Inspection on 21/07/05 for Matlock Close 4

This inspection was carried out on 21st July 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Matlock Close 4 16/03/09

Matlock Close 4 24/04/08

Matlock Close 4 04/12/07

Matlock Close 4 20/06/07

Matlock Close 4 11/09/06

Matlock Close 4 06/02/06

Matlock Close 4 17/01/05

Matlock Close 4 17/08/04

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 09/07/2008.

CARE HOME ADULTS 18-65 4 MATLOCK CLOSE Barnet Hertfordshire EN5 2RS Lead Inspector Anthony Lewis Announced 21 July 2005 at 09.00am st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 4 Matlock Close Address 4 Matlock Close, Barnet, Hertfordshire EN5 2RS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8449 0953 020 8449 9053 Cedric Frederick of PentaHact Sandra Power PC Care Home only 8 Category(ies) of LD Learning Disability registration, with number PD Physical Disability of places 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 8 adults who have a learning disability (LD), and who may also have a physical disability (PD). Date of last inspection 17 January 2005 Brief Description of the Service: 4 Matlock Close is a large purpose built detached bungalow for eight adults with learning and physical disabilities and designed for residents who use wheelchairs. . The home is situated on a substantial plot with gardens to the sides and rear. There is off street parking to the front of the home for several vehicles. The home was opened in May 1995 and is managed by PentaHact who provides care and support to people with special needs and maintained by Notting Hill Housing. The home is situated on a relatively new housing estate in High Barnet, a short walk from the local bus routes and local shops and a short bus journey to Barnet town centre. Barnet General Hospital, Whalebone Park and primary schools are within a short walk of the home. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on Thursday 21st July 2005 at 9am and was completed at 15.10pm. The registered manager, who has been seconded to another PentaHact home part time and works at Matlock Close two days a week was available throughout the inspection as was the two assistant managers, one of whom is also the acting manager at Matlock Close, in the absence of the registered manager. Evidence was gathered for this inspection by using information obtained from the pre-inspection questionnaire regarding residents and staffing. Various policies and procedures, files and certificates were also viewed. Comment cards were not available for evidence. No comment cards were received although the registered manager said that they were sent out to the appropriate individuals. A tour of the home was conducted with the registered manager and the acting manager. Three members of staff were spoken to formally and others informally throughout the day. Most of the residents were not at home to speak to, although one was spoken to for a short while. What the service does well: What has improved since the last inspection? Issues relating to the performance of one member of the staff team have now been resolved, which has improved the morale of the staff team and residents are confident that any staffing issues will be dealt with accordingly. The ongoing training that staff are undertaking, enhances the standard of care that residents receive. Information required in resident’s files have now been collated ensuring that their rights and best interests are now being safeguarded. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5. Residents, families and professionals are confident that they will be provided with comprehensive information to make an informed choice as to whether the home can meet all of the resident’s assessed needs. EVIDENCE: The home has a comprehensive statement of purpose and service user guide and both contain the necessary information. Residents have a copy of the service user guide in their bedroom. PentaHact has a policy and procedure for assessing and admitting residents to the home. The home also has an assessment of support needs procedure, which contained information regarding what support residents can expect from the staff. The home is able to meet the specialist needs of residents. The home has a hoist; two specially adapted mini buses for people with physical difficulties, specially adapted baths and shower chairs. In addition, residents have specially adapted beds, a weighing machine and computer. A letter was read from the Speech & Language Therapist, dated 23rd March 2005, with two recommendations regarding resident’s current eating and drinking, which the staff team have taken on board. There is a “moving in” procedure, which includes information on nominations to a vacancy and with regards to prospective resident to the home visiting. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 9 Each resident is given a tenants handbook, which was viewed and contained information on equal opportunities, the complaints procedure, confidentiality and rights and responsibilities. Residents are also given a tenancy agreement; all were seen to be signed by the resident and witnessed, with the date and time included. According to the registered manager, there is an audiocassette with a summary of the tenancy agreement for residents. The cassette was seen but not heard do to there not being a cassette recorded available. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 and 9. Residents are confident that the staff team will support them, where necessary, regarding decisions and the choices that they make and will support and enable them to take reasonable assessed risks. EVIDENCE: PentaHact has devised a standard care plan, which all services adopted in June 2005. Resident’s care plans were seen to contain relevant information regarding all aspects of their care needs. Resident’s personal development plans were also seen and according to the registered manager, they are discussed at resident’s reviews. The acting manager stated that staff support residents to make decisions regarding every day activities and with regards to the running of the home. The home has a pictorial activities folder, which staff use to support residents in deciding where they would like to go for the day and what activities they would like to do. The home also has a coloured pictorial menu folder with photographs of a variety of meals for residents to choose. Residents are able to participate in the day to day running of the home in various ways. The acting manager stated that there are regular residents 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 11 meetings, the most recent of which was seen to have taken place on 3rd April 2005. Residents discussed holiday’s activities and clothing. Residents risk assessments were viewed and found to contain information on current risks and an action plan to eliminate or reduce the risk. All risk assessments were seen to have been reviewed regularly. