Inspection on 12/05/05 for Walkden Manor

This inspection was carried out on 12th May 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 but made no statutory requirements on the home.

Other inspections for this house

Walkden Manor 18/02/09

Walkden Manor 15/01/08

Walkden Manor 03/07/07

Walkden Manor 23/10/06

Walkden Manor 26/02/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Walkden Manor 41 Manchester Road Walkden Gtr Manchester M28 3WS Lead Inspector Adele Berriman Unannounced 12 May 2005 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 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. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Walkden Manor Address 41 Manchester Road Walkden Worsley Gtr Manchester M28 3WS 0161 343 3900 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) Walkden Manor Care Home Ltd Responsible Individual - Mr Joesph Heifetz CRH Care home PC Care home only 29 Old age - 29 Category(ies) of OP registration, with number of places Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of 29 Older People (OP) requiring personal care only may be accommodated. Care staffing levels will not fall below the minimum levels set out in the Residential Forum Guideance for Staffing in Care Homes for Older People. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 21 December 2004 Brief Description of the Service: Walkden Manor is a residential care home situated in the centre of Walkden, Salford. The home provides personal care only to people over the age of 65 years. Bedrooms are situated on the ground and first floor of the accommodation with the laundry, office and main kitchen located in the basement. There is a large flagged patio area to the rear of the home and a small car park situated at the side of the building. Since the last inspection the home has been sold, with the new proprietor taking ownership in February 2005. The manager of the home had been in post several weeks at the time of this inspection. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the last inspection, the home had changed ownership in February 2005 and had a new manager. At the time of the inspection the manager had been working at the home for a few weeks. Two inspectors visited the home for 5 hours to carry out this unannounced inspection. Many of the requirements made of the previous owners of the home had not been met. However, the new manager demonstrated a commitment to ensuring that outstanding requirements would be met. Inspectors looked around several parts of the building and a number of records were inspected. Six residents, the manager, the proprietor and four staff were spoken to on the day. What the service does well: What has improved since the last inspection? There had been a slight improvement in the content of residents care plans. Staff appeared to have more involvement and awareness of their role as carers. The manager was actively seeking training opportunities for the staff team. There was no odour in the home. A weekend cook had been employed to ensure that there is always someone in the kitchen to prepare the meals and therefore the care staff will not taken away from their own duties in order to work in the kitchen. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 6 What they could do better: The following serious concerns were raised on the day of the inspection: * * * The temperature of the hot water was too cold in some rooms and too hot in other rooms. An appropriate lock is required to the door leading to the 2nd floor of the accommodation. All cleaning products must be stored appropriately. An official letter was left at the home to tell the manager and proprietor that these must be put right or action would be taken. In addition to the above, assessment and care planning must improve so that staff know what to do for each resident. Complaints must be looked into properly and recorded. Staff must be employed correctly so that people living in the home are protected from people who should not be working there. Staff must receive training. Policies and procedures need looking at and altering to ensure everyone’s health and safety. 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. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 6 Some progress had been made to improve the admission procedure to ensure that there is a proper assessment prior to people moving into the service. EVIDENCE: A copy of the homes Statement of Purpose was displayed in the entrance of the home. However, there was no evidence of a copy of a Service User Guide being available to service users or prospective service users. Of those service user files examined, only a few contained copies of a Statement of Terms and Conditions. The lack of the availability of the Service User Guide and individuals Statement of Terms and Conditions could prevent service users having a full knowledge of services available/not available at Walkden Manor. Individual records are kept for each service user. However, the content of these records varied greatly. Some records contained very little pre-admission information. This lack of information was also noted at the last inspection visit when a requirement was made for action to be taken to ensure that proper assessments were carried out before prospective service users entered the home. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 9 The manager stated that all prospective service users and their families were encouraged to visit the home to assess its suitability and facilities. All pre-admission assessments are carried out by the manager of the home. Walkden Manor does not offer intermediate care facilities. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 Some progress has been made on improving arrangements to ensure that the health and care needs of residents are fully identified and met. Further improvement is required. EVIDENCE: Individual plans of care were available for service users. During recent inspections a requirement had been made that care plans contain details of all aspects of health, personal and social care needs of the individual assessed needs and that these needs are planned for and reviewed on a regular basis. There was evidence that since the previous inspection there had been improvements in the content and quality of the care plans. Further work is required on the care planning system within the home to ensure that all service users needs are met. An example of this is that staff demonstrated a thorough knowledge of service users needs, preferences and dislikes. However, this information has not been transferred and documented in individuals care plans. Staff demonstrated a good awareness of service users’ needs, however, few risk assessments were contained on care plans and monitoring sheets that were in operation was not always completed creating a risk that service users’ health and safety could be compromised. