Inspection on 23/01/07 for St George`s Nursing Home

This inspection was carried out on 23rd January 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 George`s Nursing Home 24/02/09

St George`s Nursing Home 04/03/08

St George`s Nursing Home 04/10/05

St George`s Nursing Home 15/04/05

St George`s Nursing Home 08/09/04

St George`s Nursing Home 01/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE St George`s Nursing Home De La Warr Road Milford-on-Sea Lymington Hampshire SO41 0NE Lead Inspector Anita Tengnah Key Unannounced Inspection 23rd January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St George`s Nursing Home DS0000011444.V322679.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 George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George`s Nursing Home Address De La Warr Road Milford-on-Sea Lymington Hampshire SO41 0NE 01590 648000 01590 644210 StGeorgesMilford@aol.com 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) St Georges Hospital Limited Mrs Julia Frances Hutton Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (8), Physical disability of places over 65 years of age (36), Terminally ill (8), Terminally ill over 65 years of age (36) St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: St Georges Nursing Home is located in a quiet residential area of the coastal village of Milford-on-Sea. The home is registered to provide nursing care for up to 36 older people and this can include up to 8 individuals who may be physically disabled. There are some amenities in the village, an area popular for holidays, including some shops, churches, surgery and dental practice. The home is very much part of the local community and many of the residents accommodated lived locally before moving in. The bedroom accommodation for residents is on 2 floors and a passenger lift and stairs provide access to the 1st floor. All bedrooms are single and 18 of these have en-suite WCs. The building has equipment, aids and adaptations to help promote the independence of the residents. The communal /shared areas of the home comprise a lounge on the ground floor and a lounge/dining room on the first floor and a large conservatory on the ground floor. There is also level access to well planned and extensive landscaped gardens. The current fee charged is £735 per week St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 23rd January 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 5 staff and 7 service users views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. The commission received 13 comment cards from the service users and 3 from their relatives. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. What the service does well: The home has a comprehensive assessment process in place in looking at the needs of both potential and existing service users to ensure that the home can meet their needs. The care plans and records of care given were excellent that ensured that residents received the support and help they required. The management system and procedures in the home worked well including, dealing with complaints, quality monitoring and record keeping. The service has staff that are skilled and knowledgeable about the care needs of older people and regular training was available to them. The service users are provided with a warm and homely accommodation that they said met their needs. The meals and activities at the home were good and offered the service users choices and variety and met with their satisfaction. The service users bedrooms on the ground floor allow them direct access to the beautiful garden. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St George`s Nursing Home DS0000011444.V322679.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 George`s Nursing Home DS0000011444.V322679.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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home does not provide intermediate care. EVIDENCE: Discussion with the service users and information received indicated that the home assessed the service users prior to them being admitted to the home. They are also provided with good information including a summary of the statement of purpose at the point of enquiry. The care records of three recently admitted service users were looked at as part of case tracking. Detailed pre admission assessments of their needs were St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 9 carried out and staff reported that this information is used to formulate their initial care plans on admission. Assessments of needs included mobility, diet, likes and dislikes, communication, continence. There was evidence that family members are involved as appropriate in order to ensure that all care needs are identified. The service users are offered the choice of visiting the service prior to admission. One service user did visit with his wife and a pre admission assessment was carried during this visit. The home does not provide intermediate care. St George`s Nursing Home DS0000011444.V322679.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. The care plans and records of care given were excellent. Staff had clear information about the support that the service users required and these included night care. The health care needs and access to external agencies are well managed. The medication management was good and managed safely. The service users are treated with respect and dignity and their right to privacy maintained. EVIDENCE: St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 11 The care plans of 4 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. The care plans were detailed and contained good and precise information about the assessed needs of the service users and actions required in order to meet them. The assessments included moving and handling, dietary needs, likes and dislikes, communication, skin integrity. The manager reported that recognised tools are used for assessing needs and these informed staff in their planning of care. Detailed information was available for a service user with communication needs and equipment was available including letter board, picture cards to support their communication needs. The care plans were reviewed regularly to reflect any changes in the needs of the service users. Service users spoken with were complimentary regarding the care that they were receiving. A service user said that she needed quite a bit of help and that the “staff were very kind”. The manager reported that the home had developed and maintained good relationship with the local primary care trust and felt supported. All the service users are registered with the local surgery. The GP undertook daily visits during weekdays and was available at other times as required. Advice was sought as required from external healthcare professionals, such as referrals to speech therapist for swallowing assessments and advice on nutrition was recorded