Inspection on 07/06/07 for Moorgate Residential Home

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Moorgate Residential Home 08/06/06

Moorgate Residential Home 06/12/05

Moorgate Residential Home 22/06/05

Moorgate Residential Home 21/03/05

Moorgate Residential Home 23/02/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Moorgate Residential Home Bedford Bridge Horrabridge Yelverton Devon PL20 7RZ Lead Inspector Helen Tworkowski Unannounced Inspection 11:30 7th June 2007 X10015.doc Version 1.40 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 Moorgate Residential Home DS0000062402.V337497.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 Older People. 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. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorgate Residential Home Address Bedford Bridge Horrabridge Yelverton Devon PL20 7RZ 01822 852313 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) shadrickcarehomes@hotmail.co.uk Shadrick Care Homes Limited Mrs Noreen Shadrick Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (15) of places Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User under 65 with physical disability Date of last inspection 8th June 06 Brief Description of the Service: Moorgate Care Home is a large detached property that is set in its own grounds in a rural location near the village of Horrabridge and the town of Tavistock. The property was originally built in the 1920s and was previously used as a hotel. Moorgate Residential Home accommodates 15 older people who may have dementia. Bedrooms are on the ground and first floor. The home has a passenger lift and is fitted with ramps and handrails. One bedroom is a shared room, and the remainder are single rooms. Two bedrooms have en suite facilities. The Registered Providers - Mr and Mrs Shadrick, took over the home in 2004 and are in the process of upgrading and improving the facilities in the home. The Statement of Purpose and Service User Guide are available in the office of the home. At the time of writing fees range from £425 to £500 per week, and additional charges made are for chiropody, hairdressing or papers. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection included two site visits to Moorgate on 7th and 8th June 07. During these visits the inspector looked around the building, spent time sitting and observing the care and support provided in the lounge, looked at the records relating to individual service users and spoke with some individual and their relatives. In addition the Inspector spoke with staff on duty, talked with the Registered Manager and looked at records relating to the staff and the safety of the home. Surveys were also sent to all of the care staff, one was returned. Surveys were sent to seven service users, five were returned. The Inspector spoke with in person or telephoned the relatives of five service users. What the service does well: What has improved since the last inspection? Building work has continued at Moorgate, and there is now a new dining room, laundry and bathroom. The plans will mean that will be further improvements in the coming months. Existing bedrooms have been fitted with door locks and a new call bell/ alarm system has been fitted. This has meant that there is less noise and staff are able to go straight to where they are needed. The risk assessments have significantly improved, and though further work is needed to ensure that these assessments reflect best practice. This should help ensure that service users are not exposed to unnecessary risks. Staff have received training in relation to working with people with challenging behaviour and in relation to dementia. Staff commented that this had been thought provoking and useful. The information about people’s back ground Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 6 has now been included in care plans, so that staff should have a better understanding of the person and the things that are important to them. Another area of improvement, identified by staff is the way in which tasks are now allocated on shifts. Staff felt that this gave them more accountability for their work and that things got done, as every one knew what they were doing. 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. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 (6 is not applicable) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users can be assured that their needs will be known before they move; however the formal records of these needs are inadequate. EVIDENCE: Service Users relatives told the Inspector that they felt they were given sufficient information about Moorgate prior to a decision about a move. They had been given the opportunity to look around, and were able to ask any questions they wished. Copies of the Statement of Purpose and Service Users Guide were available in the Office of Moorgate. A requirement had been made at the last inspection that accurate copies of these documents are provided to the Commission. These have not been received. The Statement of Purpose and Service User Guide provide prospective Service Users with information about a care home, and are therefore important may assist in making a decision about a move to the home. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 9 The pre-admission assessments of three people, who had moved to the home since the last inspection, were looked at. One person had a very basic preadmission assessment on file, one person had information provided by the previous provider, and one person had nothing on file. The Inspector spoke with Noreen Shadrick, the Registered Manager, about the lack of a record of pre-admission assessments. Mrs Shadrick said that she did carry out thorough assessments, and from her descriptions of people’s needs she did have a good understanding of this. The inspector also spoke with relatives who had been involved in the pre-admission assessment, and he/she confirmed that an assessment had taken place, and had been thorough. It is important that there is a good record of these assessments; they provide information that may be forgotten or missed in drawing up Service User Plans. There were copies of letters to Service Users and relatives confirming that the Care home would be able to meet the needs of the individual prior to a move. