Inspection on 21/11/05 for The White House

This inspection was carried out on 21st November 2005.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The White House 20/05/08

The White House 23/05/05

The White House 03/12/04

The White House 21/07/04

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 The White House 39a Shaftesbury Avenue Feltham Middlesex TW14 9LN Lead Inspector Sarah Middleton Unannounced Inspection 09.55 21 November st The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The White House Address 39a Shaftesbury Avenue Feltham Middlesex TW14 9LN 020 8890 3020 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) white.house@craegmoor.co.uk Parkcare Homes (No. 2) Limited Mr Nigel Degenhart Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2005 Brief Description of the Service: The White House is a detached house in a quiet residential area near to Feltham and Bedfont. The Hounslow shopping centre can be reached by public transport and there are leisure facilities at Feltham and Bedfont. The home is registered for six service users with learning disabilities. All the current service users are male. The house is owned and managed by Craegmoor, trading at Parkcare Homes. There are six single bedrooms. Two are on the ground floor, one of which leads into the lounge. One of the first floor bedrooms has a full en suite, with a bath. The remaining five have washbasins. There are two bathrooms; the one on the ground floor is an assisted shower room, which meets the needs of one particular service user. There are three toilets in the home. The communal facilities are a lounge/dining room, which has french doors to the garden. There is also a small room, where there is a telephone for service users to talk in private. This is close to the office, laundry room and kitchen. The Registered Manager has a small office on the first floor. The staff team consists of the Registered Manager, Deputy Manager, Senior support worker and day/night support workers. The team also provides day services. There is a minimum of two staff on each shift and three on a number of shifts to facilitate activities. At night there is one waking night staff and senior staff are on call in the event of an emergency. The staff provide support with personal care, practical tasks, day services and leisure activities. There is a large rear garden, with a shed for people who smoke and parking at the front. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of almost four hours, 9.55am-1.45pm was spent on the inspection process. The Inspector carried out a tour of the home and inspected service users plans and maintenance records. Three service users and one member of staff were spoken with as part of the inspection process. One service user recently moved out of the home and so there is currently one service user vacancy. There are two staff vacancies at present. Three of the previous six requirements were met at this inspection. What the service does well: What has improved since the last inspection? What they could do better: The work on the office and providing a window in the office has been a longterm issue and has not been addressed. Requirements and immediate requirements had been made at previous inspections. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 6 Work had been due to commence earlier in 2005 but at this inspection later in 2005 the work had not yet begun. The Registered Manager had been informed that the work would start in two weeks time. This delay has been unacceptable and should have been addressed following previous requirements. The garden shed has become unstable and a risk assessment should have been completed even though service users are not using the garden due to the cold weather. In addition a decision must be made as to whether the shed is to be fixed or demolished. The Registered Manager has requested a budget to decorate and replace the furniture in the lounge and dining room area. These rooms require updating with new furniture to offer a warm, bright and homely environment for the service users living in the home. Finally a report of the reviews carried out over the year on the quality of care must be made available for both the CSCI and service users. These reviews are crucial when examining the care offered in the home and the general running of the home. Where areas are identified as needing attention then work can focus on improving the home on an ongoing basis. Service users and/or their representatives must be involved when assessing the quality of care to ensure they are consulted about the home. 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 White House DS0000057847.V261094.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The White House DS0000057847.V261094.R01.S.doc Version 5.0 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 the following standard(s): 1&5 Service users are provided with information about the home and service users receive terms and conditions, along with rules/house agreement relating to living in the home to ensure they or their representatives understand what is acceptable and what is expected of them whilst they live in the home. Where possible the documents seek to provide this information in a format that is clear and straightforward in order to meet the service users individual needs. EVIDENCE: Service users and their representatives are provided with information regarding the home in the form of a Statement of Purpose, which is informative and freely available. This document describes the home, activities in the home and the staff and their qualifications. Terms and conditions of residency were viewed and a house agreement that service users are consulted about and sign if they understand what is expected of them whilst they reside in the home. This agreement contains details using pictures and photos regarding aspects of living in the home such as acceptable behaviour. