We cannot do crossing over.
So, we rewrite, simplify and factorise the inequality
#1+(20)/(x+1)<=20/x#
#(x+1+20)/(x+1)<=20/x#
#(x+1+20)/(x+1)-20/x<=0#
#(x(x+21)-20(x+1))/(x(x+1))<=0#
#(x^2+21x-20x-20)/(x(x+1))<=0#
#(x^2+x-20)/(x(x+1))<=0#
#((x-4)(x+5))/(x(x+1))<=0#
Let #f(x)=((x-4)(x+5))/(x(x+1))#
We can construct a sign chart
#color(white)(aaaa)##x##color(white)(aaaa)##-oo##color(white)(aaaa)##-5##color(white)(aaaaa)##-1##color(white)(aaaaaa)##0##color(white)(aaaaaa)##4##color(white)(aaaa)##+oo#
#color(white)(aaaa)##x+5##color(white)(aaaaaa)##-##color(white)(aaaa)##+##color(white)(aa)##||##color(white)(aa)##+##color(white)(aa)##||##color(white)(aaa)##+##color(white)(aaa)##+#
#color(white)(aaaa)##x+1##color(white)(aaaaaa)##-##color(white)(aaaa)##-##color(white)(aa)##||##color(white)(aa)##+##color(white)(aa)##||##color(white)(aaa)##+##color(white)(aaa)##+#
#color(white)(aaaa)##x##color(white)(aaaaaaaaa)##-##color(white)(aaaa)##-##color(white)(aa)##||##color(white)(aa)##-##color(white)(aa)##||##color(white)(aaa)##+##color(white)(aaa)##+#
#color(white)(aaaa)##x-4##color(white)(aaaaaa)##-##color(white)(aaaa)##-##color(white)(aa)##||##color(white)(aa)##-##color(white)(aa)##||##color(white)(aaa)##-##color(white)(aaa)##+#
#color(white)(aaaa)##f(x)##color(white)(aaaaaaa)##+##color(white)(aaaa)##-##color(white)(aa)##||##color(white)(aa)##+##color(white)(aa)##||##color(white)(aaa)##-##color(white)(aaa)##+#
Therefore,
#f(x)<=0# when #x in [-5,1) uu (0,4]#