Inspection on 28/09/05 for Linden House

This inspection was carried out on 28th September 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 17 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Linden House 09/07/07

Linden House 23/01/07

Linden House 02/06/06

Linden House 27/01/06

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 09/07/2008.

CARE HOME ADULTS 18-65 Linden House 10 Linden Road Tottenham London N15 3QB Lead Inspector Peter Illes Announced Inspection 28th September 2005 09:30 Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Linden House Address 10 Linden Road Tottenham London N15 3QB 020 8489 0000 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) London Borough of Haringey Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may provide accommodation and personal care for up to 9 persons of either gender, who are between the ages of 18-65 and who have a learning disability. The provider must undertake a programme of measures that will achieve full compliance with National Minimum Standards for Younger Adults. Standards 24-30 - Environment or those equivalent Standard that may be published at the time, as required by Regulation 23 (1)(a); 23(2)(ap); 23(4)(c) and Regulation 16(2)(c)(g)(j)(k) - by April 1st 2005. In order to promote health and safety needs of service users living in Linden House, the provider must ensure that the home complies with all requirements contained in relevant Health and Safety legislation on an ongoing basis and further must undertake a programme of measures that will achieve full compliance with National Minimum Standards for Younger AdultsStandard 42 - Safe Working Practices, or those equivalent Standards that may be published at the time, as required by Regulation 23(1)(a); 23(2)(a to p); 23(4)(c) and Regulation 16(2)(c)(g)(j)(k) - by April 1st 2005. 26th August 2004 3. Date of last inspection Brief Description of the Service: The home is owned and managed by Haringey Social Services Department and is currently registered to accommodate nine younger adults with a learning disability. The home was closed for major refurbishment in November 2004. Haringey Social Service Department is planning to re-open the home in October 2005 as a six-place home for younger adults with a learning disability. The home is a three-storey house and the configuration of the accommodation has been significantly changed during the refurbishment. The entrance and most of the ground floor are now fully accessible. The ground floor now consists of two communal lounges, kitchen, dining room and a toilet/ bathroom, separate toilet and staff facilities. The first floor, which is not accessible to wheelchair users, contains six service user bedrooms, a visitor’s room and further toilet, bath and shower facilities. The second floor will be used for storage and will not be used by service users. The home is situated in a pleasant residential area of Haringey and is within walking distance of a range of local shops, pubs, restaurants, transport facilities and the other multicultural amenities of nearby Wood Green. The stated aim of the service is to take a creative and diverse approach to the care and support offered to Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 5 service users and to promote their participation in all aspects of their daily lives. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took approximately three hours. Two inspectors were present throughout the inspection. The allocated inspector for the home, the author of this report, undertook the first of two statutory inspections for the home for 2005/ 2006. The second inspector, from the CSCI’s London Central Registration Team, undertook a site visit to inspect the major physical alterations undertaken at the home and to assess any service implications arising from this work. The home had been closed since November 2004 and was due to re-open in October 2005 with a complete new staff team and a new group of service users. The new manager and staff team had been appointed but none had actually taken up their posts at this time. Two managers from the provider organisation, one senior operational manager and a project manager who had been appointed to coordinate the re-opening of the home, were present throughout the inspection. No service users were accommodated in the home at the time. The inspection consisted of a tour of the premises and discussion with the provider organisation managers regarding the planning and transition arrangements involved in re-opening the home with new service users and a new staff team. The service is currently registered for nine service users and the provider organisation has applied to the CSCI for the home to now be registered for six service users. The home currently has three additional conditions of registration, two of them regarding the physical environment and health and safety that are detailed earlier in this report. It is the CSCI’s intention to remove these two conditions and include outstanding work identified following the current major refurbishment of the home as statutory requirements. What the service does well: What has improved since the last inspection? Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 7 The provider organisation has made substantial improvements to the fabric of the building through the major refurbishment work undertaken. A new staff team has been appointed to the home and the number of service users the home will accommodate has reduced from nine to six. There were thirteen requirements made at the last inspection prior to the home closing for refurbishment. Eleven of these had either been complied with or were no longer relevant. 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. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 8 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 Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 9 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. Prospective service users will have a range of relevant information to make informed choices about living at the home before the home is ready to be occupied. EVIDENCE: The inspectors were shown a satisfactory revised draft statement of purpose that reflected the changes to the service to be offered by the home and that was being finalised at the time of the inspection. The inspectors were also shown a draft format for the revised service user guide that again was satisfactory. The inspectors were assured by the managers present that both documents would be ready and available to service users and other stakeholders before service users were accommodated. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 10 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): No standards in this section were inspected. EVIDENCE: N/A Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards in this section were inspected. EVIDENCE: N/A Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 12 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): No standards in this section were inspected. EVIDENCE: N/A Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 13 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): No standards in this section were inspected. EVIDENCE: N/A Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 14 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, 26, 27 & 28. Major improvements have been made to the building since the last inspection although a number of identified improvements still need to be made in a range of areas. This is to ensure that the home will provide a safe, comfortable and homely environment for service users to live in. EVIDENCE: There was clear evidence from a tour of the building that substantial improvements had been made to the fabric of the building, its furnishings and some, but not all, of the equipment available to staff and service users. The improvements included a new accessible entrance to the home, a rationalisation and improvement to the prospective service users accommodation, communal areas and to the staff facilities. Examples of these improvements included refurbishment of all the bath/shower and toilet facilities, the fitting of all new double glazed window units, replacement of all carpeting, and redecoration throughout the home. All the service user bedrooms had new furniture including soft furnishings and the access to the second floor had been restricted by means of an appropriate lockable door on the landing of the first floor. In the opinion of the inspector allocated to the home this represented a significant improvement since he undertook the previous inspection. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 15 Despite the above improvements there were still some further improvements and maintenance work that needed to be completed to the home to meet the national minimum standards. The external door to the boiler room would not close and was a potential health and safety hazard to prospective service users, it is required that this is rectified. The home had a new front wall and two new gates fitted. The gates did not have catches fitted to prevent them from swinging out onto the pavement causing a potential health and safety hazard to passers by on the pavement. It is required that this is rectified. At the previous inspection it was required that major cracks identified in the window bay of one service user’s bedroom were to be inspected by a person qualified to do so. Any necessary action was required to be taken to ensure that this did not pose an unacceptable health and safety hazard to this service user or to the home in general. Evidence that this requirement had been complied with was not available. On inspection of this bedroom it appeared that some work had been undertaken to the cracks and the room had subsequently been redecorated. However on closer inspection of the window bay the cracks still existed or had reappeared, although narrower than before. It was also still possible to see daylight through the cracks at this inspection. This requirement is restated and must be complied with before service users are accommodated at the home. Although the service user bedrooms had been redecorated and refurbished a number of them only contained one chair and did not contain a table as required in the national minimum standards and this is required. It was noted during the inspection that the radiators in the service user bedrooms were covered to minimise the danger of accidental injury. It was also noted however that the temperature control valve for the radiators was not accessible due to these covers. This meant that the temperature in the individual service users bedrooms could not be adjusted to meet their preference as is required by the national minimum standards. A requirement is made regarding this. Some refurbishment had been undertaken in the kitchen including to the kitchen units and kitchen floor. It was noted however that the kitchen was generally dirty particularly the walls, ceiling and extractor fans and vents and that could pose a potential health and safety hazard. It is required that the kitchen is deep cleaned. The majority of the kitchen equipment had not been replaced. At the last inspection it was required that the freezer unit that was old and was not Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 16 working satisfactorily was replaced. This had not been complied with and is now considered a potential health and safety hazard. The requirement is restated. There are a number of additional requirements made in this report that relate to the environment that are specified under health and safety in the Conduct and Management of the Home section of this report. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 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 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): 33 & 35. The home is implementing a realistic plan to employ and induct sufficient staff to manage and run a home that is to accommodate six service users with a learning disability, some of who may have behaviours that challenge services. EVIDENCE: The inspectors were given a list of the staff the home were in the process of recruiting to the home, all of whom were due to start work at different dates during the first two weeks of October 2005. This included one manager, four team leaders, nine support workers, three night care officers and one domestic staff. The plan also includes proposed dates for induction training and raises issues regarding the need for initial external support for those staff and their manager. Although the effect of the move on the potential service users were not fully known at the time of this inspection the planned number of staff appeared consistent with running a home of this size. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 18 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, 42 & 43 The provider has recruited a new management team to the home to assist service users benefit from an effectively managed home. The home needs to improve health and safety in a number of identified areas and demonstrate that adequate insurance cover is in place to ensure that service users, staff and visitors to the home are properly protected. EVIDENCE: The provider had recruited a new management team to the home and the manager was due to take up post the week following this inspection. The remainder of the management team were due take up post shortly after this. Relevant details of the manager were seen included in the revised draft statement of purpose. It is required that once the manager is in post that he applies to the CSCI to become the registered manager of the home. It was noted that managers spoken to were aware of the importance of ensuring health and safety hazards were identified and dealt. However, a number of health and safety issues were identified that still needed to be Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 19 addressed. The majority of these had already been identified by the provider organisation’s managers who stated that arrangements were in hand to deal with them. Satisfactory documentation was seen regarding the gas and electricity supply to the home. The inspectors were informed that tests of the water supply had recently been carried out by persons competent to do so to assess the risk of legionella and to minimise this risk. The documentation regarding this was not available