Inspection on 19/03/07 for Perrins House Nursing Home

This inspection was carried out on 19th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Perrins House Nursing Home 10/05/09

Perrins House Nursing Home 27/10/05

Perrins House Nursing Home 05/07/05

Perrins House Nursing Home 12/10/04

Perrins House Nursing Home 14/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Perrins House Nursing Home Moorlands Road Malvern Worcestershire WR14 2TZ Lead Inspector Yvonne South Key Unannounced Inspection 19th March 2007 09:30 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 Perrins House Nursing Home DS0000004132.V328300.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. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Perrins House Nursing Home Address Moorlands Road Malvern Worcestershire WR14 2TZ 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) 01684 562701 01684 893994 www.fote.org.uk Friends of the Elderly Catherine Henrietta Kenward Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability over 65 years of age of places (43) Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 27th October 2005 Brief Description of the Service: Perrins House is located in extensive grounds on the outskirts of Malvern overlooking the common. It was constructed in 1972. The family home (Davenham) and grounds were bequeathed to The ‘Friends of the Elderly’ by Mrs Perrins in memory of her late husband, Mr Dyson Perrins. The ‘Friends of the Elderly’ are a registered charity. Perrins House has well appointed communal rooms that have views across the mature gardens. The home is registered to accommodate 43 service users of either sex. All rooms can be used for nursing care. All bedrooms are for single occupancy and have en-suite facilities. The home is fitted with three shaft lifts to facilitate movement between floors. Mrs Lorna Long is the responsible individual for the registered provider Friends of the Elderly and she is also the Director of Care. Mrs Catherine Thurlow is the Area Manager and Mrs Catherine Kenward is the registered manager of the home. The email address for the home is: enquiries @fote.org.uk The registered manager stated in the inspection questionnaire that the cost of fees at that time ranged from £507.00 to £683.00. There were no additional charges quoted. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that incorporated information received by the Commission for Social Care Inspection since 27/10/05 and the information obtained during fieldwork on 19.03.07. The fieldwork took place over seven hours during which the inspector spoke to three residents and six staff. Documents were assessed and a partial tour of the premises was also undertaken. Assistance was principally given by Mrs Catherine Kenward the registered manager. Prior to the fieldwork the home was asked by the Commission for Social Care Inspection (CSCI) to complete and return a pre-inspection questionnaire and to distribute questionnaires to the residents, relatives and health care professionals seeking their opinions of the service. To date 17 responses have been received from residents, 13 from relatives and 5 from health care professionals. The focus of this inspection was on the key National Minimum Standards. What the service does well: The service provides comfortable accommodation in impressive surroundings. Appropriate fittings and equipment are available to assist those with mobility problems. The staff are well recruited and trained so that the residents are well cared for. A range of in house and community events are arranged for those who wish to participate and residents have frequent opportunities to make suggestions and raise concerns. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 summary of this inspection report can be made available in other formats on request. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (intermediate care is not offered by this service therefore standard 6 was not assessed.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with information regarding the home so they are able to make an informed decision regarding their admission to the home. Assessments are undertaken by the home to ensure that needs can be met within the home’s registration before a place is offered to a prospective resident. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 9 EVIDENCE: The care records of three residents were assessed. It was observed that records had been made from the time of the initial contact with the prospective residents and/or their relatives during which general information regarding needs was obtained. This had led to a full assessment of needs by a trained member of staff from the home and a visit to the home by interested people. The assessment document was a basic tick list that contained little detailed information. However it covered all care needs and ensured the home was able to make an informed decision as to whether the identified needs could be met in Perrins House. Prospective residents were provided with full information regarding the home and the service including the Statement of Purpose and the Service Users’ Guide. Letters were generated offering the applicant a place if appropriate and a contract provided. Residents who spoke to the inspector and those who completed and returned questionnaires indicated that their needs were being met. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Despite some weaknesses in the documentation staff are well informed so that residents are well cared for and their health needs are met. EVIDENCE: The assessed care records contained a range of assessments that were reviewed at intervals. The document format did not contain a facility for the date and signature of the assessor. Several documents were dated but unsigned. All documents should always be dated and signed to enable a chronological audit to be undertaken and for accountability of recording to be identified. Care plans had been generated as required and these were detailed and well reviewed. There was evidence that residents had had some involvement although it was considered that this could be developed further. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 11 However the practice of using pre printed care plans for most frequent needs can lead to a generality and loss of individuality. For example ‘As appropriate’ and ‘If necessary’ does not inform staff of the individual’s needs, likes and dislikes. A care plan for dressings had not been provided for one resident and there was no record of a physiotherapist’s assessment in another. Two sets of records identified weight loss and care plans had been generated. However the residents’ intake of food and fluids had not been monitored. The manager agreed that if a care plan was considered necessary a diary of intake was necessary to ascertain if the plan was working. Health care was well managed. The records indicated that concerns were followed up by visits from doctors, hospital appointments were kept and other health care professionals were consulted when necessary. Residents’ questionnaire responses stated that: ‘The doctor visits the home every week so if needed I can see him’. ‘I have not needed much medical attention till now but it is available. My doctor is called out when necessary as he has knowledge of my illnesses. One of the care records indicated a wish to self-manage medication. This had been well assessed, storage was available and stocks had been managed. Medication Administration Sheets were well maintained. Other aspects of medication were not assessed during the fieldwork as the home had recently undergone a full audit of medication through its quality assurance programme. A score of 89 had been achieved. Residents indicated that the staff treated them with kindness and courtesy, and the people who spoke to the inspector confirmed this. Staff indicated that they were aware how to ensure privacy and dignity were respected and the training records confirmed that this was covered during the Induction Training Programme undertaken by newly appointed staff. Questionnaire responses from residents, relatives and health care professionals confirmed that health care needs were met. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose from a range of in-house and community activities that provide interest and stimulation. Residents are supported so that links are maintained with the community and their faiths. A varied choice of menus are provided so that residents can select and enjoy what they prefer. Criticisms are always responded to. EVIDENCE: An activities organiser was employed for 30 hours each week. She ensured a programme of activities was arranged for each day and these took place both in-house and in the community. As residents became frailer and as there was a reluctance to venture out far in the winter there was a growing focus in bringing in more entertainers and speakers, as this was more popular. None the less some outings were arranged, for example some residents were looking forward to go to see the Ballet. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 13 One questionnaire respondent stated: ‘There are a number of weekly activities arranged. Sometimes there are outings to the theatre and visits’. Residents received their own copy of the weekly programme and reminders of the day’s events were given. Some people were not inclined to join in group activities so they were visited by the activities organiser, and depending of personal preference enjoyed conversation, reading the newspapers or books together or walking in the gardens. Detailed records were well kept of individual participation and personal profiles. Recently the activity organiser had attended a course on nail care and massage. This therapy would now be offered to the residents. The residents and their questionnaire responses indicated that they appreciated the range of opportunities that were available and the opportunity to choose or decline involvement. Relatives and visitors were made welcome and the visitors’ book indicated that there was a steady stream throughout the day. The home was visited by the Roman Catholic Lay Preacher who held a Mass each Sunday for those who wished to attend. An Evangelical Minister also visited his parishioners and residents were able to attend an Anglican Holy Communion Service each month in the chapel in Davenham. (Davenham is the sister home that is next door and enjoys the same lovely gardens as Perrins House). There were mixed views regarding the quality of the food. The sample of menus seen indicated that residents were being offered an interesting and varied choice of well-balanced meals. The questionnaire respondents made the following comments: Evening suppers are not quite to my liking. The meals are usually good but meat is often hard and fish has been hard. This is being put right. For an institution the food is very good. I like very plain food. There is a choice. Meals are mostly too rich for the elderly. We only need plain food. The meals on the menu are described in such a way that elderly people do not understand. Often the meal received is not as expected. We would prefer plain meals. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 14 Two respondents said that the meals were always to their liking; fourteen said that they usually were, and one person said that they sometimes were. One resident told the inspector that her meals had not been large enough and this had been raised with the manager. A catering comments book was available and well used by the residents. Since January this year fourteen compliments had been entered and only six criticisms. The home had undertaken a survey with the residents this year. Twenty-one responses had been received concerning catering and they had a ranged from ‘acceptable’ to ‘very good’. The only ‘poor’ grade was given by one person for the ‘convenience of meal times’. The manager said that catering manager was aware of the importance of meals and diet to individuals and responded rapidly and enthusiastically to all comments in an effort to continually improve the service . Perrins House Nursing Home DS0000004132.V328300.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to raise their concerns and are confident that they will be addressed. Good recruitment and training of staff protects the residents in the home. EVIDENCE: The pre-inspection questionnaire, completed by the manager, stated that no complaints had been received during the preceding twelve months (that is other than those related to catering). The Commission for Social Care Inspection had received no complaints either. A copy of the complaints procedure was in the Statement of Purpose and the Service Users’ Guide and all questionnaire respondents said they knew how to make a complaint. They also commented: The manager or one of her staff calls in every morning. We see the sister in charge or the manager. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 16 Staff were well recruited and their records confirmed that appropriate reference and checks had been taken up. Induction training had been undertaken by each new employee and they had received training in recognition and responding to suspicions of abuse. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained so that residents live in attractive, comfortable surroundings that meet their needs and have access to beautiful gardens that provide pleasure and stimulation. However there are some issues regarding the standard of the laundry service that concerns the residents. EVIDENCE: A partial tour of the home was conducted. It was observed that the home continued to be maintained to a high standard. It was well decorated and comfortably furnished. Facilities were very good with the exception of laundry facilities. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 18 In questionnaires under taken by the home with the residents comments on the laundry were evenly spread from very poor to very good and was a main cause of concern identified through the survey. The laundry was sited in Daveham and shared with that home. It is not considered that this is a satisfactory arrangement and the residents’ comments identified dissatisfaction with the service. Residents confirmed in the questionnaire responses that the home was always clean and fresh. The gardens were superb and residents who were able to use them independently could wear an alarm necklet in case they needed assistance while they were out. Infection control had been considered and addressed. There was liquid soap, disposable towels and personal protective equipment available wherever needed. The manager confirmed that the staff had received appropriate training. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected and their needs are met as a result of good recruitment, training and staffing levels. EVIDENCE: The inspector spoke to six staff and interviewed three people privately. Everyone was courteous and confident n their role. Questions were answered accurately and sensibly. The samples of staff rotas confirmed that the home was staffed to meet the current residents’ needs. The manager stated that during each morning a trained nurse and seven health care assistants were on duty. During the afternoon there was a trained nurse and six health care assistants. At night the home was covered by a trained nurse and four health care assistants. In addition to these staff the deputy manager worked Monday to Friday and could step in wherever needed. When necessary staffing levels were maintained by agency staff. During January and February this year agency staff had covered thirty-four shifts. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 20 The pre-inspection questionnaire stated that thirty-three staff had left the home in the past eighteen months for a wide variety of reasons. Two people had been dismissed, as their work was unsatisfactory. Despite this high number recruitment had successfully taken place and posts filled so that at the time of the inspector’s visit there remained only a Saturday night care place and a Saturday day care place to fill. Several staff had been recruited from Poland. These people were well supported by the organisation and most people had settled well into the new country and work. Language difficulties did occur at times and the manager said that occasionally training was slower to ensure comprehension. All questionnaire responses were very complimentary regarding staff. Comments made included: Staff here are wonderful. They are very caring and help in any way they can to make life pleasant for us. They are always rushed for time and they do their best. The staff here do everything in their power to help us. There are care assistants from Poland who often have a problem with the language and therefore do not always understand what is asked. Staff are always pleasant and helpful. One of the first things I noticed was that they sang about their work. That cannot be bad. As I am not the only one who needs help, I understand they cannot be in two places at once. The quality of care in Perrins house is excellent. The standard of care is excellent. The staff are kind, friendly. They take time with the residents. The care at Perrins House is superb. Being a nurse myself I know what I expect from a care home and I can honestly say that I have never been concerned about the standard of care. The living proof is a very contented mother who is thriving. Please pass on our deepest thanks to all the staff. They are wonderful. I am delighted with the loving care my husband is given. The pre-inspection questionnaire and staff records demonstrated that training was on-going and appropriate to training needs and roles. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well managed home. The systems and good work practices ensure they are provided with the care they need in safe surroundings. EVIDENCE: The registered manager was well qualified and experienced. The home was well managed and had a strong senior team. Good support was available through the organisational structure. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 22 Positive comments were made in the questionnaire responses, by residents and by staff. Some comments made were; I think it would be difficult to find a better run home. This is an excellent nursing home. The quality of care in Perrins house is excellent. The standard of care is excellent. The staff are kind, friendly. They take time with the residents. Very well run. Never any problems. Excellent care always. Quality Assurance systems were in place. An internal questionnaire/survey had been undertaken with residents. The results were readily available. They were generally positive and the comments pleasing. A ‘Key Point Quality Audit’ had been undertaken on 24.01.07, which had resulted in a 87 score. A Medication Audit, undertaken on 25.01.07, scored 89 . It was observed that some residents held money in safekeeping. Records were kept and residents signed for withdrawals. Receipts were kept for all income and expenditure. The records and one balance was checked and was acceptable. The maintenance record and pre-inspection questionnaire indicated that equipment and systems were regularly maintained and serviced. A risk assessment had been undertaken for the home and it was observed that this was reviewed every six months. The fire log confirmed that fire safety systems and equipment were regularly checked in line with good practice and staff were receiving appropriate training. Training in health and safety matters was being provided and regularly updated with all staff. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 4 X 4 X 3 X X 3 Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 OP26 Good Practice Recommendations 1. An improvement in the laundry facilities should be considered. Ideally each home, especially those providing a nursing service, should have independent facilities. Perrins House Nursing Home DS0000004132.V328300.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Perrins House Nursing Home DS0000004132.V328300.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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