Inspection on 15/05/07 for St Augustines Court Care Home

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

St Augustines Court Care Home 16/02/09

St Augustines Court Care Home 19/04/06

St Augustines Court Care Home 12/12/05

St Augustines Court Care Home 21/06/05

St Augustines Court Care Home 06/01/05

St Augustines Court Care Home 20/09/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOMES FOR OLDER PEOPLE St Augustines Court Care Home 105 - 113 Wells Road Nottingham Nottinghamshire NG3 3AP Lead Inspector Mary O’Loughlin Unannounced Inspection 15th May 2007 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 St Augustines Court Care Home DS0000058342.V337039.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. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Augustines Court Care Home Address 105 - 113 Wells Road Nottingham Nottinghamshire NG3 3AP 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) 0115 959 0473 0115 941 2079 staugustines@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Catherine Anne Bruce Care Home 40 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (40), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (40) St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total number of 40 beds 3 beds maybe used for clients under the age of 65 years in the category of DE 19th April 2006 Date of last inspection Brief Description of the Service: St Augustines Care Home provides 40 places for older people with mental illness and Dementia who require nursing care. Within the total number of beds three people under the age of 65yrs may be accommodated. The home provides 14 double rooms and 11 single, there are no en-suite facilities. A passenger lift is installed to provide access to the first floor. All areas are accessible for people in wheelchairs. Sited close to the city centre and on a regular bus route to the city of Nottingham. There is also a range of local stores close by. The fees at the home range from £326.00 to £500.00 per week. Personal toiletries, taxi fares, confectionary and cigarettes are extra. Information about the home is made available to prospective residents in various formats to assist in communication and ensure each resident has the information they need to make a choice about admission. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections is to determine the outcomes for residents and the services capacity to improve where required. The usual method of inspection is case tracking, this method requires selecting residents and discussing with them their expectations and experiences together with the care practices utilised. The case tracking method examines the records of the residents to ascertain if the residents identified needs are being addressed appropriately and that their safety and well-being is being maintained. On this occasion two residents were case tracked. One resident gave an account of the care they were receiving. Also as part of the inspection process the registered manager and three members of staff were informally interviewed together with a residents relative to further evidence the quality of care afforded to the residents at the home. Resident’s views could not form a large part of this report, as we were not able to effectively communicate with the people accommodated. However, we observed practices and interactions and used evidence from this to make judgements. In addition a range of other information was used to determine the outcome of this inspection and the report; these included the previous judgments and findings, notified incidents, complaints and safeguarding adults investigations. What the service does well: The home provides a safe and well-maintained environment that is designed to assist residents with orientation and encourage independence. The manager is registered with Commission for Social Care Inspection and is fit to undertake her role and staff are trained to meet the needs of the residents and maintain their health and wellbeing. All prospective residents benefit from trained staff undertaking assessments before admission to ensure that the home is able to meet their needs and draft care plans are drawn up in consultation with residents and or relatives on the care they wish to receive. Health and personal care is delivered sensitively and maintains the health and wellbeing of residents. Medicines are administered safely and in line with the residents’ prescriptions. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 6 The daily life and social activities are based around the specialist and cultural needs of the residents and menu planning takes into account their preferences and nutritional needs. This includes cultural, preferential or specialist health diets. A robust complaints and adult protection policy ensure residents are listened to and taken seriously whilst having their safety protected. The management of quality assurance is robust and ensures that resident’s views are considered, wherever possible, and that staff continue to undertake their responsibilities to maintain and improve the quality of care provided. The management of health and safety ensures that residents are able to take risks within a suitable risk management framework that allows them to live as independently as possible whilst being safeguarded from harm. 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. St Augustines Court Care Home DS0000058342.V337039.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 St Augustines Court Care Home DS0000058342.V337039.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make a choice prior to agreeing admission to the home and suitably trained staff ensure that all prospective residents are consulted on a comprehensive assessment of their needs before they come into the home. St Augustine’s does not provide an intermediate care service. EVIDENCE: The admission records of two recently admitted residents contained evidence that a trained nurse, who was skilled in assessment, had undertaken a comprehensive pre-admission assessment. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 9 The assessment exceeds the National Minimum Standards with the inclusion of full body mapping, a tool used to determine any skin or limb problems from the point of admission. A draft care plan is drawn up to ensure that staff are informed of how to meet the resident’s needs as soon as they are admitted. All pre-admission documents had been signed by the resident or their representative showing they had been fully involved and consulted on all aspects of the care required. The manager told us that information about the home is made available to prospective residents in various formats to assist in communication and ensure each resident has the information they need to make a choice about admission. A written statement of purpose and service user guide, is available in audiocassette or large print, and is provided to prospective residents. Southern Cross Healthcare provides a Quality manual that contains information to all staff about ensuring that the principles of individual rights, privacy, choice, safety, equality and diversity are realised and how they are to be encouraged by all staff. Each new resident has a named nurse allocated to them at the point of their admission who is responsible for the care planning and review of the person’s needs along with getting to know the person and their family and answer any questions they may have. The admission records of a resident with specific cultural needs showed that staff had planned for the person’s individual needs. The relative of the resident said that staff had ensured that any diet or cultural preference had been catered for by the home. Care plans were seen to be audited monthly to ensure that staff follow company procedure around admission assessment and care planning. There are trained nurses on duty throughout the 24hr period, not all are trained in mental health but in-house training around the specific needs of residents is provided. St Augustines Court Care Home DS0000058342.V337039.