Inspection on 23/05/05 for The White House

This inspection was carried out on 23rd May 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 but made no statutory requirements on the home.

Other inspections for this house

The White House 20/05/08

The White House 21/11/05

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 23 May 2005 9.10AM The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The White House Address 39a Shaftesbury Avenue, Feltham, Middlesex TW14 9LN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8890 3020 Parkcare Homes (No. 2) Limited Mr Nigel Degenhart Care Home 6 Category(ies) of Learning Disability (0), Learning Disability - over registration, with number 65 years of age (0) of places The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NO Date of last inspection 3/12/04 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 wash basins. 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 G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 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 just under eight hours, 9.10AM-3.50PM, was spent on the inspection process. The Inspector carried out a tour of the home and inspected service user plans, staff files and maintenance records. Four service users and three staff were spoken with as part of the inspection process. It must be noted it is sometimes difficult to ascertain the views of service users with varying degrees of learning disability and communication needs. There were no service user vacancies at this inspection. There was one full time staff vacancy, although the Registered Manager has appointed a new member of staff to fill this post, subject to references. What the service does well: What has improved since the last inspection? The home has addressed the needs of one service user by providing an assisted shower room. Areas of decoration and items needing replacing took place after the last inspection. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 & 5 Service users are provided with information about the home. They also have service user agreements that are signed by the service user. This ensures service users have details on the services and support they can expect to receive. The updated and detailed Statement of Purpose was not available at the inspection; this must be in the home to offer specific details to service users, visitors and the CSCI. The organisation has robust systems in place to assess a service user prior to their admission, which aims to ensure the home is fully aware of the current needs of the prospective service user. Local Authority contracts are not available for service users. EVIDENCE: Service users and their representatives are provided with information regarding the home in the form of a Service users Guide and Statement of Purpose. The Registered Manager said the Statement of Purpose had been updated in line with the Care Homes Regulations 2001, but it was not available on the day of the inspection. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 9 Although the home has not admitted any new service users for some time, pre-admission assessments were seen that had been carried out by the organisation on the service users currently residing in the home. In the past the area manager usually carried out these assessments. The new system is for the Registered Manager to meet any prospective new service user to ascertain if the home can meet the person’s needs. In addition, the Registered Manager would seek as much information from external professionals to gain a full picture of a prospective service user. The home has now installed a new shower in the downstairs bathroom. This is an assisted shower to support a service user who has mobility difficulties. The home would identify with any prospective new service user any particular needs to determine if the home would be able to meet these needs. The Registered Manager said any new service user, prior to them deciding to move in, would be encouraged to visit the home, have a meal and stay overnight. The Registered Manager and the Finance Director have been attempting to obtain a Local Authority contract for each service user. This has been proving difficult and so far this has not occurred. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 The health and personal needs of service users had been identified and were being met. Risk assessments were detailed and reviewed, enabling staff to be aware of the support and encouragement service users needed. Reviews incorporated service users opinions and were detailed to show progress and changes in a service users life. The home encourages active participation from service users. This promotes the feeling that it is the service users home, where their views are listened to and where possible acted on. EVIDENCE: Individual service user plans were available and samples were viewed. These were detailed and comprehensive and outlined how the service users’ identified health, personal and social care needs would be met. These plans were up to date and reviewed and evaluated regularly. Six monthly/annual reviews were very detailed with a clear contribution from individual service users and their representatives. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 11 The care plans highlighted where service users had made decisions, for example whether they would like a bedroom key and where they wanted the key to be kept. Throughout the home there is evidence that service users have been a part of the decision making process, from deciding menus and/or signing for medication. Service users have regular meetings where a variety of topics are discussed. Many of the documents in the home are freely accessible for service users. Daily records viewed were detailed and were pictorial for service users to see what had been written about them. The Registered Manager said he would like to increase service users input in developing and reviewing policies and procedures. The Registered Manager and staff make attempts to involve service users in the process of recruiting new members of staff. In the past service users attended the interview panel, more recently service users meet the candidate prior to their interview. Service users might then feedback to staff how the candidate communicated and interacted with them. Risk assessments were seen in care plans and detailed the balance of minimising risks and encouraging service users to make decisions about their lives. These assessments were reviewed on a regular basis by staff. Two service users can go out independently and there are systems and risk assessments in place to protect these service users. Photographs and descriptions of each service user is on each file should they go missing. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17 Activities are provided to meet individual preferences and abilities. The emphasis is on choice and stimulation. Daily programmes are reviewed to ensure they meet the changing needs of service users. There are opportunities to access local leisure and educational facilities, which promotes service users engaging with a variety of people. Rights are respected and responsibilities are respected by the staff team. Meals are nutritious whilst balancing individual likes/dislikes. Special diets are catered for ensuring specific needs are addressed and monitored. EVIDENCE: The home offers day services and enables service users to access local Colleges or day centres. Each service user has a daily programme, devised with the individual and staff member. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 13 As some service users attend a day centre, those having activities from the home often have one to one time with staff. Currently the home with a local day centre is looking into how a service user might be employed for a few hours to work at the day centre. The Registered Manager said this was in the early phases of being explored. Staff promote independence as much as possible, for example one service user goes out unaccompanied and has an agreement with the home that staff contact them on their mobile phone to ensure they are safe. The home encourages service users to access local resources such as the church, shops and leisure facilities. One service user attends various groups at a local church and attends church services weekly. There is house transport but where possible staff encourage service users to walk or use public transport. The house is planning a group holiday and is consulting with service users about where they would like to go this year. Service users spoke positively about the activities and holidays they take part in. Contact with families is encouraged by the home. This might be through telephone calls or visits. One service user received telephone calls from their mother during the inspection and took the call in a small private room. They have weekly visits from this parent. It is noted on their care plans various choices they have made about their privacy and finances. Consultation takes place frequently to ensure service users are happy with choices they have made. Service users can lock their bedrooms and this is recorded on their files. Staff were seen to interact positively with service users throughout the inspection and the service users spoken with said they were happy with the staff that worked in the home. Where possible service users carry out various house keeping jobs such as laundry and assisting with the preparation of meals. Menus are decided on a rotated basis, with each service user deciding on the menus for the week ahead. This is recorded and any alterations or special diets are noted separately. Fresh fruit and vegetables are present in meals and where appropriate staff monitor the meals to encourage a healthy diet. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Personal care is offered in a dignified and private manner. Where service users are more able, they are prompted to carry out this task independently. Health needs are met with staff supporting service users to attend health appointments or through organising visits in the home. Therefore any health problems are identified and addressed as soon as possible. Medication systems were in place and being followed. Service users are asked to sign for their medication so that they can feel empowered to make decisions on all aspects of their lives. EVIDENCE: All the service users require some level of support, supervision or prompting in areas of personal care. Care is provided in private with service users abilities and needs respected. Service users physical and emotional needs are addressed and noted on their care plans. These needs are met through variety of healthcare professionals for example, GP, Psychiatric staff and Opticians. Many of the service users currently have duty social Workers as a point of contact in Social Services. Weight is monitored regularly and recorded. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 15 Samples of medication administration sheets were viewed. Service users sign for medication and pictures are used to illustrate whether it is for breakfast, lunch or evening medication for those that use this form of communication. All medications were stored appropriately and securely. There was a list of signatures for staff able to administer medication. Robust systems were in place and staff receive training on handling and administering medication. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The home has clear complaints procedures and service users were aware they could talk to the Registered Manager and that their concerns would be listened to and acted upon. Systems were in place for the protection of vulnerable adults. EVIDENCE: The home has a detailed complaints procedure that is freely available and accessible for service users. There had been one complaint from a neighbour that has been resolved. The CSCI had not directly received any complaints since the last inspection. Service users spoken with said that any concerns or complaints would be taken to the Registered Manager. The home has a clear procedure for the protection of vulnerable adults (POVA) and this dovetails with Local Authority documentation. Staff recently received training on POVA issues through the local POVA co-ordinator and those asked said they would report any POVA concerns to the Management. There have been no POVA issues in the home. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 & 30 Overall there is a homely environment for service users. There was no adequate ventilation in the office, which is a dark small room that both staff and service users accessed. However work is due to start on this area of the home within the next month. Items needing replacing had been identified and were being addressed to ensure the service users lived in a comfortable and safe environment. Privacy was respected as service users had keys to their bedrooms. These bedrooms were spacious and personalised by the service users. EVIDENCE: A tour was carried out and a sample of rooms viewed. These were being maintained satisfactorily. Over several inspections there had been requirements made to provide adequate ventilation and light for the main office on the ground floor. Work is now due to begin in June 2005 to rectify this ongoing problem. One staff member said several pieces of furniture needed replacing and that this had been an ongoing problem. