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Inspection on 20/08/07 for Perth House Care Home

Also see our care home review for Perth House Care Home for more information

This inspection was carried out on 20th August 2007.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was well decorated and had the feel of being a real home not an "institution." The service users live in a safe and attractive environment, which is maintained to a good standard and promotes their privacy and independence.Residents spoken with were very complimentary about the home and said "that the staff were good and looked after them well." Positive interactions were observed between residents and staff. The home provides a good community resource for the local community. The home has Quality Assurance system in place, which allows them to consult with residents and family about the general running and changes, which are happening within the home. Staff retention is good.

What has improved since the last inspection?

The majority of the requirements from the previous inspection have been met. The care plans of the long-term residents is much more detailed and in line Derby City Council agreed format The homes continue to provide a good standard of care for its residents. The home has plans for refurbishment, which include en-suite and new shower facilities.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Perth House Care Home Athlone Close Chaddesden Derby DE21 4BP Lead Inspector Nancy Bradley Key Unannounced Inspection 20th August 2007 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 Perth House Care Home DS0000036250.V341631.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. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Perth House Care Home Address Athlone Close Chaddesden Derby DE21 4BP 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) 01332 717550 01332 717550 Not given Derby.gov.uk Derby City Council Kevin James Jowett Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2006 Brief Description of the Service: Perth House is situated within a residential area of Derby city. It is registered to provide residential care for 39 Older People. All bedrooms are single and are provided across two floors, which are connected by a shaft lift and staircase. A variety of communal areas are provided. A commercial type of kitchen and laundry service the Home. All areas of the Home are accessible to Residents and seating is provided in the Homes garden. The Home has a car park. Fees are calculated by the assessment and collection section in Social Services and are based on capital and any regular income. At the time of inspection the fees were approximately £300 a week. Further information regarding the fees can be obtained by contacting the Registered Manager at Perth House or through your local Social Services office. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over five hours. The inspector spoke with the manager and members of staff on duty. During the site visit the inspector made a tour of the home, spoke with several residents and joined the residents for lunch. The inspection activity during this site visit was to assess the service against the key National Minimum Standards and these are identified through the report. There were thirty-three residents in the home on the day of the inspection; the home currently has a number of vacancies. Additionally, time was spent in preparation for the visit, looking at the service history, the previous inspection report and the Annual Quality Assurance Assessment questionnaire. No family or relatives were present during this visit. Records were examined relating to the residents and the general running of the home. The Commission for Social Care Inspection did not send out the “Have Your Say” questionnaires. Although service users spoken to during the visit confirmed they were happy at the home and were looked after by the staff. The home is looking to change function in October by taking short-term and intermediate care residents. There will be a reduction in resident numbers from thirty-nine to thirty-six. The home is going in partnership with the local Primary Health Care Trust and Intermediate Care Team. The home will provide ten intermediate care, five short-tem care and twenty-one long- term beds. The Homes Statement of Purpose, Service user Guide and Commission for Social Care Inspection report are all displayed in the main entrance to the home. What the service does well: The home was well decorated and had the feel of being a real home not an “institution.” The service users live in a safe and attractive environment, which is maintained to a good standard and promotes their privacy and independence. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 6 Residents spoken with were very complimentary about the home and said “that the staff were good and looked after them well.” Positive interactions were observed between residents and staff. The home provides a good community resource for the local community. The home has Quality Assurance system in place, which allows them to consult with residents and family about the general running and changes, which are happening within the home. Staff retention is good. 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. Perth House Care Home DS0000036250.V341631.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 Perth House Care Home DS0000036250.V341631.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): Standard3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that potential residents needs are fully assessed and met prior to admission. EVIDENCE: The records of three residents were examined. The majority of the residents who are admitted to the home have their needs assessed through the care management system. There was evidence on file to show that care needs assessments are reviewed on a regular basis by the referring agency. As discussed with the Registered Manager any areas of identified risk and specific care needs must be reviewed on a regular basis by the referring agency and risk assessments updated. Discussions with residents during the visit confirmed they had received information about the home before moving in. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 9 At present the home is not providing intermediate care as stated in Standard 6 of the National Minimum Standards. However following the change of function, which will incorporate short-term and intermediate care this standard will require assessing at the next annual inspection. Perth House Care Home DS0000036250.V341631.