Inspection on 05/10/06 for Herrington Grange Nursing Home

This inspection was carried out on 5th October 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Herrington Grange Nursing Home 16/10/07

Herrington Grange Nursing Home 16/03/06

Herrington Grange Nursing Home 13/11/05

Herrington Grange Nursing Home 09/03/05

Herrington Grange Nursing Home 01/10/04

Herrington Grange Nursing Home 09/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Herrington Grange Nursing Home Southburn Terrace New Herrington Houghton Le Spring Tyne & Wear DH4 7AW Lead Inspector Mr Tom Moody Key Unannounced Inspection 5th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Herrington Grange Nursing Home Address Southburn Terrace New Herrington Houghton Le Spring Tyne & Wear DH4 7AW 0191 584 5854 0191 512 0958 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) www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (10), Physical disability of places over 65 years of age (30) Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2006 Brief Description of the Service: Herrington Grange is a privately owned care home, which is located in a village in a semi-rural area. It is reasonably close to a range of local facilities including shops and a Church, and is also near to a bus stop. The home may provide permanent accommodation with personal care support and nursing for up to fifty older people, some of whom may have a physical disability. A limited number of physically disabled adults under the age of sixty-five may also be accommodated within this total number. The home’s entrance is level, and a shaft lift provides access between floors. Accommodation is laid out over both the ground and first floors. Each has selfcontained lounges and adequately equipped bathrooms. All bedrooms have en-suite toilet facilities. The building shares it grounds with another care home owned by the same company. The grounds are well kept, there are accessible paved areas for service users, and car parking is available. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was carried out by one inspector over one day. The views of eleven of the people living at the home were gathered. Two visiting friends and four relatives were spoken to and four service user case files were read. A small sample audit of the home’s system for receiving, storing, administering and disposing of medication was carried out, along with recruitment records, staff files and complaints records. A tour of the premises looked at the standard of accommodation and facilities on offer and arrangements for maintaining safe living and working conditions. The manager, qualified nurses, care staff and housekeeping and catering staff were asked about how the home meets service user’s specialist needs. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Care plans could be better organised and better kept by staff. Some aspects of cleaning could be improved. Service users should have access to a greater choice of recreational activities or interests. Adequate fire safety precautions also need to be put in place to protect the people who live and work at the home. This will include the introduction of adequate door closure devices to avoid the wedging open of fire doors. Adequate risk assessments should be carried out before using bed rails and these should be properly fitted in accordance with Health & Safety Guidelines Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 7 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. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 1, 3, 4, 5, It is not necessary to assess standard 6, since the home Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The assessments of needs seen by the inspector were accurate and comprehensive and should ensure service users needs are met. Service users and their relative receive a range of information and are able to visit the home before deciding to use the service. EVIDENCE: Service user comments cards indicated they received information to inform their choice. The manager spoke of relatives visiting before placing service user’s in the home, although the physical condition of some service users may prevent them visiting in person. Relatives who were spoken to confirmed they are able to visit the home before relatives are placed there, and that they were kept informed of what was happening. They also spoke of their satisfaction with the accomodation that was provided. The managr was observed giving accurate and appropriate information to these relatives. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 10 The home provides a local information pack to supliment the companys service user guide. This provides better information about the homes service provision and is very user friendly. The manager stated that the assessment of service users needs is carried out by placing authorities and this was confirmed by documentary evidence in service users care plans. Care planning documentation portrays an accurate assessment of service users needs before they are admitted to the home and should ensure that their needs are matched to the homes abiltiy to deliver the service. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgment has been made from evidence gathered both during and before the visit to this service. Care plans had some good information in relation to healthcare needs. The care that was observed was good but the care planning cannot demonstrate that the home is meeting all of service user’s healthcare needs because of bad design and recording. The homes medication systems are being adhered to and service users are protected by as safe system of medication that is properly operated by staff. EVIDENCE: Doctor’s visits are recorded and there was other evidence that primary care teams were involved in service user’s care. Hospital appointments and letters indicated that service users saw clinical specialists when this was necessary. Medication storage was secure and administration was properly recorded. Stock balances of medication were checked and these were confirmed as accurate. Staff were aware of service users needs for privacy, and staff knocked at bedroom doors before entering. The use of signs, to indicate occupancy of bathrooms, helped to reinforce this. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 12 The audit of care plans, promised during the last inspection does not seem to have been carried out, in spite of this being part of the action plan response to the last inspection. None of the service user files chosen at random by the inspector as part of a case-tracking exercise had been audited. Some care plans were in use that had been prescribed by nurses, who had now left the home, over 3 years ago. Assessment information is gathered but this does not link easily with the care plans and the organisation of plans looks rather haphazard. The risk assessment in relation to deployment of bed rails was not accurate in the case of one service user whos records were sampled. Some nurses have written goals, or outcomes of care, that are virtually meaningless and this does not demonstrate a suitable level of competence or accountability. One care plan had a pre-printed core and it is noticeable that this bears little relation to the service users actual needs. The written observations, by the nurse on the spot, are much better in this instance. Whilst the care that was seen by the inspector, was reasonable, staff cannot maintain there accountability with such poor record keeping. The current manager has been in post for only a short while and, whilst she is aware of these problems, they are long standing and she cannot be held responsible for the lack of corrective action that was promised by the company. She is hoping to address the shortfalls during supervision and training. She is aiming to help nursing staff improve their care-planning skills and keep better records. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The service users can make use of all of the homes facilities and show signs of having their own interests and possessions. There is evidence of visitors involvement in service users care and recreation. All of this indicates that most service users needs and preferences are being met by the home and that they have choice and control over many areas of their lives. Service users enjoy an appetizing selection of meals in well-decorated and pleasant surroundings. EVIDENCE: A number of service users had their own selection of books or music in their own rooms. The manager spoke of service user’s preferences and patterns of activity throughout the day. However, one service user was observed in her room with no activity taking place and without the benefit of TV, radio, music or any other diversion available to her. This service user was able to speak of her lack of any meaningful activity and did wish for better support. Some service users were able to use all of the communal space and they spoke of enjoying the garden area when the weather was good. The manager spoke of having appointed an activities co-ordinator to improve recreational opportunities for service users. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 14 The people who live at the home said that they are able to have visitors at any time, and the manager said they are helped to keep in touch with families by telephone. visitors were observed to come and go during the course of the site visit. Staff also encourage people to make use of local facilities, such as the shops. the manager spoke of links with the local YMCA and the guides and brownies. Most service users are registered with a local GP. The manager said that resident’s and relatives meetings, are regularly held. The agenda and minutes were seen, where service users and their families have been invited to consider issues relating to the running of the home. These give opportunities to enable service users to influence how the service operates and exercise some control over their lives. The manager spoke of more being done to enable people to make choices on a daily basis, including menu choice. She is encouraging staff to find out what alternatives service users will enjoy. All of the service users told of enjoying their meals and comments such as, The main thing is the good food and I always enjoy my food, were typical. The standards of hygeine in the kitchen were good and there was a good range of foodstuffs, including fresh vegetables. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 16, 18 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Service users and most relatives are comfortable about raising issues with staff and the manager. They are sure that issues will be dealt with appropriately by the manager. Staff have had training and have a good awareness of protection issues. The local authoritys strategy, the managers ethical approach and the company’s policy should combine to protect service users from abuse. EVIDENCE: The home has appropriate polices and procedures. The providers self assessment indicates complaints are recorded and dealt with in accordance with company policy. Records show that complaints and concerns are well recorded. Staff are aware of protection issues and have received training in the local authority procedures on protecting vulnerable adults. Past incidents have been dealt with promptly and staff have behave correctly in alerting management to problems. The manager spoke of encouraging contact with service users famillies to ensure any dissatisfaction with the service could be dealt with quickly. She stated she had an open door policy and preferred to deal with concerns sympathetically over a cup of coffee. Relatives and visitors comments indicate confidence in the staff and manger. One visitor said we have only heard good things about this home. Service users said, I get on alright with the staff and Ive got no complaints about the home. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is adequate. This judgment has been made from evidence gathered both during and before the visit to this service. The environment is generally safe and the home is well maintained but there are significant exceptions to this which indicate the home may not provide a completely safe environment. Rooms are well furnished with service user’s possessions and are generally suited to their needs. The home has aids and adaptations to meet most service users needs but there is little adaptation for those with sensory loss. The home is generally clean and tidy but some areas, and equipment, were not and this would be detrimental to service users. EVIDENCE: The home has met registration reuqirements and, in general, provides a suitable environment. The providers elf-assessment indicates regular maintenance is carried out by the homes handyman and reputable companies, where this is appropriate. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 17 Most areas of the home were free from odour and the home is pleasantly warm and well ventilated. The dining area has wood-effect flooring and the dining room furniture is of good quality and well constructed. Bedrooms are suitably furnished and decorated and replacement of the industrial black carpet in the bedrooms is ongoing. The use of this rather “institutional” floor covering tends to spoil the homely aspect of the rest of the décor. Although a number of door guards have been installed, several bedroom doors were still being held open with wedges. In one case, the service user could not open their door due to physical frailty (including arthritis). In this instance the home is required to provide suitable accomodation, and adequate fire precautions. A wedged door is not appropriate or adequate to meet this service user’s needs. Following the last inspection, the home was subject to an immediate requirement notice, and a letter, in respect to this practice which places the occupants of the home at risk. Handrails are available throughout the building to assist service user mobility. The home has suitable grab rails fitted in toilets and bathrooms. Hoists are available in several areas and there is level access to showers. However, staff had removed the trap from a shower drain. This posed a tripping hazard and allows odour from sewers to enter the home. The problem of odour also persists in one the sluices. The equipment now has proper overflows so this may be the result of an inefficient extraction fan. There is still no loop system in the home to help those with hearing loss but the new manager is seking advice on a suitable installation. It was suggested that the manager contact the Local Authority Disability Team for further, impartial advice. The home is clean and tidy in most areas occupied by service users. There were some areas of accumulated grime on bath panels and bath seats. Some equipment, such as a mobile hoists, were not properly cleaned. As service users come into intimate contact with these areas, this is not acceptable and should be addressed as a priority. The bed rail that was deployed for one of the service user was defective and badly fitted. This could pose a serious hazard to the user. Staff seemed unaware of guidance issued by the Health and Safety executive in relation to this and the risk assessment was inadequate. Staff seemed equally unclear of the homes policy and the contra-indications to using such equipment. The company must provide alternative strategies and equipment, such as adjustable beds. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The number of staff on duty was sufficient to meet service users care needs. The homes recruitment policy and practice safeguards service users. Practice would generally safeguard service user’s but staff need to act on training for this to be ensured. EVIDENCE: The company have appropriate policies and procedures on training, recruitment and selection. Service users comment cards indicate satisfaction with the qualities of staff but some doubts about the levels of staff available at some times. The new manager told the inspector she has reorganised the duty rota to have more staff available at key times. The duty rotas confirmed this. The staff on duty were engaged with service users and service users did not have to wait for attention. Call buzzers were answered promptly. Recruitment policies and procedures are appropriate. Records indicate that these policies are adhered to and that recruitment is carried out in a safe manner. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 19 Providers self-assessment and staff records indicate training takes place and staff confirm they receive an induction. However, despite training and induction, defective equipment such as bed rails were not being reported or detected by staff. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, 38. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager is experienced and competent and the home is well managed. The manager is professional in her approach and service users will benefit from the way she carries out her duties. EVIDENCE: The company has comprehensive policies and procedues. The self assessment indicates that the company carries out regular audits, has a quality assurance system and that regular visits are carried out by senior managers. The manager is a registered nurse who has experience of managing care settings in the NHS and independant healthcare sector. She has not been in post for long and has not yet completed registration as the manager of Herrington Grange. The manager has clear ideas of how she wants the the home to progress and is aware of the areas in which the home is not performing as well as it could. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 21 The manager feels she is well supported by the senior management team of Four Seasons The manager spoke of supervision being carried out and showed a good understanding of the process. She also stated that the homes was subject to regular audit as part of Four Seasons quality assurance system. Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 3 2 Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 23 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 OP7 OP8 Regulation 15(1,2)17 (1)Sched. 3 14 (2) (b) 13 (4) (a) (b) (c) Requirement Service user care-plans must be specific to the full range of each individual’s needs and be reviewed regularly. Staff must complete a comprehensive risk-assessment for all service users. Service users must not be left for any length of time without diversion or some form of recreational activity unless it is their express wish. The home must provide adequate fire precautions including door closure linked to fire alarms for service users who are unable to open or close their bedroom doors. The use of wedges is not appropriate. This requirement is outstanding from previous reports. Suitable equipment must be provided for service users with disability, including sensory loss. This must include variable height beds and suitable bed rails if DS0000018196.V313569.R01.S.doc Timescale for action 30/11/06 2. OP12 12 (3) 16 (2) (n) 30/11/06 3 OP19 13 (4) (a) (b) (c) 23(4) 30/11/06 4 OP22 16 (2) (c) 23 (2) (n) 23 (2) (c) 30/12/06 Herrington Grange Nursing Home Version 5.2 Page 24 5 OP26 16 (2) (k) 13 (1) (3) 16 (2) (j) 13 (4) 18 (1) (a) (c) 6 OP38 OP19 these are deemed necessary for service users safety. Equipment should be adequately cleaned and ventilation should be effective to ensure odours are eliminated. The manager must carry out a risk assessment for the home’s premises and ensure that staff are carrying out health and safety policies. 30/12/06 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Herrington Grange Nursing Home DS0000018196.V313569.R01.S.doc Version 5.2 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. 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