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be assured that their care needs will be met and that they will be treated with respect. EVIDENCE: Many of the Service Users at Moorgate are not able to comment directly on the care and support they receive. Relatives spoken with about their views of the standard of care said they thought that Moorgate was “very good”; that service users were “well looked after”, and that the home was “super”. The Inspector spoke with one person about the standard of care they received and they were very satisfied. As part of this inspection observed the support people were given in the lounge and other areas. Staff were treated people with respect and understanding. As part of this inspection the Inspector also looked at records of care. There had been some improvements since the last inspection. There was now some information about the person’s background, which is particularly useful where individuals have dementia. The care plans (or service user plans) contained Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 11 information about how care needs are to be met. The documents were specific in some areas however in others there was a lack of detail. For example one care plan said that the individual needed “Help with dressing”, rather than what help was needed. Also, there was a lack of detail in relation to catheter care. It is important that this detail is included as it ensure that staff know what they are doing and that there is a consistent approach. There were also risk assessments that identified how service users would be protected from unnecessary risk. Some of these assessments had been completed in relation to risks to more than one individual, for example in relation to situations when individuals may become distressed and aggressive. As these situations are so individual it is more appropriate that these risk assessments are specific to that individual. There was evidence of care plans being reviewed and where people’s needs had changed, amendments had been made to the Care Plans. There were also records of weight and involvement of medical professionals. The Inspector discussed with Mrs Shadrick the need to take account of the Mental Capacity Act, Mrs Shadrick is aware of the need to build this into her care planning and assessments from now on. The home uses a monitored dose system for medication. This is prepared in bubble packs by the pharmacist. The inspector looked at the record of medication administration, and this showed that medication was appropriately signed for. The Inspector also observed staff administering medication. Staff did so appropriately. It was very good to see staff asking people if they had pain, and whether they needed pain relief, rather than just administering this optional medication. The Registered Manager has identified that one of the ways that the home has improved is that staff have obtained safe handling of medication certificates. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are offered the opportunity to maintain to enjoy a range of activities and past times that they find meaningful and enjoyable. A good standard of meals is provided. EVIDENCE: Each person who has recently moved to Moorgate has been asked about his or her interests and hobbies. The Inspector was told that every afternoon activities were offered, visitors to the home confirmed this. Activities include dancing, painting and poetry. There were pictures on the walls that Service Users had completed. These were well presented and Service Users spoken with said that felt proud of their work. The Manager told the inspector that they were hoping to develop activities further. The new lounge area was well-used and provided plenty of space for Service Users to sit and read their newspapers or listen to music. There is a patio area at the back of the house and there is space for individuals to walk round, without being at risk. Mrs Shadrick said that there were plans to create a decked area to the front of the house. This area will be enclosed so that Service Users would be able to use this area at will, without having to ask. This Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 13 is particularly important for people with dementia, who may enjoy the freedoms other enjoy of wandering safely at will. Relatives told the Inspector that they were always made welcome. They were offered tea and coffee during visits, and made to feel welcome. One relative explained how she had been invited to eat at Moorgate or stay overnight if she wished. These are important ways that relatives can be involved and supported to maintain important relationships. The Inspector ate one meal with the Service Users; this was well cooked and presented. Service Users had a choice of meals, and were offered “seconds”. The Inspector met with the cook and discussed how she got to know what people liked. All of the meals are cooked using fresh ingredients; cakes are made each day for tea in the afternoon. Service Users are offered “5 a day” fresh fruit and vegetables. The food offered was clearly enjoyed by Service Uses. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to express their concerns and have their rights protected. EVIDENCE: The Commission has received no complaints, and Mrs Shadrick confirmed that she had received no complaints. Where issues had been raised such as with regard to the quality of the bread these had been dealt with. Mrs Shadrick is involved in working directly with service users, and this may assist her in identifying issues before they become a problem. Relatives spoken with said that they felt confident to be able to raise concerns. Since the last Inspection staff have received training in relation to the protection of vulnerable adults. The Inspector spoke with staff about this and they were clear about their responsibilities, and who to speak to if they had any concerns. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables Service Users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Over the last year the building works have continued at Moorgate. A new dining room and kitchen has been created, and the rooms now vacated are being rebuilt to create additional bedrooms. The standard of refurbishment is very high, and there is marked distinction between areas that have been refurbished and those that are waiting re-furbishment. There are issues with the temperature control in the dining room that has a glass roof. Mrs Shadrick is aware of this issue and measures are being taken to try and manage the problem. There is also a new laundry and bathroom with a recently installed parker bath, that is suited to the needs of people who have mobility problems. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 16 Relatives commented how much they enjoyed using the new lounge, and many of the service users chose to sit in this light and sunny room. Locks have now been fitted to bedroom doors; these allow service users to lock the doors from the inside, though there is no key that can lock the door on the outside. The call bell system has been replaced with one that alerts a pager that the carers carry. This system is also linked to alarms on external doors. Carers told the Inspector this was so much better than the old system. They were able to go straight to where they were needed, bells were not going off all over the home, and if they needed each other they could call for help. This was an unannounced inspection and the home was found to be clean and tidy, without being institutional. The new laundry has large machines that can cope with the laundry created in the home. All of the Service Users who responded to the survey said that they thought that the home was always fresh and clean. Work was about to start on a new decked area to the front of the house; this area would be enclosed so that service users could wander freely in and out of the house at will. This is particularly important for people with dementia, who may be restless and who enjoy being active. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are well supported and have had training in their work, however the recruitment and induction systems are not robust. EVIDENCE: The Inspector looked at the files of two staff who had started since the last inspection for evidence of proper recruitment procedures. Each person had completed an application form and there was evidence that a check had been made of a list of people who had been prohibited to work with vulnerable adults. This check is required by regulation before the individual is employed. Neither of these individuals had had this check completed prior to being employed. There was evidence of Criminal Records Bureau checks, which were received after the individuals had started work. This is permitted providing the individually is supervised in their work. References had been taken for both individuals, however some of these references had been taken after the individual had started work. In one case only one reference had been sought. Two written references must be taken before an individual is employed, this must include from any care homes that the individual has worked. This was a requirement at the previous two inspections. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 18 The Inspector asked to see the inductions for these two individuals; neither were available, as the Inspector was told the individuals had them, even though they would have been completed many months before. The Inspector was shown a blank format. Employers are required by regulation to provide a structured induction; there should be evidence of this. On the first day of inspection staff were receiving training in moving and handling. Mrs Shadrick confirmed that all staff had received training in relation to fire safety, basic food hygiene and fire training. In addition staff had received training in relation to challenging behaviour and working with people with dementia. Further training was planned. Staff spoken with said that this had been useful and had given them insights into the experience of having this disability. From the Inspectors observation of staff were aware of the difficulties dementia caused and responded appropriately. Mrs Shadrick said that the supervision system was something they intended to put in place, and that they held staff meetings every 6 months, and that one was due. There are currently three staff on duty in the morning and two in the afternoon and evening. At night there is one person on duty, who can receive back up from a person who is sleeping. One of the relatives spoken with said that she had discussed her relatives sleeping patterns with night staff. She had been very reassured that they had explained that the relative went to bed when tired. If the individual woke in the night and decided to come down stairs then that was fine too. The Inspector asked staff if they had enough time to do their work, one replied “Yes, nine out of ten times. The Service Users get looked after well, they are treated as individuals and are put first”. When the Inspector asked about the support staff got they said that they felt Noreen Shadrick was very good, and all the staff were very helpful. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is based on openness and respect. There is a competent and qualified manager. EVIDENCE: The Registered Manager, Mrs Shadrick, has a qualification in care, and is experienced at running a care home. Feedback from staff and relatives indicates that the home is well managed. Mrs Shadrick is directly involved in providing care herself. On the first day of the inspection she was providing care and support so that staff could receive training in moving and handling. There have been some improvements in the organisation of the home, staff are now assigned individual people to work with each day, and there are clear records of task completed. Staff and Mrs Shadrick said that this had helped as Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 20 everyone knew who should be doing what and who was responsible if it was not done. At the last inspection concerns were raised at the lack of risk assessments in relation to the environment. Such documents are records of the ways that risks are eliminated or managed. One member of staff had had training in this area and had developed the risk assessments. The Inspector discussed these assessments with the individual, and how these documents provided a sound basis for ensuring that people were kept safe. The Inspector also discussed ways in which these could be developed further reflecting current advice on best practice. The inspector spoke with staff about the fire procedure, and they were clear about what to do should the alarm ring. Mrs Shadrick said that she was not involved in managing the finances of any individual, although they did hold cash on behalf of some people. There were records of the cash and any transactions. Mrs Shadrick said that if any individual went into the “red” then this was loaned from the homes petty cash. The Inspector asked about the quality assurance system. Mrs Shadrick said that they had not sent out any forms to seek the views of service users or relatives. However they did hold residents meetings four times a year. There was a notice about an up and coming meeting on the notice board. Mrs Shadrick said this was one way that they were able to hear what people had to say. At the last inspection a requirement was made that monthly-unannounced visits are made by a representative of the company (Shadrick Care Homes Ltd) to check on the standard of care. Copies of reports made were to be sent to the Commission. No such reports have been received. Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 4,5 Requirement An accurate Statement of Purpose and Service Users Guide must be provided to the Commission. (This requirement was made at the last inspection) A comprehensive pre-admission assessment must be made and recorded for each person, for they move to the home. The Registered Provider must ensure that there is a robust system for the recruitment of staff, including taking and receiving 2 written references and a “POVA” check must be made prior to starting work. (This requirement or a similar requirement was made at the last two inspections). The Registered Provider must ensure that monthlyunannounced visits are made to the care home to check upon the conduct of the home, a copy of a report of these visits must be made to the Commission.(This requirement was made at the DS0000062402.V337497.R01.S.doc Timescale for action 01/09/07 2 OP3 14 01/08/07 3. OP29 19 01/09/07 4. OP32 26 01/09/07 Moorgate Residential Home Version 5.2 Page 23 last two inspection). 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 Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Moorgate Residential Home DS0000062402.V337497.R01.S.doc Version 5.2 Page 25 - 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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