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): Standards 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, however current practice leaves residents vulnerable. Resident’s privacy and dignity is respected and maintained. EVIDENCE: During the visit the care records of three residents were examined in detail. Care plans are complied following the initial assessment. Two of the care plans examined provided sufficient details to enable staff to support the resident’s health and social care needs. However, the care plan for the resident on short-term care was too concise and did not fully reflect how the resident was to be cared for. The home operates a key worker system and it is their responsibility to ensure the care plans and reviews are kept up to date. However the care plans examined showed that they had not been revised for several months. Risk assessments were in place for all three residents whose care was examined and assessments included nutrition, weight, moving and handling Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 11 tissue viability and falls. As previously stated risk assessments were generally good, however they had not always been signed, dated or reviewed when required. The term review on going is insufficient, this does not evidence that the care or risk assessment review has been undertaken. The Registered Manager agreed that this was a short fall and could potential affect the care residents received. The initial care plans examined were signed and dated by the resident or their representative. One care plan examined did not have a photograph of the resident. The health needs of the residents were recorded. Information relating to visits from health care professionals such as General Practitioners, Dentists, Podiatrists and Opticians were recorded. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to be satisfactory. There was a clear audit trail of all prescribed medication used at the home. The Manager confirmed that only nominated staff who have received training on medication can administer medication. The home operates and monitors the majority of residents’ medication, with several of the residents self-medicating. Risk assessments and medication records need to be maintained as required under standard 9.3 of the National Minimum Standard, Care Home for Older People 2002. A list of authorised staff signatures needs to be kept with medication records. The Manager agreed to address this. The staff were observed routinely knocking on residents’ bedroom and bathroom doors before entering. The residents spoken with considered that the staff working at the home were good and that their privacy and dignity was respected. Conversations between residents and staff were appropriate and respectful taking account of any residents’ communication needs. Perth House Care Home DS0000036250.V341631.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): Standards 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides activities and stimulation in line with the wishes and preferences of the service users. The meals offer both choices, variety and cater for any special dietary requirements EVIDENCE: The home offers a day service facility three days a week on Mondays, Wednesdays and Fridays for older people living in the local community. The residents at Perth House can join in if they wish. The residents spoken with during the inspection were very positive about living at the home. The daily routine is flexible and they were able to make decisions about how they spend their time during the day. The residents are encouraged to remain as independent as possible and are able to go out on trips and to the local shops. A range of activities is on offer should the residents choose to take part. The hairdresser visits the home on a Monday and a beautician also provides manicures for the residents. The home offers Communion once a month for the residents’ wishing to attend. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 13 There are no restrictions on family and friends visiting the home and visits are recorded in the daily logs and visitors’ book. Although the Registered Manager did state that visitors are requested to avoid mealtimes. Discussion with residents confirmed that they were able to receive visitors either in their own rooms or in the communal lounge. All residents have access to Advocacy services should they wish to access this independent service. Residents confirmed they could receive and send mail. The residents are all encouraged to personalise their rooms as they wish and bring in their own possessions. The inspector joined the residents for lunch and the residents stated they were very happy with the meals provided. Residents’ individual preferences were considered and condiments are routinely offered. Residents are made aware of menus, and have opportunity to comment on these. Catering staff indicated that they had sufficient knowledge to meet individual residents’ dietary needs Menu records were seen showing a balanced and varied diet, all meals provided by the home are recorded. Drinks and fruit are available throughout the day. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard resident’s welfare and ensure that their concerns are listened to and acted upon. However the lack of training for staff on safeguarding of adults leaves residents vulnerable. EVIDENCE: The home has its complaints procedure on display giving information to both residents and families. The procedure contains the current contact details address of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaint if they wish to do so. Discussions with the residents confirmed that they are fully informed about the complaints procedure and would have no hesitation in putting their concerns to the Registered Manager. On examination of the complaints record all complaints are responded to within a twenty-eight day period. The Commission for Social Care Inspection has received no complaints about the service since the last inspection The home operates to Derby City Council Safeguarding of Adults procedures called “Safe Haven.” Discussions with the Registered Manager and examination of training records confirmed that only senior staff had undertaken training in safeguarding of adults. This was highlighted at the previous inspection and a requirement made. The Registered Manager confirmed that new staff as part of their Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 15 induction does undertake training on safeguarding of adults, however there are a number of staff working at Perth House who have not received any training on this. There has been no reported incident of safeguarding of adults since the last inspection Perth House Care Home DS0000036250.V341631.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well-maintained environment, which suits their needs and promotes their independence and privacy EVIDENCE: The Inspector carried out a full tour of the home, accompanied by the Registered Manager. All communal areas were inspected together with staff facilities. Residents’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. The home was maintained to a good standard and the home had been decorated to provide a more homely feel. This includes attractive curtains at the windows, matching furniture, residents’ memorabilia and appropriate pictures. Residents spoken with at the time of the site visit stated they were very happy with the standard of accommodation provide at Perth House. They particularly like the open plan lounge and dining area. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 17 The home is being refurnished and will lose three bedrooms. The long-term residents will have bedrooms on the fist floor with short-term and intermediate care being down ground floor. The bedrooms on the ground floor will be ensuite. The home has satisfactory hygiene and infection control procedures in place. At present the home undertakes the laundry of residents’ clothes with the main items of towels and sheets going out to contact. Perth House Care Home DS0000036250.V341631.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has an enthusiastic and effective staff team that works positively with the residents. However current-staffing levels should be reviewed to ensure that the needs of the residents can be fully met. EVIDENCE: From discussions with the Registered Manager the home currently operates with three care staff and three domestics, two cooks and a senior staff member who oversees the running of the home. The Registered Manager stated that additional staffing hours would be provided, when the home starts to take residents on short-term care in October. At present the Registered Manager is currently included in the care hours. As stated in the previous inspection report the Registered Provider should review the care hours in line with the Residential Forum and in consultation with the Registered Manager. The home has a good percentage of staff who hold a NVQ level 2 or equivalent. The home has recruitment and selection procedures in place to protect service users from potential harm these are in line with Derby City Councils procedures. Several staff recruitment records were examined against Schedules 2 and 6 of the National Minimum Standard. Although the information was available, files were not easy to navigate and require a general audit so information is in chronological order. Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 19 As part of providing a full employment history applicants need to provide an accurate chronology of their work record with the days date month and year. From recent staff recruitment records examined, applicants were only providing the year in one instance. As discussed with the Manager when gaps in employment are investigated this should be fully explored and be formally recorded on interview minutes. Staff’s training records were examined confirming that staff have undertaken training. This included their induction training with the exception of training on the safeguarding of adults. Training records indicated that several staff were due for refresher training in some areas. Discussions with staff confirmed that Derby City offer a range of training. There was evidence on record to show annual appraisals are undertaken. Perth House Care Home DS0000036250.V341631.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Quality assurance systems are in place to ensure that service users have a voice and their views are listened to. However current practice requires further development. EVIDENCE: The Registered Manager has been at the home for a number of years and has achieved the Registered Manger’s Award NVQ level 4. He also has a number of years experience in management and social care. The Registered Manager has a relevant job description setting his role and responsibilities. Quality assurance systems are in place demonstrating that residents’ views are sought, this is achieved via questionnaires and residents meetings. Derby City Council also undertakes its own Quality Assurance review of the home, Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 21 however the Registered Manager was not aware of how widely the results of this are made know. Discussions with the Registered Manager indicated that views of professionals are not routinely sought; although questionnaires are available in the main entrance they have had little or no response. The results of the homes internal Quality Assurance is discussed at residents meeting. Residents’ monies are kept by the home and several of the resident’s transactions were examined. One was found to be incorrect and the Registered Manager agreed to track where the mistake had occurred. The financial procedures for the home require two staff signatures when money residents’ monies are withdrawn, from examination financial records this was not always being done. A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. This was provided by way of the Annual Quality Assurance Assessment. Systems were in place for monitoring and maintaining the hot water temperatures. The Registered Manager confirmed that he had commenced the environmental risk assessments however these were not available at the time of the site visit. Perth House Care Home DS0000036250.V341631.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 2 Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 23 YES. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP7 OP7 Regulation 15 15 Requirement A care plan must be promptly completed following a residents admission to the home. Care plans must include all residents needs, and kept updated following changes in their assessed need Care plans must be reviewed regular in line with standard 7.4 Risk assessments must be reviewed in line with care plans and changes made as required. Risk assessments must be signed and dated. All residents’ records must contain an up to dated photograph. Risk assessments must be undertaken on residents who choose to self-administer their medication to demonstrate their competency to do so. This is a previous requirement. All staff working at the home must receive training on the safeguarding adults. This is a previous requirement. Timescale for action 30/09/07 30/09/07 3. 4. 5. 6. 7. OP7 OP7 OP7 OP7 OP9 15 14 13 Schedule 3 17 13 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 8. OP18 13 31/12/07 Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 24 9. OP29 19 schedule 2 24 10. OP33 11 OP35 13 12. OP38 13 All staff employed must comply with the home policy and procedures on recruitment and provide a full employment history. The home must consult with stakeholders and other professionals as to its quality of care. Staff must comply with the homes procedures when recording residents’ financial transactions. A premises risk assessment must be undertaken on an annual basis to ensure any hazards are detected and dealt with appropriately. This is a previous requirement. 30/09/07 30/09/07 30/09/07 30/09/07 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 OP27 Good Practice Recommendations The Registered Providers should provide day care and night care staffing at least in line with that required by the Residential Forum. This figure is not to include the Managers working time. This is a previous recommendation. All applicant should provide the days date month and year when providing a full employment history. All staff personnel records should be audited, indexed and in a chronological order. A record of all staff interviews should be maintained. The results of any quality assurance survey should be published 2. 3. 4. 5. OP29 OP29 OP29 OP33 Perth House Care Home DS0000036250.V341631.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Perth House Care Home DS0000036250.V341631.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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