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 17. Residents are confident that the staff team will support them in their personal development by ensuring that they have the necessary information to make informed choices and that their choices will be respected. EVIDENCE: The acting manager said that none of the residents work either paid or voluntarily. The acting manager went on to say that one resident attends Barnet college for daily living skills and two residents will be on the panel of Barnet’s recruitment process. The acting manager stated that one resident regularly goes to a local church this was corroborated on the staff shift plan, which includes staff support for residents wishing to go to church. The shift planner also showed that residents regularly go to local shops and the pub. One resident, who supports Barnet Football club, goes to see them play with staff support. In the lounge and dining room, there are various collages of events such as holidays and day trips. One of the support workers spoken to stated that the home has an annual barbecue, which is attended by residents 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 13 and staff from other homes, families and friends and other PentaHact and Barnet employees. The homes menu for the past three weeks was viewed and contained a variety of nutritious meals. The home’s coloured pictorial menu folder is used to enable residents to decide on the weekly menu. According to the preinspection questionnaire and from talking with staff, residents are able to have their meals at flexible times. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 21. Residents are assured that all accidents and incidents will be taken seriously. However, residents are not confident that all of their wishes will be taken into account. EVIDENCE: The home has a policy and procedure file regarding accidents and incidents. The incident file showed that one resident has had six outbursts of challenging behaviour in the past few months. The last recorded incident was on 14th July 2005. Staff have contacted PentaHact’s challenging behaviour team who will be assessing the resident on 27th July 2005. A requirement was made at the previous inspection that resident’s wishes in the event of their death is sought and recorded in their file. Four residents have the required information but the registered manager said that they still have not received the information from the other four relatives. This requirement is restated. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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 standard(s) 22 and 23. Residents are confident that any issues or concerns that they may have will be taken seriously by the staff team and acted upon promptly and that they will be protected from any form of abuse. EVIDENCE: The home has a complaints policy and procedure and the service user guide contains information regarding the complaints procedure. On viewing the home’s complaints file, the last recorded complaint was made by a resident’s mother on 6th January 2005, which was investigated by the registered manager and responded to in writing on 18th January 2005. Performance issues at the previous inspection regarding a new member of staff, which was made a requirement, have been dealt with. The registered manager stated that the member of staff has been dismissed after failing his probation period. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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 standard(s) 24, 28 and 30. Although homely, accessible and clean, the staff are not ensuring that the health and safety of residents, staff and visitors to the home is taken seriously and are endangering lives in the event of a fire occurring by wedging or propping doors open. EVIDENCE: A number of doors in the home were propped open with wedges, a chair and a large stone. It was a requirement at the previous inspection that doors are kept closed or a suitable device fitted to ensure that they are closed automatically in the event of the fire alarm sounding. Although a letter was seen dated 14th February 2005 stating that five doors will be fitted with overhead door closing devices, this requirement has not been met. This requirement is restated. On a tour of the building with the registered manager and acting manager, all areas were found to be comfortable, with a homely feeling. The home has an exceptionally large back garden. All parts of the home are wheelchair accessible. There is also a sleep-in room for night staff with en-suite facilities. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 17 The home has a dedicated cleaner who ensures that all areas of the home are kept clean and tidy and free from offensive odours. The home has a Control of Substances Hazardous to Health (COSHH) cupboard, which is kept locked at all, times. It was seen to contain various cleaning products and COSHH information. The laundry room was sited in its own room, with a sluicing programme on the washing machine. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36. Residents are confident that the staff working in the home have the skills and experience and training to meet all of their care needs. However, the home is not ensuring that residents and other staff are protected by PentaHact’s recruitment policies and procedures. EVIDENCE: Five staff files were viewed, each contained a copy of the staff’s job description. Three staff were spoken to about the home and the residents, each had a good understanding of the residents and their needs. On speaking to the acting manager, other staff and looking through staff files and the training file, staff have undertaken an variety of training courses. Staff have either completed their National Vocational Qualification (NVQ) 2 and 3. Other staff are either undertaking their NQV have been selected for the training. The staff rota was viewed for the past two weeks. There are usually four staff on duty on the early and late shifts and the registered manager is usually working from the morning to early afternoon and stated that at times she will cover a shift if there is staff shortage. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 19 On looking through five staff files, there had been progress in compiling relevant information. All files contained the information required in schedule 2 of the Care Homes Regulations, except one where a member of staff had no references. After a search of the filing cabinet, the registered manager phoned PentaHact’s head office to enquire if they had any references for the member of staff in their files. Only one reference could be found, which was faxed over to the home. At the previous inspection, some staff files did not contain enough information and a requirement was made to this fact. An immediate requirement is made that the registered persons ensure that a second reference is obtained for the identified member of staff. Of the five staff files seen, all had a copy of their induction. The most recent member of staff who started working in the home on 15th June 2005 has started her induction. The acting manager stated that inductions take about three months and are carried out by a senior member of staff in stages. The home had a development plan for staff future training courses. Various training certificates and dates for future training was seen in the staff training file. The five staff files viewed showed that staff are receiving regular formal supervisions. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43. Residents are confident that the staff team have the skills, competences and training to meet their individual and collective needs. However, residents are not confident that the homes business and financial accounting will safeguard them from financial abuse. EVIDENCE: The registered manager stated that she has begun her NVQ 4 and hopes to complete it soon. She also stated that she has fifteen years experience as a manager and acting manager. The registered manager and acting manager were both observed to be open and approachable. Two staff spoken to said that the registered manager is supportive and prepared to listen. One member of staff said that if she had a concern or complaint, she would be able to raise the matter with the registered manager. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 21 PentaHact has a service self audit tool, which is filled in by the registered manager. There is also a stakeholder questionnaire that goes out yearly. In addition, the home has a service review manual for 2005. The manual contains information and questions on safety and environment, care and support services and questions on management and staffing. The home has a variety of policies and procedures, which are appropriate to the home and the needs of the residents, which are up to date and available for residents, staff and visitors to read. A requirement was made at the previous inspection that resident’s files contain the information set out in Regulation 17 and Schedule 3 of the Care homes Regulations. Four residents files were viewed and all contained the required information. This requirement has been met. All records, especially personal information such as residents and staff files, are kept in lockable filing cabinets in the office, with the shift leader retaining the keys. The acting manager stated that one resident’s mother often views her son’s file in the presence of a member of staff. All safety certificates and safety inspection reports in respect of the building along with safety files were viewed and all were seen to be in order and up to date. The staff ensure that a responsible person or authority carries out regular safety checks and the information is recorded appropriately. The home receives monthly management reports, which contain information on the financial budgeting of the home. Although there is a business plan in the home, it is for the years 2000 – 2003. There was not a business plan available for 2004 – 2005 or 2005 – 2006. A requirement is made that the registered persons ensure that the home has a business plan in place and that it is available for inspection. All resident’s building society books were viewed and were up to date. The acting manager stated that three senior members of staff must sign in order to withdraw money from resident’s account. On looking at the resident’s petty cash tins and comparing the money in their tins against their petty cash book, one resident had 5p too much in their tin and another resident was over by £1.18p. Although recounted, the discrepancy was not accounted for. A requirement is made that the registered persons review the accounting of resident’s finances and ensure that all resident’s finances are accurate and any discrepancies are investigated and accounted for and a record kept. 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 22 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 23 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 1 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4 MATLOCK CLOSE Score x 3 x 1 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 1 G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 24 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 YA21 Regulation 12 (3) Requirement Timescale for action 16/09/05 2. YA24 3. YA34 4. YA43 5. YA43 The registered providers must ensure that all residents wishes in the event of their death is sought and recorded in their file. (Timescale of 20/02/05 not met). 13 (4) a The registered manager must and 23 ensure that if doors are to remain open, they are fitted with (4) a (c) (i) and (v) appropriate devices to enable them to close automatically in the event of the fire alarm being activated. (Timescale of 28/01/05 not met). 9 (1), (2) The registered persons must (c) (i). 19 ensure that the member of staff (1), (b) identified, obtains a second (i), (c) reference and a copy is sent to and the Commission. This is an Schedule immediate requirement. 2. (Timescale of 28/02/05). 25 (1), The registered persons must (2) ensure that the home has a business and financial plan in place for the financial year. 25 (3) (a) The registerded persons must and ensure that all residents money Schedule is accounted for and all 4, 9 (a) discrepencies investigated, reported and recorded. G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc 16/09/05 22/07/05 16/09/05 22/07/05 6. 4 MATLOCK CLOSE Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 4 MATLOCK CLOSE G59 S10536 Matlock Close V231088 21.07.05 Stage 4.doc Version 1.30 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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