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 The personal and social care needs of service users had been identified and were being met. The contents of the care plans highlighted that the home had considered many aspects of a service users life and sought to meet those areas through offering a varied and supportive environment for service users to develop confidence, skills and interests. Where possible, staff had included service users opinions and agreement in the documentation written about them. Risk assessments were detailed and individual to meet the specific needs of the service users and to minimise potential identified risks. EVIDENCE: Individual service user plans were available and samples were viewed. These were detailed and up to date. The care plans covered a wide range of issues relevant to the individual service user and offered the Inspector an insight into how the identified needs would be met. Care plans were reviewed monthly by keyworkers and then six monthly with service users, family members and professionals. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 10 These reviews were produced in a format that can, to varying degrees, be understood by the service user. The home is keen to involve service users in reviewing their individual needs and to illustrate those needs using an accessible style and format. Two service users have advocates. The home seeks to include service users in daily decisions and support they receive from staff. Staff offer information to service users and encourage them to make choices in aspects of their lives. Where service users have preferences this is acknowledged by staff and included into their care plans and daily lives. Service users are consulted on various issues such as holidays, activities and meals. Meetings take place to encourage service users to discuss any concerns or requests they might have. The Registered Manager stated the risk assessments had recently been updated. Some of these assessments viewed did not have dates of when they had been completed. Although there were several that had been recently dated. It is recommended that all risk assessments are dated to ensure they are reviewed on a regular basis. These documents were very detailed and covered areas where individual service users or others could be vulnerable. This might be in relation to scalds/burns, abuse, medication or aggressive behaviour. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 17 Social, leisure and educational activities were in place and varied to suit the individual needs of service users. Service users likes and dislikes were addressed and individual daily programmes reflected these choices and preferences. Meal provision is well managed in the home and offers healthy meals, whilst balancing individual requests for particular meals. A Dietician is involved with a service user and the home monitors, as much as they are able to, the food service users eat. EVIDENCE: Each service user has a daily programme of activities to suit their preferences, choices and abilities. Some service users attend College, day centres or local resource centres for sessions such as pottery and cooking. There is scope for free time, where staff are often able to offer one to one support and assist in personal shopping or sorting out their bedroom. Service users spoken with were happy with the activities they took part in and felt they had opportunities to make choices or requests to members of staff. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 12 Staff were aware of service users likes and dislikes and provided the option to work on areas service users enjoyed. The home encourages various methods of transport when accessing resources, which includes walking and using public transport. One service user enjoys going out independently and the home contacts this service user on their mobile telephone to ensure they are safe and to check when they are to return to the home. The Inspector viewed evidence to demonstrate how the home carefully considers what each service user is doing every day and with what member of staff. A plan is developed each week and is beneficial for both staff and service users as it aims to ensure the week runs smoothly. Service users had a group holiday this year and other events within the home are held throughout the year. Menus were available and reflected choices. Service users contribute to the menu each week, taking it in turns. Staff monitor the meal requests to ensure healthy meals are within the meal provision. Pictures of food are used for service users who respond to viewing visual aids when making choices. Food opened/prepared had dates of opening written on them and fridge temperatures had been taken and were within an acceptable range. The kitchen was clean and tidy at the time of the inspection and service users take it in turns to wash up. Some service users are able to make drinks and small meals, whilst others are encouraged to observe meal preparation and to participate if they choose to. Service users commented positively on the meals provided in the home. One service user’s meals are monitored, although the home is aware that this is difficult when this service user spends some of the day outside in the community unaccompanied. A Dietician visits the service user and the home is seeking ways to discourage the service user from over eating or eating unhealthy foods. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Service users receive personal support in a way that respects their abilities, preferences and needs. Staff encourage service users to develop skills in order that they can meet some of their needs independent of staff. Health needs were identified and were being met by the home and relevant professionals. The home has robust medication systems in place to safeguard service users. EVIDENCE: As noted throughout this report, the home aims to provide opportunities for service users to make individual informed choices and the home seeks to respect individual preferences, unless these prove to be a risk to service users. Personal support is given in private and service users are encouraged to be as independent as possible when taking care of their personal needs. Service users choose their clothes, with some staff support or guidance and when they get up/go bed. Health needs were clearly recorded on care plans and health appointments were recorded with any action to be taken or treatment following an appointment. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 14 Where possible the home accesses community health resources rather than organising health professionals to visit the home. As mentioned earlier, where service users require specialist information and support, such as a Dietician or Community Psychiatric Nurse, then the home arranges this to meet individual health needs. Samples of the medication administration records were viewed; service users and members of staff had signed these. Two members of staff sign for the administration of medication. No service users self medicate and the home does not have controlled drugs. All medications were appropriately and securely stored. The White House DS0000057847.V261094.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 The home has a clear complaints procedure and service users are confident their complaints would be dealt with appropriately. Staff receive continuous training and information on the protection of vulnerable adults. EVIDENCE: The home has not received any formal complaints since the last inspection. At the entrance to the home there is a book to record informal complaints and comments. Here staff record any relevant comments made by people such as neighbours or visitors. The Registered Manager stated if there were any formal complaints these would be recorded separately. Service users spoken with all said they would either talk to their keyworker or the Registered Manager if they were unhappy about something and wanted to make a complaint. One service user said when they had told staff if they had been concerned or unhappy about something then this had been listened to and acted on. Staff receive training and refresher training on the protection of vulnerable adults, (POVA). This is usually offered by the local authority’s POVA coordinators or other suitable organisations. There have been no POVA investigations in the home. The White House DS0000057847.V261094.R01.S.doc Version 5.0 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 the following standard(s): 24, 26 & 30 The home has areas that need attention in relation to the internal and external environment. The office window must be installed to offer suitable ventilation for staff and service users. The lounge and dining area must be decorated and new furniture cleaned/purchased in order to offer a bright and pleasant atmosphere for service users and visitors to spend time in. Furthermore risk assessments must be completed on the garden shed that is unstable. This must then be fixed or demolished to ensure service users, staff and visitors are safe and free from any potential hazards. Service users bedrooms are individual and offer service users time away from others where they can relax comfortably. The home was clean and tidy and generally offered service users a homely environment. EVIDENCE: A tour of the home was carried out and two service users showed the Inspector their bedrooms. The work in the office had not been carried out. This room is due to have a window put in, as currently there is no suitable light or ventilation in the office. This work has been a requirement for several years. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 17 The Registered Manager stated he had confirmation that work would commence on the 5th December 2005. This is a re-stated requirement. The shed in the garden is a hazard and is possibly going to fall down. The service users have been informed by staff that they must avoid the shed, which is located at the end of the garden. However a risk assessment had not been completed on this potential hazard. This is a requirement. In addition it is a requirement that the shed is either made safe or demolished. Overall the environment internally is warm and homely however the lounge and dining area looked tired and furniture viewed was stained, worn out or scratched. It is a requirement that this area is decorated and furniture is cleaned or replaced. Service users bedrooms were personalised and individual. Service users can lock their bedrooms for privacy and this is respected by the home. Service users are able to spend time in their bedrooms as they choose to. Protective clothing for the control of infection was used during the inspection. Laundry is carried out by members of staff, with some service users assisting with this task. The home was clean and tidy at the time of the inspection. COSHH products are recorded and stored in a locked cupboard. The White House DS0000057847.V261094.