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 11 Records demonstrated that primary health professionals visited the home on a regular basis. Medication was stored in a lockable trolley. The trolley was in need of cleaning. Medication Administration Records were examined and were found to be incomplete and wrongly dated. At the time of the inspection staff had received no formal training regarding the storage or administration of medication. Formal training in the administration and storage of medication had been arranged by the manager of the home for all staff and was scheduled to take place in June 2005. Requirements issued by the Commission’s pharmacy inspector in January 2005 had not been actioned. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 Further development of social and recreational facilities is required to ensure that the home offers stimulation and interests. EVIDENCE: There were occasional visits from outside entertainers to the home. Staff at the home had begun to discuss with service users what their preferences were in relation to social and recreational wishes and were fundraising to purchase equipment. Prior to the inspection the home had held a VE day celebration and regular bingo sessions take place on a Tuesday. Further development of recreational and social activities is required to ensure that individuals’ needs in relation to health and wellbeing are met. There was no evidence that information was given to service users’ families, friends and representatives regarding the homes policy on maintaining their involvement in the service users life. Nor was there evidence that service users had access to the homes policy with regard to accessing their personal records. Service users need to be made aware that they can access their records at any time. Families and friends need to be made aware that the home promotes them maintaining involvement in service users’ lives whilst they are living at Walkden Manor. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 13 Service users spoke positively about the food that they received at the home. The home had recently recruited a weekend cook to ensure that service users’ dietary needs were met at all times. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Complaints are not appropriately dealt with. The lack of information and awareness training of adult protection policies and procedures does not ensure that people living in the home are protected from abuse. EVIDENCE: The home had a detailed complaints procedure but the system for recording complaints required developing. Complaints were recorded in a book that was accessible to all staff. The book contained notes on complaints that had been made to the home, however, there were no acknowledgement letters to the complainant, no evidence of investigation and no outcome recorded. There was no evidence that the homes complaints procedure was implemented and followed when a complaint had been received. A new system of recording complaints is required to ensure that all the relevant information required is documented. Several service users commented that if they had a concern they would feel comfortable in approaching staff members and they would ‘sort it out’. Prior to the inspection a representative of Age Concern had visited the home and left information for service users and their families regarding advocacy services. This information was displayed in the home. The home had a copy of Salford Social Services Adult Protection Procedure. The home had a policy on adult abuse that informed staff on what actions to take in the event of an act of or suspicion of abuse occurring. However, this Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 15 policy was not readily available to staff. This policy is required to be accessible at all times to staff to ensure that the correct procedure is followed. No staff had received adult protection awareness training. All staff are required to receive awareness training in adult abuse. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24, 21, 26 The overall presentation of the home had improved. There are a number of matters outstanding that require addressing to provide safe and comfortable surroundings in which to live. EVIDENCE: Service user bedrooms were personalised with their own effects. Service users spoke positively about their rooms and viewed them as their own. Not all rooms were furnished with the appropriate call button extensions. The lack of these call button extensions could create difficult for staff in knowing when a service user required support and the health and wellbeing of service users. The home was clean and odour free. There are several areas of improvement required to the environment: Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 17 Wallpaper in several areas of the home required replacing. The recently installed fire door frames were in need of painting. This creates a poor impression to the home. The recently refurbished kitchen on the ground floor of the accommodation requires ‘finishing’. Tiles require replacing where they are missing and the boxing in of the units requires completing. The patio doors on the 2nd floor require a balcony/safety rail fitting to the exterior side. Although these doors were locked on the day of the inspection they could present a risk if someone had access to the key. The door to the 2nd floor was un-lockable therefore the area was accessible to all. This presented a danger to anyone accessing the area due to the unevenness of the floor and the items that were being stored in the area. Hot water provision in bathrooms, toilets and bedrooms was found to be excessively hot or too cold. A risk assessment was in place in the home for hot water, however, this assessment was outdated. This places vulnerable people at real risk and an immediate requirement notice was issued to the home. The power socket in the fridge storage room requires resealing. One of the ‘medi’ baths in the home was not in use. This situation minimises the options and facilities for service users. Some communal toilet seats were found to be ‘chipped’ presenting a risk to individuals’ health and wellbeing. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 30 Staffing levels were appropriate to meet the needs of the residents. The information contained on staff files was insufficient to demonstrate whether they are appropriately trained and competent. EVIDENCE: On the day of the inspection the number of care staff on duty was sufficient to meet the needs of the residents. Staff rotas demonstrated that during the day and evening there were 3 carers and a senior carer on duty. During the night there were 2 carers. The home also employed domestic staff. On the day of the inspection care staff were undertaking laundry duties. This practice should cease due to hygiene reasons and also the risk of service users’ needs not being met whilst staff are attending to laundry. Four staff files seen during the inspection indicated that during the previous 12 months, staff had been employed at the home without the necessary recruitment checks to ensure protection of residents. Some files did not contain written references and another file demonstrated that the member of staff had been employed prior to the relevant Criminal Record Bureau check being applied for. There were few training records available for staff to indicate training given in the previous 12 months. As demonstrated earlier in this report, the manager of the home was in the process of arranging training for staff. Some staff had undertaken their NVQ qualification. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 19 Service users stated that staff were ‘caring and kind’ and positive interaction was observed between staff, service users and visitors during the visit. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 36, 38 The newly recruited manager demonstrated leadership, guidance and direction to staff to develop and promote a consistent, quality care service. Development of a quality monitoring system is required to promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The manager of the home had commenced her post several weeks prior to the inspection. No application had been made at the time of the inspection for the manager to register with the Commission for Social Care Inspection. The manager demonstrated leadership skills and a good awareness of service users needs and wishes. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 21 There was no formal system for the monitoring of quality assurance. The information gained from asking for views and comments from service users and their families should be used to provide a framework for the homes development. There were records of money transactions relating to service users only available from the time when the present manager began her employment. These were accurate. Senior carers were receiving formal supervision from the manager of the home. The manager was in the process of obtaining information regarding training opportunities in the area to equip senior carers with the skills and knowledge to formally supervise carers. It is essential that all staff receive formal supervision in their roles to ensure that there is a consistent approach to the care delivered in the home and for staff’s individual development. Some areas of health and safety were not being monitored appropriately. There was no record of recent fire drills or fire appliance/bell tests. Regular testing of fire detection equipment/alarm is required to take place and be recorded appropriately. Fire doors were wedged open. Cleaning materials were found stored in the ground floor kitchen and bathrooms. These materials pose a risk to the health and safety of all. Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 2 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 3 2 x x 2 x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 2 x 3 3 2 x 3 2 x 2 Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement A copy of the homes Service User Guide is required to be available to all at all times. The home is required to upply all service users with a statement of terms and conditionscontaining all information specified in standard 2.2 A full assessment of need is required for all service users prior to admittance to the home and a record kept of all assessments carried out. Daily records are required to contain detailed information to ensure that a comprehensive record of the care delivered is documented. Service users care plans and risk assessments must be developed to include information relating to all aspects of services users life. All care plans and risk assessment are required to be reviewed on a regular basis. Timescale for action 14 August 2005 28 August 2005 2. OP2 5 3. OP3 14 14 August 2005 4. OP7 15 14 August 2005 5. OP7 15 28 August 2005 Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 24 6. OP8 17 All completed accident forms are required to be stored in a locked cabinet to ensure data protection. The registered person is required to ensure that there is a policy and staff adhere to procedures, for the receipt, recording, storage, handling, administration and disposal of medicines. It is required that service users day time activity needs are assessed and provided for. Written information is required to be given to service users families, friends and representatives regarding the homes policy on maintaining their involvement in the service users life. The homes policy regarding access to personal records is required to be accessible to service users at all times. The home is required to ensure that all information and actions regarding complaints received is recorded appropriately. All policies and procedures relating to adult protection are required to be accessible to staff at all times. It is requried that all staff undertake awareness training on adult abuse. It is required that the refurbishment work on the ground floor kitchen is completed. F55 F05 s62619 walkden manor v227940 120505 stage 4.doc 14 August 2005 7. OP9 13 14 August 2005 8. OP12 16 28 August 2005 28 August 2005 9. OP13 16 10. OP14 12 28 August 2005 11. OP16 22 14 August 2005 12. OP18 13 14 August 2005 13. OP18 13 28 August 2005 28 August 2005 14. OP19 23 Walkden Manor Version 1.30 Page 25 15. OP19 23 An audit of all decoration in the home is required and where identified, redecoration takes place. A balcony/safety rail is required to be fitted to the patio doors on the 2nd floor of the home. The door leading to the 2nd floor of the home is required to have a secure lock fitted. The power socket in the fridge storage room requires sealing. All baths in the home are required to be operational. A full audit of toilet seats is required and replacements fitted where required. 28 August 2005 16. OP19 13 14 August 2005 immediate 17. OP19 13 18. 19. 20. OP19 OP21 OP21 23 23 23 7 August 2005 14 August 2005 14 August 2005 21. OP21 23 It is required that all hot water Immediate provisions available to service users do not exceed 44 degrees. The temperatures are required to be checked and recorded on a weekly basis. It is required that the manager of the home submits an application for registration with the Commission for Social Care Inspection. All staff files are required to contain all the documents requried by the Care Homes Regulations. It is required that a training record for each staff member is available at all times and that the home develops an on-going training programme. 28 August 2005 22. OP31 8 23. OP28 Schedule 2 28 August 2005 24. OP30 18 28 August 2005 Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 26 25. OP33 24 The registered person is required to devise and implement a system for the monitoring of quality assurance. Staff supervision sessions are required to be held formally and recorded a minimum of six times per annum. All cleaning materials are required to be stored appropriately. It is required that a full audit of maintenance contracts and monitoring of health and safety related practices takes place to ensure that general health and wellbeing of all. 28 August 2005 26. OP36 18 28 August 2005 27. OP38 13 Immediate 28. OP38 13 14 August 2005 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 Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Walkden Manor F55 F05 s62619 walkden manor v227940 120505 stage 4.doc Version 1.30 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. 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