Inspection on 19/06/06 for St Catherine`s Home

This inspection was carried out on 19th June 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Catherine`s Home 14/10/08

St Catherine`s Home 21/06/07

St Catherine`s Home 03/10/05

St Catherine`s Home 04/04/05

St Catherine`s Home 08/11/04

St Catherine`s Home 13/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE St Catherine`s Home 35 Derby Road Enfield Middlesex EN3 4AJ Lead Inspector Anthony Lewis Key Unannounced Inspection 19th June 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 St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 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 Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Catherine`s Home Address 35 Derby Road Enfield Middlesex EN3 4AJ 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) 020 8804 1136 020 8804 1136 ADR Care Homes Ltd Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Older people with a diagnoses of severe dementia must not be admitted. 3rd October 2005 Date of last inspection Brief Description of the Service: St Catherines Home is a care home for sixteen older people of either gender who are in need of personal care only. The home is a large detached house in Enfield, which was extended and opened in 1986. There are shops and bus and rail routes a short distance away. The home has twelve single bedrooms and two double bedrooms on the ground and first floor. A lift is available to access both floors. On the ground floor there is a good size kitchen, a large through lounge and a dining room. At the front of the home, there is off street parking for several vehicles and to the rear, there is a large well kept garden with two large sheds. The fee range for residents living in the home is £385 - £420 per week depending on their needs. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Monday 19th June 2006 at 09:00 and was completed at 5.35pm. Since the previous inspection on 3rd October 2005, a new manager has been appointed to the home and is in the process of applying to the Commission for registration. The new manager and one of the registered providers were available throughout the inspection process and were very helpful and accommodating. Evidence was gathered by viewing five residents’ and five staff files along with various safety certificates and other records and documents. Evidence was also gathered through talking individually to six residents informally. Two care workers were also spoken to. Residents and staff were indirectly observed throughout the day. An extensive internal and external tour of the home was conducted with the manager and the registered provider. What the service does well: What has improved since the last inspection? The home has met eight of the thirteen requirements from the inspection on 3rd October 2005. The registered providers and care staff have ensured that complaints made have been recorded and investigated accordingly. They have also ensured that doors are not wedged open and instead, self-closing devices have been fitted to doors that are left open. All of the staff have a job description, a photograph, Criminal Records Bureau (CRB) or Protection of Vulnerable Adults (POVA) checks and an correctly filled in application form. Residents who look after their own finances are signing to state this. Staff are receiving regular supervision. Fire tests are being carried out regularly and St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 6 London Fire and Emergency Planning Authority (LFEPA) contraventions have been complied with. 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. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 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 Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. The staff are ensuring that prospective residents to the home are appropriately assessed. EVIDENCE: The manager and registered provider stated that they carried out the assessment of the most recent resident to the home. The assessment of the resident was viewed and contained comprehensive information regarding the resident’s past and present health and personal care needs. The resident was later spoken to and said, “They asked me questions and I was able to visit the home.” The resident went on to say, “I’m comfortable and content, it’s a nice place. The registered provider stated that the home does not admit residents for intermediate care. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 9 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 and 11. Qualities in these outcome areas are poor. This judgement has been made from evidence gathered during the visit to this service. The staff are ensuring that residents’ health care needs are met. However, the staff are not ensuring that resident’s privacy, dignity and wishes are upheld and respected. In addition residents are being put at risk because staff are not ensuring that they follow the home’s medication procedures correctly. EVIDENCE: The manager stated that care plans are generated from the residents’ assessments. This was evident when viewing the care plans and assessments of five residents. The care plans contained comprehensive information regarding the resident’s next of kin, likes and dislikes, physical and mental health needs and their personal care needs. The registered provider stated that each resident has a keyworker who ensures that the care plans are reviewed monthly. Evidence of care plan reviewing was seen at the back of some of the care plans. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 10 Of the five residents’ files viewed, all contained a section for recording information about any visits to or by a health care professional such as a Community Psychiatric Nurse (CPN), GP, Chiropodist, Opticians and Dentist. The registered provider stated that an Occupational Therapist (OT) visits the home once a week to carry out physical exercises with residents who wish to participate. A resident was spoken to about the (OT) visits, she said, “Some of the exercises are hard but I enjoy doing them.” The resident smiled and demonstrated one of the exercises by lifting her legs slightly and saying, “This is what I do.” The manager said that none of the residents administer their own medication. Whilst viewing the Medication Administration Record (MAR) sheets of all of the residents, a number of gaps were found on two (MAR) sheets where staff have been administering the medication but not signing to indicate administration afterwards. Although there were a few gaps at this inspection, there has been much improvement compared with the previous inspection, where a requirement was made. The manager and provider said that they would discuss medication administration with staff and record any mistakes found in the future. This requirement is restated. Three residents were spoken to about how staff respect their privacy and dignity. One resident said, “They always knock on my bedroom door and they