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. Each resident has a comprehensive care plan that is reviewed regularly and reflects current guidance and residents’ health and wellbeing is promoted through access to health and remedial services, a safe medication system. Staff training in upholding the privacy and dignity of the residents at all times is available to all who work at the home. EVIDENCE: Records showed that each person had an appropriate, robust care plan in place that had been reviewed as the person’s condition changed and at least monthly. Care plans were produced only in consultation with the resident or their representative and wherever possible signed by them to ensure they agreed to the care being provided. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 11 Residents had an individual plan for any health care needs, which acted as an indicator to changing needs; from these records and daily records we identified good practice in the management of healthcare needs. One resident who had fallen during the night had an appropriate risk assessment in place and a specialist profiling bed had been provided to reduce the risk. The Primary Care Team are presently providing an outreach service for the home over a one year period, this ensures residents and staff have access to health and remedial services. Evidence of the services of the Outreach Team was seen and this has provided staff with up to date information on the care of people with Dementia. The records of medicines received into the home, administered and returned along with storage and review were fully compliant with National Minimum Standards. The records of one resident had a hand written prescription without two signatures to reduce the risk of error, the manager was aware of the need to ensure this is done and immediately rectified the deficit. From discussion with relatives and staff along with observation of the care practices undertaken during our inspection, we identified good practice in the management of the resident’s privacy and dignity. Residents were spoken to in a quiet and reassuring manner by staff that new them well. Relatives said that they were “very happy and felt able to go home and know their loved one would be well cared for.” The relative of one resident had found that staff consistently ensured that the resident was supported to maintain their cultural and religious diet. St Augustines Court Care Home DS0000058342.V337039.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’ benefit from a service that encourages their independence and orientation through the provision of environmental cues and staff resources that allow time for activities and stimulation. The provision of a nutritious and cultural diet ensures that residents receive appropriate nutrition to meet their needs and wishes. EVIDENCE: The home environment has improved considerably to meet the specific needs of people who may be confused and have poor memory. The corridors have street signs and names that may be familiar to residents who lived in the Nottingham area. A visual stimulus in the form of old photographs of Nottingham and familiar everyday items are featured around the home to assist in recognition. Signs and graphics promote the residents’ orientation and ability to remain as independent as possible. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 13 An activities co-ordinator provides a range of activities for residents including craftwork and entertainment. Residents are also assisted to go out shopping with staff following risk assessment. The activities co-ordinator was seen spending time with residents during the inspection, who where happy with the input. Notice boards display events and completed craft projects. Staff discussed how they hold different social activities to reflect the cultural needs of the residents; such as reggae music afternoons or old time music hall. The manager said there is no restriction on visiting unless by the request of the resident. There was good evidence through notices and discussion with the manager of the involvement of the Community Mental Health Team that includes physiotherapy and Occupational Therapy services for residents at the home. The manager said that staff have access to the Mental Capacity Act information and this was seen on display in the entrance to the home. Each resident has their nutritional needs assessed monthly which includes their weight and dietary preferences, it was confirmed that community nutritional specialists are involved following referral by the home manager. The daily menu is displayed in the dining room and a full menu is provided for relatives to see in the entrance area. We saw residents being provided with an appealing and nutritious meal and staff provided discreet assistance. Relatives confirmed that special cultural diets are provided and staff supports access to preferred religious services. Evidence was seen that the home complies with Environmental Health requirements and evidence of work completed since the last Environmental Health inspection in December 2006 was seen by us. St Augustines Court Care Home DS0000058342.V337039.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): 16-18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is available and any concerns of complaints effectively managed, which helps residents feel listened to and protected from abuse. Resident’s safety is also promoted as staff at home have received appropriate training in relation to the safeguarding adults. EVIDENCE: Residents have access to a clear complaints procedure. Records of a recent complaint were examined and showed that the complaint was taken seriously and acted upon. Appropriate safeguards were identified as in place, to reduce the risk of residents that may wander from the home if unsupervised. Two attempted break in’s to the home had been effectively dealt with through consultation with the community police officers, the provision of window sensors and a padlock to the main gates. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 15 One allegation of abuse was tracked and showed that the manager had referred the resident appropriately, Social Services dealt with it and the abuse was not substantiated. Staff training records show that all staff have received training in safeguarding adults in the last year and reported the training practical application. A relative spoken with was aware of the complaints procedure and felt happy to raise any issues with the manager, should it be necessary. A surgery is held weekly to enable any relatives to come and speak with the manager about any matter including concerns or complaints. One resident had raised a concern at the last inspection of the home, the resident was able to confirm to us that staff at the home had acted immediately and had sorted out the problem. St Augustines Court Care Home DS0000058342.V337039.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): 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 provides a pleasant and safe place for residents to live and is geared towards the specialist needs of the residents and infection control procedures protect residents’ health. EVIDENCE: A recent refurbishment programme has achieved significant improvements in relation to the internal environment throughout the home. We performed a partial tour of the home, which included some resident’s bedrooms, communal areas they frequent and the resident’s bathrooms. All areas were found to be safe, smelled fresh and were pleasantly decorated. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 17 The home has a well-maintained environment that is a pleasant and safe place to live. To promote the resident’s safety whilst in their bedrooms window restrictors and radiator guards were in place. The hot water outlets within the resident’s bedrooms are also monitored effectively to minimise the risk of scalds and burns. Keypad locks are fitted and doors alarmed to alert staff of any resident that may wander from the building and may be at risk if they do so. The design and decoration of the home is now more directed to improving the orientation and independence for those residents that may have memory impairment or problems with orientation. Signs, graphics and easily recognised areas promote orientation for residents. Residents are encouraged to personalise their bedrooms and all bedrooms are fitted with a doorknocker and letterbox, staff were seen to knock on doors before entering one resident’s room that has been risk assessed to enable him to safely lock his own door. There is an infection control policy in place and an outbreak of Diarrhoea in December 2006 was clearly dealt with according to local infection control protocols which ensured the health and wellbeing of the residents. St Augustines Court Care Home DS0000058342.V337039.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): 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 cared for by sufficient numbers of staff who have been safely recruited and receive training in the work they are to perform. EVIDENCE: The home is presently full and the numbers of staff on duty are calculated according to the needs of the residents. The multi cultural staff team reflect the different cultures of residents accommodated. Duty records indicate which staff are on duty at anytime of the day and night. The numbers of staff seen on duty and from projected duty records indicate that there are sufficient staff employed including domestic and catering staff. Standards of food, meals and nutrition are fully met, and the home was maintained in a clean and hygienic state. The manager reported some slippage in the numbers of staff trained to level 2 National Vocational Qualifications due to staff turnover, however new staff were being included in the training. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 19 The records of two staff were examined and showed that a thorough and safe recruitment procedure had been followed, obtaining appropriate police checks and suitability of the person to work with vulnerable adults. Southern Cross Healthcare have provided the manager with copies of the new staff induction programme, (these were seen) that meets the recognised standards for induction training, this is in the process of implementation and will ensure staff receive induction to a recognised standard. The staff training matrix and discussion with staff on duty indicated that the training in areas of Medicines, Nutrition and infection control have been provided to staff as part of their foundation training which ensures that staff have the skills they need to undertake their role. St Augustines Court Care Home DS0000058342.V337039.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): 31-33-35-38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well managed home that ensures through quality monitoring and health and safety procedures that residents are protected from harm and live in a home that seeks their views wherever possible. EVIDENCE: The manager and external management spends significant time on ensuring the quality of the service provided to residents is based on seeking their views and that continuous self-monitoring is consistently obtained and reviewed. St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 21 The manager conducts quality audits on the facilities and services of the home each month; this includes care plan monitoring and medication management checks, all to ensure that residents are receiving the best care consistently. External management also come to the home to complete audits along with operations managers who undertake their responsibilities as the provider’s of the service requiring them to assess the quality of the care provision each month. Any deficits are seen to have been recorded and action taken to improve the service accordingly. The reports from these visits are made available to the Commission for Social Care Inspection. Policies and procedures are regularly reviewed in the light of changing legislation as evidenced in the obtaining of the Mental Capacity Act Information and the planned provision of training in that area. The management of residents’ finances was examined and show that appropriate safeguards are in place for residents that are unable to manage their own money. Suitable records of all transactions are held. Residents are seen to have been referred to legal and financial help as required. Secure facilities are available within the office to hold money and valuables safely for residents. A range of Health and safety monitoring was seen; suitable arrangements are in place to protect residents from the risk of fire. Staff records seen indicate up to date training in the fire procedure and evacuation policy. Staff receive training in health and safety, food hygiene and moving and handling to ensure they can undertake their duties safely. St Augustines Court Care Home DS0000058342.V337039.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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 23 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 Good Practice Recommendations St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 St Augustines Court Care Home DS0000058342.V337039.R01.S.doc Version 5.2 Page 25 - 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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