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Inspection on 31/10/06 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 31st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What has improved since the last inspection?

The following were requirements left at the last inspection, which have now been addressed. Photographs are now available within resident`s files. Information was in place within resident`s files that stated that the service was able to meet the individuals assessed needs in respect of health and welfare. Fire training was up to date for all staff and staff had an up to date certificate in first aid. Food hygiene training had been provided for the ten members of staff who had been identified as requiring this training. Information on the Workplace (Health, Safety and Welfare) Regulations 1992 and the Provision and use of work equipment Regulations 1992 was in place at Perth House. Risk assessments were in place on all working practice issues undertaken by catering and domestic staff.

CARE HOMES FOR OLDER PEOPLE Perth House Care Home Athlone Close Chaddesden Derby DE21 4BP Lead Inspector Angela Kennedy Key Unannounced Inspection 31st October 2006 09:00 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.V308094.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.V308094.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 www.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.V308094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 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.V308094.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, which means that the service was assessed against all of the key national minimum standards. During the inspection three residents care files were examined to look at the care plans, risk assessments and other relevant information regarding the support and care provided. These three residents were also spoken with to determine their views on the service and care provided. Several other records and documents were examined to assess; medication practices, activities, complaints and concerns, health and safety practices, the management of residents finances and the meals provided. Three members of staff were spoken to determine their views of the service regarding the support they received and the training provided to them. The training and recruitment records of these three staff were examined. A partial tour of the building was undertaken. The registered manager and relief assistant manager were available throughout the inspection to provide the required information. What the service does well: The internal décor of Perth House demonstrated that efforts had been made to provide a homely environment. Residents spoken with were very complimentary regarding the care and support provided to them by the staff team and it was clear from observation that a positive rapport existed between the residents and staff. The records seen relating to residents care and support demonstrated that resident’s needs were met and regularly reviewed to ensure any changing needs could be identified and addressed. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 6 In general the training provided for the staff team was good and staff spoken with were positive regarding the training and support provided to them. The quality assurance systems in place at Perth House demonstrated that the views and opinions of residents were sought and acted upon. What has improved since the last inspection? What they could do better: Residents who self-administered their medication did not have risk assessments in place to demonstrate that they had the capacity to do so. Although Perth House has a Statement of Purpose, which provides detailed information on the accommodation, provided this is not summarised with the service user guide. Perth House Care Home DS0000036250.V308094.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. Perth House Care Home DS0000036250.V308094.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 Perth House Care Home DS0000036250.V308094.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Further development of the service user guide would ensure residents and prospective residents had all of the relevant written information required. Resident’s needs are assessed prior to living at Perth House to ensure their needs can be met. EVIDENCE: Although Perth House had a Statement of Purpose, which provided detailed information on the accommodation, including bedroom sizes, facilities, furnishings and fabrics and detailed descriptions of the communal areas, again including sizes, facilities and furnishings this is not summarised within the service user guide. Without this information residents and prospective residents are unaware of the facilities provided and therefore unable to make an informed choice. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 10 Three residents’ care files were looked at and all three had a pre- admission needs assessment in place. These assessments looked at each individuals personal and physical well being, diet and weight, sight and hearing, oral health and foot care, mobility and dexterity, history of falls, continence, medication usage, mental health, social interests and cultural and religious requirements, personal safety and risk and carer/ family involvement. This demonstrates that each residents needs were thoroughly assessed prior to moving into Perth House to ensure their needs could be met. Perth House Care Home DS0000036250.V308094.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 judgement has been made using available evidence including a visit to the service. Residents’ health, personal and individual care needs were set out within their care plans. Further development in medication practices is required to demonstrate resident’s safety is maintained. EVIDENCE: The care plans within three residents files were looked at. All of the care plans had been generated from the initial needs assessments. Photographs were in place within resident’s care files seen. All care plans seen provided sufficient detail to enable staff to support the resident’s in their health, personal and social care needs. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 12 Each resident had a link worker who was responsible for ensuring that care plans were kept up to date. Each of the care plans seen had been reviewed on a monthly basis or sooner if changing needs dictated. All of the care plans seen were dated and signed, which demonstrated each plans validity. Assessment were in place within the care files seen that looked at nutrition, weight, manual handling, tissue viability and risk of falls. In general these assessments were good and provided sufficient detail. However not all of the assessments seen had been dated, which meant that these assessment lost their validity as there is no evidence to demonstrate when they had been undertaken. Several of the risk assessments seen did not give a review date but stated that reviews were ongoing, however there was no evidence seen to demonstrate that these reviews had taken place. This was discussed with the manager and agreed that set dates should be in place to review risk assessment to ensure they were not overlooked and to guide staff as to when assessments should be reviewed. Evidence was in place to demonstrate that residents had access to health care facilities and that their health care needs were met. This was seen within records kept regarding visits from general practioners and district nurses and within care plans seen regarding foot care, dental care and eye care. Information was in place within resident’s files that stated that the service was able to meet the individuals assessed needs in respect of health and welfare. Residents spoken with stated that staff supported them in their care needs and stated that they were well cared for. The medication practices at Perth House were examined and in general were good. However there were no risk assessments in place for residents who chose to self-administer their medication, therefore the service could not demonstrate that these residents had been assessed as competent to administer their own medication safely. Residents spoken with confirmed that the staff treated them with respect. Within the care files seen the resident’s preferred name had been recorded. A pay phone was available on the ground floor of Perth House for both incoming and outgoing calls, however the relief manager stated that the majority of residents used mobile phones. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 13 Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 14 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 judgement has been made using available evidence including a visit to the service. Resident’s recreational and social needs were met and contacted maintained with family and friends. Residents were supported to maintain their independence and the meals provided were varied and nutritious in content. EVIDENCE: Perth House also provides a small day service facility on Mondays, Wednesdays and Thursdays for older people living in the local community. Residents’ at Perth House are able to participate if they wish. The activities provided at Perth House include; quizzes, bingo, sing a longs, music and movement and video evenings. Outside entertainers also provide musical and other events. Two hairdressers visit Perth House each week, one on a Monday and the other on a Saturday. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 15 A beautician also visits to provide manicures, although staff at Perth House will also provide this service. Trips out are organised including pub lunches, recent trips include; visit to Bakewell, Skegness and Broomfield College. A Christmas meal had also been arranged for the residents of Perth House in Sudbury. Residents spoken with were very positive about the activities provided and confirmed there was enough activities available to occupy their time. Communion is held once a month at Perth House for anyone wishing to participate and church services are provided once a month. The manager stated that one resident chooses to attend a church service within the local community. Visiting time at Perth House is open, although the manager did state that he requests that visitors avoid mealtimes if possible. Residents spoken with confirmed that they were able to receive their visitors either within their private accommodation or the communal areas of Perth House as they chose. Advocacy services were advertised at Perth House, although none of the residents at the time of inspection used the services of an independent advocate. All of the residents at Perth House were able to vote and this was accessed via postal votes. The menus at Perth House ran over an eight-week period and alternative dishes to the main meal were provided along with a vegetarian option. The menus demonstrated that a variety of meals were available that were nutritious in content. Meal times were as follows; breakfast 9am, lunch 12.30pm, tea 5pm and supper 8.15pm. Discussions with the Cook in Charge confirmed that a variety of options were available at breakfast including a variety of cereals, porridge, toast and a cooked breakfast. The cook confirmed that all meals were cooked by the catering team, except for supper, which was prepared by the care staff. Supper consisted of a variety of drinks including warm milky drinks and biscuits and on occasion a fish and chip supper. Residents spoken with were very complimentary regarding the meals provided. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to the service. Residents were confident that their complaints or concerns would be acted upon and taken seriously. Further staff training in safeguarding adults will ensure residents are protected from abuse. EVIDENCE: Three complaints had been received by the service in the last twelve months. These complaints had been investigated and the appropriate action taken. Residents spoken with confirmed that they were confident that any concerns they had would be taken seriously. All of the residents spoken with stated that they had no concerns about the home or the care provided to them. The Adult protection policy at Perth House was in line with Local authority procedure. Discussions with the manager confirmed that at the time of inspection only senior staff had undertaken training in safeguarding adults, this in turn has the potential to leave residents vulnerable, as all staff that have contact with residents should undertake this training to ensure they are aware of the signs Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 17 of abuse and how to respond to them appropriately and in line with local authority procedure. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 18 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): 19,26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents live in a safe well-maintained environment with good standards of hygiene maintained. EVIDENCE: A partial tour of the building was undertaken looking at the general maintenance of the building and the laundry and bathing facilities. At the request of a resident one bedroom was also viewed. The building was maintained to a good standard and bathroom areas had been decorated to provide a more homely feel. This included attractive curtains at the windows, colourful walls with stencilling and framed pictures. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 19 The laundry area housed sufficient washing machines and driers to manage the laundering of resident’s clothes and each individuals clothing was stored separately within the laundry area. A suitable sluicing facility was built in to one of the washing machines to ensure any soiled clothes could be laundered to meet disinfection standards. The resident’s bedroom seen was decorated to good standard and provided all the required fixtures, fittings and furniture and was individualised, containing some of the residents own belongings and furniture. The sitting rooms seen were decorated to a good standard and provided sufficient light, ventilation and warmth to ensure a comfortable and homely atmosphere was maintained. Residents spoken with confirmed they were happy with the accommodation provided at Perth House. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 20 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 adequate this judgement has been made using available evidence including a visit to the service. The numbers of care staff on duty should be reviewed to ensure the needs of residents are well met. A full assessment of the homes recruitment practices could not be undertaken due to the records available. Staff had received sufficient training to undertake their jobs competently and ensure resident’s safety was maintained. EVIDENCE: The rota for the week of the inspection and the previous week was seen. This demonstrated that three care staff and three domestic staff were on duty each morning and three care staff were on duty each afternoon, and additional member of staff was on duty from 8am to 5pm on three weekdays to oversee the running of the day service. Two kitchen staff were also on duty from 8am to 5pm each day. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 21 The registered manager stated that additional staff hours had been provided for one resident requiring the support of two care staff. It is recommended that the care staffing hours be reviewed by the registered provider in consultation with the registered manager to ensure that all needs of each resident can be well met. Thirty six staff were employed at Perth House and thirty one of these staff members had achieved a National Vocational Qualification (NVQ) within their field of work. One member of the care team who had worked at Perth House for the last eighteen months was spoken with, and stated that she had not yet commenced NVQ training due to changes in the training programme, but was hoping to enrol on this training within the near future. The training files of three members of staff were looked and these three members of staff were spoken with. All three files had sufficient evidence in place to demonstrate that training including induction training had taken place and was up to date, except for training in safeguarding adults (see standard 18). All three staff spoken with stated that the training and support they received from senior staff was very good. As the provider of Perth House is Derby City Council staff recruitment records are not kept within Perth House, but at the personnel department of the council. Therefore the staff files seen did not contain all recruitment documentation, although two members of staff had provided copies of their Criminal records check, which were satisfactory. Therefore standard 29 will be fully assessed at the next inspection. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The registered manager had the experience and qualifications required to efficiently manage the service and demonstrated that residents’ opinions and views affected the running of the service. Residents’ financial interests were safeguarded and the health, safety and welfare of residents and staff requires further development to ensure that their health and safety is promoted and protected. EVIDENCE: The registered manager had a management qualification and many years of experiencing in managing Perth House and within the social care field. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 23 The Quality assurance systems in place demonstrated that resident’s views were sought and feed back was provided to the residents on any actions taken. The systems included residents meetings, and amenities meetings, newsletters and satisfaction questionnaires that were sent out to residents. Feedback was provided at residents meetings and within the newsletters. The views of visitors including visiting professionals were not sought, this was discussed with the registered manager who stated that questionnaires were available within the foyer but were not completed. Discussions took place as to how this could be achieved. Some resident’s monies were kept for safe keeping by the service. The resident’s financial transaction records were examined and found to be satisfactory. Some of the records regarding the safe working practices at Perth House were examined, this included the fire log that demonstrated that weekly fire alarm tests were undertaken, monthly self closing door devices were checked, fire fighting equipment was serviced and checked as required. There was no evidence in place to demonstrate that a premises risk assessment had been undertaken since May 05, this assessment must be undertaken on an annual basis to ensure any hazards or risks are detected and dealt with appropriately. Servicing certificates for lifts, baths ad hoist were seen and were in date. Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 24 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 2 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 2 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 5 Requirement The service user guide must include a description of the physical environment regarding the individual and communal space provided. (Previous timescale of 18 October 2004 and 27 March 2006) Risk assessments must be dated to evidence their validity. Risk assessments must have a review date in place to ensure any changing needs are assessed and the appropriate action taken Timescale for action 01/03/07 2. 3. OP7 OP7 14 (2) 14 (2) 01/01/07 01/01/07 4. OP7 17& Sch. 3 Each file must contain details of 01/03/07 the limitations placed on Resident, as agreed by each Resident or their representative, on the Resident’s ability to make choices, their freedom of movement inside and outside the Home and their ability to make decisions. (Previous timescale of 18 October 2004 and 27 March 06) DS0000036250.V308094.R01.S.doc Version 5.2 Page 26 Perth House Care Home 5. OP9 13 (2) Risk assessments must be undertaken on residents who choose to self-administer their medication to demonstrate their competency to do so. All staff that have contact with residents must undertake training in safeguarding adults. The quality assurance and quality monitoring system must include the views of Residents’ relatives, GPs, District Nurses, and Chiropodists on how the Home is achieving goals for Residents. (Previous timescale of 31 May 05 not met) 01/12/06 6 7. OP18 OP33 13 (6) 24 31/03/07 31/01/07 8. OP38 13 A premises risk assessment must 01/12/06 be undertaken on an annual basis to ensure any hazards are detected and dealt with appropriately. 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 OP1 Good Practice Recommendations The Registered Providers and Manager should make available to Residents, and their families, information on how to make contact with the local Health Authority. 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. 2. OP27 Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Perth House Care Home DS0000036250.V308094.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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