for inspection although the inspectors were informed that there was some identified work that still needed to be completed. A requirement is made that any identified work regarding minimising the risk of legionella is completed and documentation to evidence that this has been completed is kept available for inspection at the home. There was no evidence available that portable electrical appliances had been checked to ensure they were satisfactory within the past twelve months and this is required. The inspectors were informed that water from taps that service users would have access to were fitted with thermostatically controlled valves to regulate the water temperature. They were also informed that identified taps still needed further work undertaken to ensure that the water temperature from those taps were safe. This included in wash hand basins in identified service users bedrooms and in the first floor bathroom. A requirement is made regarding this. An identified toilet that had no external windows had an extractor fan fitted but this was not linked to the light switch. The fan needed to be started manually from an overhead switch in the toilet that was not readily accessible. A requirement is made that the extractor fan operates automatically when the toilet is occupied. It was noted that the thermostatically controlled valves to regulate the water temperature in an identified first floor toilet and in a first floor shower room were uncovered and could easily be readjusted by mistake by anyone using those rooms. This was judged a potential health and safety hazard. A requirement is made that all the thermostatically controlled valves fitted in the home to regulate the water temperature are covered and only readily accessible for maintenance and health and safety checks. It was noted that the home had a range of fire doors with self-closure mechanisms, some of which were held open by electro-magnetic catches that were linked to the fire alarm system. A number of fire door closures were identified as needing repair or adjustment to ensure that they closed effectively and remained closed, either when activated by the fire alarm or when not in use. A requirement is made regarding this. It was also noted that the fire fighting equipment in the home had not been serviced since March Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 20 2004 and a requirement is made regarding this. The inspectors were informed that the fire officer was due to visit and inspect the home before service users were accommodated. It is required that a satisfactory fire plan and fire risk assessment are agreed with the fire officer and that any additional requirements made by the fire officer must be complied with. It was noted during the tour of the building that a current public liability insurance certificate was not displayed in the home and a requirement is made regarding this. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 21 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 3 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 2 3 2 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Linden House Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X X X X 1 2 DS0000033209.V254768.R01.S.doc Version 5.0 Page 22 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 13(4) Requirement The registered person must ensure that the external door to the boiler room can be locked when not in use. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that the two external gates that lead on to pavement are fitted with appropriate catches to prevent them swinging out on to the pavement. The registered person must ensure that cracks identified in one service user’s bedroom is inspected by a person qualified to do so and any necessary action taken to ensure that this does not pose an unacceptable health and safety hazard to this service user or to the home in general. (previous timescale of 30/9/04 not met). This requirement must be Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 23 Timescale for action 31/10/05 2 YA24 23(2) 31/10/05 3 YA24 13(4) 31/10/05 4 YA26 16(2) met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that each service user’s bedroom contains two comfortable chairs and a table. The registered person must ensure that each service user’s bedroom has individually controlled heating. The registered person must ensure that the kitchen is deep cleaned. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that the freezer in the kitchen is replaced. (previous timescale of 30/9/04 not met). This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that that once the new manager is in post that he applies to the CSCI to become the registered manager of the home. The registered person must ensure that identified work regarding minimising the risk of legionella is completed and documentation to evidence that this has been completed is kept available for inspection at the home. The registered person must DS0000033209.V254768.R01.S.doc 31/10/05 5 YA26 23(2) 31/10/05 6 YA28 13(4) 31/10/05 7 YA28 13(4) 31/10/05 8 YA37 9 31/10/05 9 YA42 13(4) 31/10/05 10 YA42 13(4) 31/10/05 Page 24 Linden House Version 5.0 ensure that a person competent to do so checks all portable appliances to ensure they are safe to use. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that all thermostatically controlled valves fitted to control the temperature of the water taps that service users have access to are working correctly. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that the extractor fan in an identified toilet operates automatically when the toilet is occupied. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that all the thermostatically controlled valves fitted to water taps in the home to regulate the water temperature are covered and only readily accessible for maintenance and health and safety checks. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 25 11 YA42 13(4) 31/10/05 12 YA42 13(4) 31/10/05 13 YA42 13(4) 31/10/05 14 YA42 23(4) The registered person must ensure that all self-closing mechanisms on fire doors are operating correctly. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that a person competent to do so services all the home’s fire fighting equipment. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that a satisfactory fire plan and fire risk assessment are agreed with the fire officer and that any additional requirements made by the fire officer must also be complied with within the timescale given. This requirement must be met by the date shown or by the time service users are admitted to the home – whichever is sooner. The registered person must ensure that a current public liability insurance certificate is displayed in the home. 31/10/05 15 YA42 23(4) 31/10/05 16 YA42 23(4) 13/10/05 17 YA43 25(2) 31/10/05 Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 26 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 Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 27 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 Linden House DS0000033209.V254768.R01.S.doc Version 5.0 Page 28 - 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. 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