one did not have one from his/her last employer and the references for this person were not authenticated. A requirement is made to ensure this person’s references are authentic. Four staff files were inspected for evidence of regular supervision. One had four supervision sessions within the last year, one had three and two had none recorded. The new manager has commenced supervision and assured the inspector that this was a priority. A requirement is made to ensure all staff have the nationally required minimum of at least six sessions a year. Green Lanes Projects DS0000057935.V322968.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed in quality monitoring and health and safety training but service users can be assured that the home is being run in their best interests. EVIDENCE: After a period of instability, there is a new manager who has experience as a registered manager and has already highlighted areas which need improvement. The registered provider and the new manager are working closely together to make improvements in the home. Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 21 Three service users told the inspector that their views and opinions were sought on a regular basis and listened to. The inspector saw evidence in their records and through discussion that changes had been made to care plans at service users’ requests. Keyworkers meetings are being held on a regular basis. There were no records of service user meetings since 2005 and the manager was advised that if these take place records should be kept. The quality assurance exercise undertaken in 2006 had been mislaid so the inspector was unable to see it. A requirement is made to undertake a quality assurance audit seeking the views of service users and other stakeholders and devise an annual development plan for the home. The inspector wad advised of the improvements made to the home as a result of last year’s quality assurance audit. These were providing a computer for use in the conservatory and providing CCTV, external door alarm and lighting. The fire alarm system was recently serviced on 07/01/07. The fire extinguishers were inspected for safety and a gas safety inspection had been carried out. Fire drills and checks of door guards are undertaken weekly. The home was inspected in November 2006 by an Environmental health officer and a recommendation made that staff attend food hygiene training. This is a requirement of the national minimum standards for care homes and a requirement is made that staff attend this training. There was no evidence that staff have been given training in safe working practice topics. This is addressed in the staffing section of this report and a requirement is made. The registered provider was advised that there is requirement to produce monthly reports on the conduct of the home and send a copy to the CSCI and it was agreed that these would be implemented as required by Regulation 26 of the Care Homes Regulations 2001. Green Lanes Projects DS0000057935.V322968.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 1 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 4 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 2 X X 1 x Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 23 no 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 YA6 Regulation 12(4)(b) Requirement The registered persons must ensure that service users’ cultural needs and preferences and any religious needs are assessed, recorded in the care plan and met. The registered persons must ensure that each service user has an up to date care plan. The registered persons must review the menu and ensure that each service user’s cultural dietary preferences are met. The registered persons must ensure staff cease the practice of decanting medicines into dossett boxes and use a safer method of administration. The registered person must obtain and follow the Haringey and Enfield policy on medicines in residential care homes. The registered persons must ensure all staff who give out medication are trained to do so and the certificates of the training placed in their files, available for inspection. The registered persons must replace all stained carpets. DS0000057935.V322968.R01.S.doc Timescale for action 31/03/07 2 3 YA6 YA17 15 12(4)(b) 07/02/07 31/03/07 4 YA20 13(2) 30/01/07 5 YA20 13(2) 31/03/07 6 YA20 13(2) 31/03/07 7 YA24 23(2)(d) 31/05/07 Green Lanes Projects Version 5.2 Page 24 8 YA30 23(2)(d) 9 YA34 19(1)(c) 10 YA35 YA42 18(1)(c) The registered persons must ensure the walls in the ground floor bedroom are cleaned and action taken to remove and treat the damp. The registered persons must ensure all references for new staff are authenticated before the person commences work in the home. The registered persons must undertake a training needs assessment of all staff and develop a training plan for the home. The training plan must include the following training with dates planned for the training to take place, and a copy sent to the CSCI. Structured induction and foundation training to sector skills specification • Equal opportunities • Adult protection/abuse • Learning disability Award framework accredited training • First aid • Medication • Infection control • Fire safety • Food hygiene • Moving and handling • And any other training needed to work in the home with this user group The registered persons must enrol 50 of staff on NVQ 2 training relevant to this job. The registered persons must ensure all staff receive at least six individual supervision sessions per year with records kept for each session. The registered persons must undertake a quality assurance audit seeking views of service DS0000057935.V322968.R01.S.doc 30/01/07 28/02/07 16/03/07 • 11 12 YA32 YA36 18(1)(c) 18(2) 31/03/07 31/03/07 13 YA39 24(2) 30/04/07 Green Lanes Projects Version 5.2 Page 25 14 YA39 26 users and other stakeholders and devise an annual development plan for the home based on the outcome. A copy of the development plan must be sent to the CSCI. The registered persons must 31/03/07 arrange for monthly visits to the home to be undertaken and report on the conduct of the home to be sent to the manager and to the CSCI on a monthly basis. 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 Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Green Lanes Projects DS0000057935.V322968.R01.S.doc Version 5.2 Page 27 - 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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