Inspection on 05/09/05 for St Katherines Residential Care Home

This inspection was carried out on 5th September 2005.

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 Katherines Residential Care... 07/11/06

St Katherines Residential Care... 04/01/06

St Katherines Residential Care... 23/02/05

St Katherines Residential Care... 01/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE St Katherines Residential Care Home 9 Cobbett Road Bitterne Park Southampton SO19 1HJ Lead Inspector Lorraine Parton Unannounced 5 September 2005 9:00 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 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 Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Katherines Residential Care Home Address 9 Cobbett Road, Bitterne Park, Southampton, Hampshire, SO18 1HJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 8055 6633 Mr Zamir Afghan, Mrs Parigul Afghan Mrs Parigul Afghan Care Home 20 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (20), Mental disorder, excluding learning of places disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (20) St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users in MD and DE categories must be at least 55 years of age. Date of last inspection 23/2/05 Brief Description of the Service: St Katherines is a care home situated in Southampton. The home provides accommodation to twenty service users within the categories of older persons, dementia and older persons with mental health issues. The home also offers accommodation to four service users within the categories of dementia or mental health who are aged over fifty five. The home offers accommodation in a range of single and double rooms over three floors. The home has a stair lift to all three levels of the home enabling service users access to the entire home. The home has a large central lounge and dining room and service users who wish to smoke are accommodated outside the home. To the front of the home is a car parking area and to the rear of the property is a large well maintained and pleasant garden. The home is situated close to local facilities and is a short journey away from Southampton. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 5th September 2005 and took 5 hours. The home is owned by Mr and Mrs Afghan and Mrs Afghan is also the registered manager. The inspector was assisted by the homes staff due to the absence of the owners and registered manager. The homes staff were found to be extremely professional and knowledgeable regarding the service users needs and the homes policies and procedures. Legal requirements brought to the attention of the home at the last inspection on the 23rd February 2005 had been addressed and completed by the home. The inspection audited 19 of the 38 standards. The inspection involved a walk around the home, discussions with service users, two visitors and with the homes staff. The inspection also involved an audit of some of the homes documentation relevant to the provision of care for the service users living at the home. The inspector received nine comment cards from service users and visitors to the home. Comments received in them were found to be positive about the services they or their relatives received. Service users confirmed that they were happy living at the home. The registered manager in preparation for the inspection had completed the providers self audit which greatly assisted the inspector in carrying out the inspection process. The self-audit demonstrated that the service have an open, honest and transparent approach to the service they provide. What the service does well: The home provides a homely and welcoming environment that enables service users to access all areas of the home and garden. Service users spoken to advised the inspector that the homes staff provide an excellent service and comments received included “nothing is to much trouble” and “ the staff are very caring and respectful to my needs”. The inspector witnessed staff interactions with service users and noted the obvious good relationships that were in place. Care plans were found to be in place and service users stated that the care that they received was good. Service user activities and leisure times provided by the home was found to be excellent. The home aims to promote individual choices and the promotion of St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 6 independence. Service users are able to participate in the home and the home facilitates a extensive range of activities and encourages a range of visitors providing activities into the home. All activities provided are based on service user choices. Service users who wish to go out are supported in a range of external venues and some service users access the community alone or with family and friends. The home provides books and daily newspapers of choice and a range of games and leisure equipment are available for use by the service users. The home provides adequate staffing levels to ensure service users wishing to participate in local facilities are supported when necessary. All staff working at the home are trained in areas relevant to the service being provided by the home and some staff are completing the NVQ 2 level. Staff spoken to displayed a commitment to providing a high standard of care and support to the service users living at the home. All staff displayed an understanding of service user needs and their forward thinking attitudes noted by the inspector indicated that the homes staff are highly motivated. What has improved since the last inspection? What they could do better: The home has completed a range of suitable risk assessments both for the home and for risks to service users, however, on both the walk around the home and on audit of the risk assessments it was noted that the home had not considered the risks to service users from the outside staircase leading into the garden and the risks associated with the outside pond. The home is to undertake risk assessments for these areas and implement suitable controls if necessary. The home undertakes formal staff supervisions, however, these appear random. The home is required to ensure all staff receive formal supervision at least six times per year and these must be documented. On speaking to some staff members it was evident that the home ensures staff are provided with relevant training for the service they provide, however, one member of staff has not received training in moving and handling and food safety and is undertaking both these roles within the home. The home is required to ensure the staff member is trained in these areas. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 5 New service users are only admitted following an in depth assessment of their needs. The home offers prospective service users or their representatives an opportunity to visit the home prior to agreeing to move in. EVIDENCE: The home has had several new admissions and on audit of two new admission files these were found to contain an in depth assessment of needs undertaken by the homes manager or the senior carers. Service users confirmed that the manager had spoken to the service user either in their homes or hospital and had also ensured that family or carers views had been documented as part of the assessment. The home has a visiting policy that affords prospective service users or their representatives to visit the home prior to agreeing to move in. The inspector spoke to one new service user who confirmed that their family had visited the home on their behalf. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11 All service users have a care plan, which were found to be extensive and including all relevant information. All service users health care needs have been assessed and where necessary have access to relevant health care professionals. Service users confirmed that the homes staff, treat them with dignity and that their privacy is respected at all times. Medication practices were safe. Service users views regarding illness and death are clearly documented. EVIDENCE: The inspector audited three service user plans, which were found to contain relevant care planning information, risk assessments, health care professional involvement where necessary, occupational therapist assessments and guidance for moving and handling for service users requiring this assistance and records of monthly and 6 monthly reviews. One new service users file displayed that an assessment of needs had been undertaken and this had been incorporated into the service user plan. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 11 The homes staff were fully aware of service users life history and this had been incorporated in to the service user plans. This included families, past work life and service users interest and hobbies. The home strives to ensure service users are involved in activities in the home that reflect their lifestyle choices. All service user files seen displayed that service users wishes regarding illness and death are documented within their care plans. All service users are afforded access to relevant health care professionals and service users are registered with a general practitioner of their choice. The home has obtained an occupational therapist/physiotherapist assessment and completed a care plan for moving and handling. The home has involved the mental health team to support service users with particular needs. The home has completed excellent protocols for managing behaviour following consultation with relevant healthcare professionals. The home does not have any service users who require assistance with pressure care and only one service user requires assistance with maintaining the condition on the skin on their legs. The homes staff provide daily care in accordance with the district nurses treatment. The district nurse visits every two months to monitor the home staff are maintaining this treatment. All service users plans contain an assessment of the individual risks experienced by service users and the home has implemented suitable controls to manage the risks. This includes individual fire risk assessments, chemicals, falls, eating and drinking, behaviour, mental health, financial vulnerability and moving and handling. The home has agreed to develop the risk assessment for falls to take into account the outside staircase to access the garden. Service users spoken to confirmed that the homes staff, respect their views and the need for their privacy and dignity to be up held. Staff were seen by the inspector to knock on doors before entering and interacting with service users in an equal and respectful manner. Service users confirmed that they receive personal care in private and are able to receive treatments and consultations in their bedrooms in private. The home operates within a medication policy and the home has a copy of the Royal Pharmaceutical guidelines. The home keeps a record of medication received, administered and returned to pharmacy. The home operates a monitored dosage system provided by the local pharmacist who visits the home on a regular basis. Only staff who are trained in the safe handling of medication course give medication. On audit of the homes medication and records they were found to be satisfactory. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Service users are supported in their chosen lifestyles and encouraged to make choices about their lives. Service users are supported in whom they choose to have contact with. All service users are supported if necessary with access to the community. Service users confirmed that the home provides excellent food of their choice. EVIDENCE: All service users choices in lifestyles and preferences in activities are clearly documented in service user plans. Service users confirmed that the home holds service user meetings and that staff ask them what they want. Service users confirmed that the home ensures that they meet their specific wishes and this includes when they want to go to bed, get up, meals, activities and how they would like their bath/shower and when for example. Service users spoken to advised the inspector that the home provides activities and facilities that meet their personal wishes. Service users confirmed that the homes staff ask them what they want and do their best to provide or support community access if needed. Several service users go out alone or with family or friends and access local facilities of their choice. This includes shopping and St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 13 going to church. Service users, who are unable to go out alone are supported by the homes staff. Service users confirmed that the homes staff, take them out and that they enjoy this facility. The home offers a range of in house activities and this