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 18 The home has a rolling programme of redecoration and refurbishment and the Registered Manager confirmed that areas needing attention would be addressed. Samples of service user bedrooms were viewed. Two bedrooms are on the ground floor, which is necessary for one service user who has mobility problems. All are single and provide sufficient space for service users to personalise their rooms. Bedrooms are lockable and where a service user chooses to have a key or keep the key in the lock this is noted on their individual care plans. There is a new assisted shower room, with toilet on the ground floor. This is next door to the service users bedroom who requires additional support due to mobility problems. This new shower room was clean and spacious providing the necessary adaptations needed to meet individual needs. There is a communal lounge/dining room with separate kitchen. In addition the large garden provides service users the opportunity to have time with others or time alone. There is a large shed in the garden for those who smoke, as the home has a no smoking policy for inside the home. There is a separate laundry room where any toxic products are locked in a cupboard. Each service user has a set day where they are supported to wash items of clothing. The home was clean and bright on the day of the inspection. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 Overall the staff team work effectively to provide a consistent approach when supporting the service users. The provision for training is satisfactory, although staff have faced difficulties in completing the NVQ course. This needs to be rectified so that staff that have up to date knowledge and have reflected on their practice. The robust recruitment procedures in place safeguard the service users. EVIDENCE: The Registered Manager has been in post for several years and is aware of the service users and the staff members needs. Staff spoken with felt overall the staff team worked well together, although one staff member said the team was not as supportive as it used to be. Several staff members have areas they work on, for example working on the weekly day programme for each individual service user. There are adequate numbers of staff employed on each shift and those spoken with were aware of the individual needs of each service user and how to meet those needs, for example one service user uses Makaton/signing to communicate, staff have received training to communicate effectively with this service user. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 20 The staff team meet regularly on a monthly basis and minutes were viewed. There are robust recruitment procedures in place. The staff employment files viewed contained details of completed application forms, Criminal Bureau Checks and references. The home has not used agency staff for almost a year, although they do use bank staff, these are regular staff who provide support when permanent staff are sick, on holiday or where there is a vacancy. Staff have opportunities for regular mandatory training and other relevant training, for example Fire Marshall training. There have been ongoing difficulties with NVQ courses. One staff member has Level 3 and two have Level 2. However six members of staff had begun studying for Level 2 and then problems arose with the course provider. Therefore they have not completed this level. The Registered Manager is attempting to liaise with the course providers to ensure the staff team complete the NVQ. A sample of staff supervision files were viewed and this support for staff was offered on a regular basis. Although one staff member said their supervision sessions were not as frequent as they would like. Overall staff spoken with said the supervision they received was useful. Appraisals are held annually to identify aims and objectives for staff. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41 & 42 The home is well managed and the Registered Manager has an open style of management. There are shortfalls in carrying out quality assurance reviews of the home, where systems are assessed and the views of service users; their representatives and other professionals are sought. This must occur to ensure the home is running effectively and that any views of those involved and living in the home are acknowledged and where possible acted on. Servicing records are well maintained and safeguard the service users. Fire doors kept open must have self-closure devices in the event of a fire to protect the welfare of service users and staff. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 22 EVIDENCE: The Registered Manager has successfully completed the Registered Managers Award and has managed the home for many years. Staff spoken with said the management style was open and approachable. The home has not had carried out a quality assurance review of the home, this had been a previous requirement. The records for both service users and staff are stored securely. Servicing records were viewed at random. The testing for Legionella, emergency lighting, fire equipment and the Gas safety certification were all up to date. There are robust systems in place to ensure all maintenance service records are kept up to date. The home carries out regular fire drills at different times of the day to ensure service users and staff are able to respond quickly in the event of a fire. The office door and the small room next to the office was seen open. These must be fitted with appropriate equipment that responds in the event of the fire alarm system being set off. The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 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 3 3 x G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 (1) Requirement Timescale for action 1/7/05 2. 5 3. 24 4. 35 5. 42 6. 39 The Statement of Purpose must be updated in line with Schedule 1 of the Care Homes Regulations 2001. (Previous timescale 31/12/04 not met) 5 (3) Service users must be provided with a copy of the local authority contract. (Previous timescale 31/1/05 not met) 23 (2) (d) The work to provide ventilation & (p) & 23 in the main office must be (3) (a) carried out. (Previous timescale 31/12/04 not met) 18 (1) (c ) Craegmoor must ensure that (i) staff are offered the opportunity to commence & complete NVQ training. The home must aim to have 50 of staff to NVQ level. 23 (4) (a) All fire doors must be maintained (b) closed or fitted with appropriate self closures that respond in the event of a fire. 24 A review of quality of care must be undertaken on a regular basis. (Previous timescale 31/12/04 not met) G61 G10 s57847 White House v214844 230505 Stage 4.doc 1/9/05 1/6/05 1/9/05 29/7/05 1/8/05 The White House Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The White House G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Ground Floor 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 G61 G10 s57847 White House v214844 230505 Stage 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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