in one care plan. Equipment for the relief and prevention of pressure ulcers were available. The home has a medication policy and procedure in place. All medications were stored securely including those that should be kept in the fridge and controlled drugs. Staff reported that the registered nurses were responsible for the administration of medication and that regular updates in medication was available. A sample of the Medication Administration Record (MAR) sheets indicated that all medication administered was recorded accurately. Ointments/ creams administered were recorded in the individual’s care plans. The manager reported that the community pharmacist was due to complete a medication audit in the next couple of weeks. Medication received in the home was recorded appropriately. The manager was reviewing the process to ensure that the home has sight of the all prescriptions of medications ordered, prior to them going to the pharmacy. Comments received and 4 service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. Comments included “the staff are very patient”. Service users said that “staff are very good and kind” and this is “home”. Another comment was that “ it is a very friendly place and staff work well together”. Comments from 12 service users also stated that they “always” received care and support when they required them. Staff were observed to St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 12 knock prior to entering the service users bedrooms and treated the service users with respect. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 13 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. The social and recreational needs of the service users are well managed. The service users are supported to maintain links with the community and their family and friends. The meals are good and meet with the satisfaction of the service users. EVIDENCE: The home has a planned and varied programme of activities for the service users. Activities are planned for the week and information about what was planned was available to the service users. The inspector observed an activity session undertaken by someone from the local college with a group of the residents. The theme was art from around the world. The activity session was interactive and three service users said that it was “very good” and “very enjoyable”. Activities available included musical entertainment, quiz, shopping, trips out, clothes show. A comment received from a service user talked about a St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 14 recent trip that she found “really enjoyable and masses of staff with us to keep an eye on our needs and wants”. The manager reported that two staff members have undertaken some training in activity provision and this was of great benefit to the service users. The home maintained detailed record of the type of activities and the service users who had taken part. An evaluation of the session was recorded after seeking the views of the service users. A monthly coffee morning was also held at the home where relatives and friends are invited. The manager said that this was usually well supported. Staff said that the forthcoming event planned would be the Easter parade. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Comment received and three service users confirmed that they have autonomy to receive their visitors in private. The service users spoken with said that they have autonomy and choice with their daily living activities. Information about accessing the advocacy service was displayed at the home. A service user commented that the staff attended to her “always in an understanding way”. Another service users said, “nothing is too much trouble for the staff”. The home has a planned menu that is rotated on a regular basis. Comment cards received and the service users spoken with said that they had the “highest praise “ about the meals at the home. Comments included “excellent food” “cooked breakfast very good”. Another service user said, “the meals are delicious and beautifully presented”. The chef talked about the variety of meals and choices offered to the service users. On the day of the visit the chef said that he had served four different main meals choices at lunchtime. The service users are provided with vegetarian, diabetic, pureed meals as required. A service user commented that she needed her food pureed and “ this is served attractively”. The staff assisted the service users with completing the menu choices on the previous day and said that this worked well. Service users were offered the choice of eating in their bedrooms as they chose. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint management is good and the service users are confident that their complaints would be listened to. Staff have clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: There is a complaint procedure in place and comments received indicated that the service users/ relatives were aware who to complain to. The manager maintained a log of all complaints received. The service users spoken with all said that they were very happy with the care that they were receiving and “this is a happy home”. They stated that they were sure that staff would listen to their concerns and that they would approach the staff. Another comment was “Nothing seems to be of any trouble to any of them.” The complaint log seen indicated that there is a robust procedure in place in recording and dealing with any concerns received. There were 3 concerns recorded in the log that the manager had dealt with appropriately and clear records were maintained of actions taken and responses to the complainant. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 16 The home has the Hampshire adult protection procedure in place that was available to staff. Four staff spoken with had good understanding of what constituted abuse and action they would take if any allegations of abuse were reported to them. Training in the prevention of abuse was available. There has been no allegation received about the home since the last visit. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users with a homely and clean accommodation that meets their needs. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: A tour of the premises was undertaken as part of the visit and a number of bedrooms, communal areas, bathrooms, and kitchen were viewed. The manager reported that the home has an ongoing programme of refurbishment. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 18 The home was clean and homely. Furnishing was of good standard and appropriate to the needs of the service users. The service users are provided with ample communal areas where a variety of activities are undertaken. The service users’ bedrooms seen were highly personalised and call bells were available in all bedrooms and accessible to the service users. A number of the service users spoken to on the day were complimentary regarding their personal environment. Comments include “I like my room and look out at the lovely garden”. Others described their rooms as “very nice and comfortable”. It was evident that service users are encouraged to bring with them items of personal belongings. All the bedrooms seen had a variety of pictures and family photographs and other items of personal belongings. The home has two shower facilities that have recently been refurbished to a high standard. The manager reported that the service users used these regularly and one of these was appropriate for those with mobility problems. One of the communal bathrooms seen was in a poor state of repair, the bath was scratched and part of it rusty. This was brought to the attention of the responsible individual and manager as it could not be easily cleaned and posed an infection control risk. The responsible individual confirmed that this would be rectified. A review of storage for equipment would be beneficial to ensure that communal bathrooms and areas outside the service users’ rooms are kept free of hazard and accessible at all times. Information about infection control was available at the home. Staff were observed to follow infection control procedures and equipment such as gloves and aprons were in use. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing numbers are adequate to meet the present needs of the service users. The home has system in place to ensure that staff have the skills to deliver care safely. The recruitment process is not satisfactory. POVA checks prior to employment must be obtained to ensure the safety of the service users. There is a good training programme in place to ensure that staff are supported in their work. EVIDENCE: The home has a duty roster for nurses and carers and a separate roster for ancillary workers. A sample of the staff roster indicated that there are 1 trained staff and 4 carers on the ground floor, and 2 trained staff and 5 carers on the first floor on the day shifts. Staff and service users spoken with confirmed that they felt that there were adequate staff to meet their needs. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 20 Comments from the service users were that there was “always” staff available when they needed assistance. Information received showed that home has 16 carers who have completed NVQ2 or above. This indicated that 57 of carers have achieved this qualification. The manager reported that all new staff undertook an induction programme following employment. A sample of three recently recruited staff records were seen as part of case tracking. All staff had completed an application form and references were available including one from the last employer. All the staff were subject to criminal record bureau and POVA first checks as part of the recruitment process. However records for all three staff showed that they were employed prior to receipt of confirmation for POVA first check. This was discussed and the registered person must ensure that all necessary checks are completed prior to employment in order to safeguard the safety of the service users. The home has an ongoing training programme. Three staff spoken with said that training is “very good” and they felt supported in their work. Record of some recent training/ updates included pressure ulcer prevention, dementia and challenging behaviour, medicine management, and prevention of abuse, nutrition and palliative care. The manager said that the home had employed an internal trainer and this was of great benefit to the staff. The training records showed that there are at least 4 training sessions per week that covered a variety of topics appropriate to the client group accommodated. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 31,33,35,38. The home has a manager who has clear lines of accountability for the service. The financial interests of the service users are safeguarded through good accounting. The process of seeking the service users’ views is well managed and ensures that the home is run in their best interests. The health and safety of the service users are promoted. EVIDENCE: St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 22 The home has a registered manager who has completed the Registered Manager’s Award (RMA) and is also a registered nurse. The manager has an open and inclusive management style and demonstrated clear lines of accountability within the home. She undertook regular updates to maintain her skills and to upkeep her nursing registration. The service users spoken with said that they could speak to the manager at any time and said “all works very well”. It was evident from interaction observed that staff have developed good relationship between themselves and the service users. One staff commented, “we all get on well together and work as a team”. Staff said that they felt supported and the manager was fully involved in the day-to-day management of the service. The home has an audit for short- term service users. The manager reported that their views are sought at the end of their stay and this was useful in auditing the quality of care. An annual audit of all the service users, relatives and other professionals is planned in the summer of 07. The responsible individual visited the home on a regular basis and was fully involved and committed in ensuring that the home is run in the best interests of the service users. The manager reported that she was not an appointee or responsible for any of the service users’ money or personal allowances. The service users have either advocates or family to deal with their finances. The home’s accountant dealt with all financial transactions and invoices are raised and receipts are maintained. Information received indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. The manager reported that policy and procedure for service users missing from the home would be developed as this was not available. The fire officer last visited in September 06. The chef reported that the environmental health officer visited last week and there was no requirement made. There is an ongoing programme for the servicing of fire equipment, hoists, lift and emergency lighting. Records seen showed that they were all completed in the last 6 months. All substances that are hazardous to health (COSHH) were kept locked as required. St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 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 George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19(1) Requirement The registered person must ensure that all checks including CRB and POVA first checks are received prior to staff employment. Timescale for action 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 George`s Nursing Home DS0000011444.V322679.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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