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35 Service users are supported and cared for by competent staff who are encouraged to complete the NVQ courses to ensure they have to up to date knowledge and skills to meet service users needs. Overall training is offered on a regular basis and covers a variety of relevant topics. However staff must be offered training on subjects specifically related to the service users living in the home, such as mental health. EVIDENCE: Currently there are three members of staff who have successfully completed the NVQ level 2 and six members of staff are studying NVQ level 2. The home is aware that at least 50 of staff must achieve or be achieving this or equivalent qualification. Currently the home is meeting this target. Staff were seen to interact positively with service users and were aware of their individual specialist needs. Staff receive regular training, on subjects such as fire training, food hygiene, health and safety and this is monitored to ensure staff receive refresher courses as and when required. Staff spoken with stated the training enabled them to meet the needs of the service users and develop their skills and knowledge base. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 19 Discussions took place with the Registered Manager regarding whether staff received training and information on mental health subjects as one service user has a diagnosis of a mental health disorder. The Registered Manager is aware that staff would benefit from receiving information/training on this topic. This is a requirement. The White House DS0000057847.V261094.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 The home is well managed and the Registered Manager has an open style of management in order to be approachable for both staff and service users. Meeting the varied needs of the service users is a priority of the staff team. There must be a system devised in order to demonstrate the home has carried out a review of the quality of care offered in the home and that there has been consultation with service users and/or their representatives. A report of any findings must be available for both inspection and for service users. Areas identified as needing attention and improvement can then be looked at and addressed over the forthcoming year to benefit the service users quality of life. Servicing records were up to date and protected service users health and safety. However the office door has not been fitted with an appropriate selfclosure device. This must always remain closed or fitted with a suitable device in order to safeguard both service users and staff. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 21 EVIDENCE: The Registered Manager has NVQ level 4 and has been in post for several years. The Registered Manager manages the home well and staff and service users stated they were comfortable in approaching him. The home is managed in a transparent way with service users and staff included, where appropriate, in decision making. The home has some systems in place to monitor the quality of care in the home, such as monthly Regulation 26 visits carried out by a member of the organisation and questionnaires had been devised, although completed questionnaires were not viewed. However an overall report was not available to highlight a summary of the year and all its findings following such reviews of care. This is a re-stated requirement as it had not been available at the last inspection. Servicing records were viewed at random. Fire equipment, Gas Safety check, Portable Appliance Testing and Legionella Testing were all up to date. The small room next to the office had been fitted with a self-closure device, which responds in the event of a fire and closes automatically, however the office door had not been fitted with one. This door must remain closed until it is fitted with an appropriate self-closure device or until the Registered Manager has consulted with the London Fire & Emergency Planning Authority regarding this situation. This is a re-stated requirement. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 4 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The White House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 2 x DS0000057847.V261094.R01.S.doc Version 5.0 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. 2. Standard YA24 YA24 Regulation 23 (2) (d) 13 (4) Requirement The lounge & dining area must be decorated and furniture in these areas must be replaced. A risk assessment must be carried out regarding the shed in the garden, as it is currently unstable. The shed in the garden must be made safe or demolished. The work to provide ventilation in the main office must be carried out. (Previous timescale 31/12/04 not met) Staff must receive training/information regarding mental health issues/disorders in order to meet the needs of the service users. A review of quality of care must be undertaken on a regular basis. (Previous timescale 01/08/05 not met) Timescale for action 31/03/06 22/11/05 3. 4. YA24 YA24 23(2)(b) 23(2)(p)& (3)(a) 31/01/06 05/12/05 5. YA35 18(1)(a) &(c)(i) 31/03/06 6. YA39 24 31/03/06 The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 24 7. YA42 23(4)(a)(b) Fire doors, including the office door must be maintained closed or fitted with appropriate self-closures that respond in the event of a fire. (Previous timescale 01/08/05 not met 31/03/06 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 YA9 Good Practice Recommendations Risk assessments must be dated in order to demonstrate that they are up to date or reviewed on a regular basis. The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 The White House DS0000057847.V261094.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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