never shout at me.” Another resident said, “The staff are always helpful and kind.” While touring the home with the manager, a room where two residents share had a screen but on closer examination, it was very old and torn and only extended to three quarters of the length of the room and was not very tall. This meant that the residents’ privacy and dignity would be compromised when staff are supporting them with their personal care or at other times. A requirement is made that the registered persons must ensure that the screen in the shared bedroom is replaced with a more appropriate one to ensure the dignity and privacy of the residents. Although the staff have ensured that many of the residents’ wishes in the event of them becoming terminally ill and dying has been recorded in their care plans, as was a requirement at the previous inspection, on looking through five care plans two did not have the resident’s wishes recorded. The manager stated that she is in the process of seeking the remaining residents’ wishes from them or their relatives. This requirement is restated. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 11 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 and 15. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Residents are confident that their social needs will be met and that staff will support them to keep in touch with family and friends and exercise their choices. EVIDENCE: Three residents were spoken to about the activities that they do in and outside the home. One resident said, “I enjoy sitting in my bedroom and watching the TV.” Another resident, who was sitting in the lounge said, “This is fine with me, I prefer to just sit here and watch television or talk to people.” On the wall in the lounge, was a chart with the weekly activities that occur in the home. There were activities such as, music to movement. A care worker said that music to movement comprises of staff dancing with residents to the residents preferred music. On the chart was also book reading where, according to the manager, staff read from magazines or the daily newspapers to a group of residents and discuss various articles. In the afternoon, staff were observed coordinating a game of bingo in the lounge with some of the residents, most of whom seemed to be getting into the spirit of it. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 12 The registered provider stated that apart from one resident, all other residents’ family visit them regularly. According to the registered provider, the one resident who does not receive any visits from family, receives visits from friends. Evidence of this was seen in the resident’s care plan. When spoken to, a resident said, “We all get on well here.” She pointed out two friends, who were sitting opposite her. Another resident said, “I see my daughter a lot, she always brings me something.” The manager said that residents’ finances are taken care of by their family. One resident who, according to the manager, receives small amounts of money from her family, has a lockable drawer in her bedroom. The newest resident to the home was spoken to. She said that some of the items that she has in her bedroom are hers and that she brought them with her when she moved into the home. The menu for the past two weeks were seen and contained a variety of meals such as beef casserole, rump steak and fried/steam fish. The staff have ensured that a dietician sees residents who require professional input, such as diabetics. Food preparation, purchasing and storage was discussed at length with the manager, registered provider and the cook. The cook was able to demonstrate her understanding of the needs of each resident, especially those on special diets. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 13 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 and 17. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. Staff are taking complaints seriously and ensuring that residents are protected from abuse. EVIDENCE: Since the previous inspection, a resident’s relative made a complaint. The manager has ensured that the complaint was recorded correctly and an investigation carried out and that all relevant agencies were informed. Two residents were spoken to about the complaints procedure. One resident said, “I’ve never had to make a complaint, they treat me well.” The other resident said, “I’ll talk to the staff if I want to complain.” The registered provider said that all of the staff have received Protection of Vulnerable Adults (POVA) training on 30th November 2005. She produced her (POVA) “Train the Trainer” certificate. In addition, the home has an adult protection policy and procedure and Enfield Council’s “Multi Agency Adult Protection Policy.” A member of staff was spoken to about adult protection and was able to explain her understanding of protection of vulnerable adults in detail. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 14 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, 22, 24 and 26. Qualities in these outcome areas are good. This judgement has been made from evidence gathered during the visit to this service. The staff have ensured that the residents live in a clean, tidy and comfortable home and that their independence is being promoted. EVIDENCE: On the day of the inspection, the garden was undergoing extensive landscaping by two gardeners. An action plan for the work being carried out in the garden was seen. Inside the home, the registered provider stated that work on the laundry room, which is in need of redecorating, would begin in the near future. On the tour of the home, other external and internal areas were adequately maintained and safe. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 15 The home has a number of specialist equipment to ensure the safety and comfort of residents such as walking frames, wheelchairs, commodes, an assisted bath and a lift for access to both floors. In addition, most areas of the home, including all bedrooms, have been provided with cords that can be used in an emergency. Some were tested and found to be working correctly and staff responded promptly. The bedroom of several residents was viewed, all were well furnished with resident’s personal possessions such as: photographs of family and friends, ornaments, interests and hobbies and various items of furniture. The home has a dedicated cleaner, who has worked in the home for many years. She was spoken to about training and some of her duties in the home and was able to explain at length her roles and responsibilities. While touring the home, all areas were found to be clean, tidy and free from any offensive odours. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 16 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 and 30. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. A sufficient staff team who are well trained are meeting residents’ needs. However, residents are being put at risk due to inadequate recruitment practices. EVIDENCE: The files of five staff were viewed and all contained a copy of their job description, including the two senior care staff, which was a requirement at the previous inspection. Staff and residents were spoken to about staffing levels. The staff said that the home is busy but that they can still meet the needs of the residents. A resident spoken to said, “The staff really work hard, they deserve a pay rise.” Another resident said, “We’re never left alone.” The manager stated that five staff are undertaking their National Vocational Qualification (NVQ) level 2 and that one staff member has completed the (NVQ) level 2, her certificate was seen in her file. A member of staff, who has worked in the home for many years, explained aspects of her (NVQ) training and how much she is enjoying it. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 17 At the previous inspection, three requirements were made regarding staff recruitment because two staff did not have a Criminal Records Bureau (CRB) or Protection of Vulnerable Adults (POVA) check, in addition some staff did not have a photograph and one staff’s application form was not filled in correctly. At this inspection, (CRB) and (POVA) checks were seen for all staff working in the home and all staff had photograph in their file. However, there were still a number of deficiencies. Of the five staff files viewed, one did not have an application form, two application forms were not filled in correctly and four staff did not have the required two references. These deficiencies were discussed at length with the manager and registered provider who said that they would discuss them with the staff in question and ensure that all of the required information is sought and kept in the staff’s file. A requirement is made regarding these deficiencies. While looking through the staff files, they all contained a variety of training certificates such as: infection control, fire training, health and safety, handling of medication, moving and handling and food hygiene. The registration form was seen for the staff who are all undertaking dementia care training with a local college. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 18 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, 36 and 38. Qualities in these outcome areas are adequate. This judgement has been made from evidence gathered during the visit to this service. Residents are confident that the manager has the qualities required to manage the home. Staff are not seeking residents’ views to ensure that the home is being run in their best interests and that record keeping ensures their safety at all times. EVIDENCE: When asked about her qualifications and experience, the manager said that she has a City & Guilds in advanced management, a Registered Management Award (RMA) and has been in management for more than thirty years. Throughout the inspection the manager demonstrated her understanding of the needs of the residents. The manager and registered provider said that they have not compiled a quality assurance system to measure the quality of service delivery to the St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 19 resident. They went on to say that they would be working on a system in the near future and would forward a copy to the Commission. A requirement is made regarding this. The manager stated that residents’ finances are looked after by their relatives and that the home does not look after any resident’s finances. Lockable drawers were seen in the bedroom of some residents. All of the staff files viewed contained records of their supervisions. They have all been receiving regular supervisions, including the manager, which was a requirement at the previous inspection. Staff spoken to said that they felt supported by the manager and registered providers. The staff are ensuring that all health and safety checks are carried out regularly. All safety certificates such as: gas, lift, water, London Fire and Emergency Planning Authority (LFEPA) and Portable Appliances Test (PAT) were viewed and were up to date and in order. Fire procedures, which were made a requirement at the previous inspection, are being carried out regularly and recorded. Whilst looking at the temperature monitoring record book, the cook said that the temperature of the fridges and freezers are recorded daily. However, although the temperatures of the fridge and freezer in the kitchen is recorded daily, staff have not been recording the temperature of the fridge and the freezers in the food storage shed at the end of the garden. This deficiency was occurring every weekend and occasionally on other days of the week, since the beginning of the year. When discussed with the registered provider, she stated that staff would be reminded to check and record the temperature of all fridges and freezers. A requirement is made in relation to this. St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 20 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 2 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 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 x 2 St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 21 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 OP9 Regulation 13.2 Requirement The registered persons must ensure that the administration of all medication is signed for on the (MAR) sheets and any nonadministration coded as to the reason why the medication was not administered. The registered persons must monitor the administration sheets daily and bring any omissions in the completion of the administration sheets to the relevant member of staff’s attention immediately and record the outcome. (Timescale of 14/04/05 not met). This requirement is restated. The registered persons must ensure that a more appropriate screen is provided in the identified bedroom that ensures residents’ dignity and privacy. The registered persons must ensure that residents or their representatives are consulted with regards to residents’ personal wishes in the event of them becoming terminally ill or dying and the information is recorded. (Timescale of DS0000059522.V292101.R01.S.doc Timescale for action 28/07/06 2. OP10 16 (2) (c) 28/07/06 3. OP11 12 (3) 27/10/06 St Catherine`s Home Version 5.1 Page 22 4. OP29 19. Schedule 4, 6 (f) 5. 6. OP33 OP38 24 (1 a, b) (2) (3) 16 (2) (h) 23/12/05 not met). This requirement is restated. The registered providers must ensure that the deficiencies identified in staff recruitment are rectified (Timescale of 28/10/05 not met). This requirement is revised and restated. The registered persons must ensure that an effective quality monitoring system is in place. The registered persons must ensure that the temperatures of all freezers and fridges are recorded daily. 01/09/06 24/11/06 14/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 St Catherine`s Home DS0000059522.V292101.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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