includes musical sessions, bingo, visiting entertainers, games and daily papers and books are available. The home also provides a range of outings and service users advised the inspector that this included going to the theatre, shopping and local visits to zoos and parks. One service user advised the inspector that they attend a variety of classes including arts and crafts, flower arranging, line and latin and ballroom dancing. Another service users is supported in their interests of poetry and amateur dramatics. The homes staff advised the inspector that several service users attend various venues and if service users wish to participate then access to these facilities are afforded. The home accommodates service users with differing religious backgrounds and ensures that service users who wish to practice their beliefs are supported in either attendance or have visiting services within their home. One service user is supported by the local polish community. Service users who wish, participate in the home, if able to and during the inspection several service users were seen to be participating in the home during the inspection, which included laying tables and tidying up. Service users spoken to confirmed that the home supports their choices in involvement in the home. Service users who wish have personalised their rooms and some rooms contain service users own furniture and belongings. Service users confirm that they have access to television and music in their rooms if they wish. The home has a visiting policy, which affords and encourages visitors at any reasonable time. Service users confirmed that they are able to see visitors in private in their own rooms and elsewhere in the home if not in use by other service users. Three visitors to the home confirmed that they were able to visit when they wished and that the homes staff always made them feel welcome. Service users spoken to stated that the home provides good food and offers a choice of menu. Menus display a well balanced and nutritious variation, which, the staff stated are based on service users likes and dislikes. Individual choices and needs in food are catered for and this includes likes, dietary needs and special requests. The inspector was present for the lunch time meal and it was noted to be well presented and nutritious. Meal times were noted to be relaxed and service users who were being supported were not rushed and their dignity was maintained. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) none EVIDENCE: St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 15 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 standard(s) 19, 20, 23, 24, 25, 26 The home is clean, safe and well maintained and provides a homely environment for service users. The home has completed and implemented a range of risk assessment controls, however, the home has not considered the risks to the outside staircase and pond in the garden. Service users who wish have personalised their bedrooms with their own belongings. EVIDENCE: The inspector undertook a walk around the home and identified no issues in the rooms that were entered. The home was found to be homely, clean and suitable for service users. All areas of the home are accessible to service users and the rear garden was found to be well maintained, however, the home had not considered the risks to service users accessing the garden. This includes the staircase and outside pond which may pose a risk to service users with St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 16 dementia. The home has agreed to review the risk assessment for these areas and implement suitable controls if necessary. At the time of the inspection service users were seen to be moving around the home. All rooms seen were found to include service users own possessions and some rooms contained service users own furniture. The inspector noted that these rooms were homely and service users own choice. The home has a maintenance programme and repairs are carried out as and when necessary. This provides a safe environment. All service contracts were in place for the equipment provided by the home and all were found to be up to date and satisfactory. This included bath hoists, lifts, fire equipment and testing, electrics and gas systems. The home had received a visit from environmental health and the home had acted upon any recommendations made by them. The home had employed the services of a fire officer and had completed a full fire risk assessment. This was not audited. Staff had completed fire training in June and July of this year. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 The home had adequate staff on duty, who were found to be well trained and competent to do their jobs. EVIDENCE: Three care staff were on duty at the time of the inspection, one of these was a senior carer. Staff confirmed that the home is covered by three staff in the morning and three staff in the afternoon. The inspector had access to the homes rota, which also confirmed the above. The home does not employ the services of a cook and cleaner and staff undertake these roles as part of their daily rota. Staff advised the inspector that this does not impede on care and that service user needs are always priority. Service users throughout the inspection confirmed that the staff always ensure their needs are met and that nothing is to much trouble. The inspector noted that the homes staff work effectively as a team and that at least one member of staff are with service users when these additional chores are being undertaken. All staff working at the home have received training relevant to their jobs and staff advised the inspector that they are starting the NVQ 2 training. This will be assessed at the next inspection. Staff advised the inspector that they have completed training in 1st aid, moving and handling, medication, health and safety issues, basic food hygiene, principles in care, dementia care, care of the dying, anxiety and phobias and fire. One member of staff advised the inspector that they had not done the training in moving and handling and basic food hygiene. The registered manager has agreed these will be completed. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 18 Service users confirmed that they felt safe in the home and that the homes staff are always supportive and professional in their approach. The home has policies and procedures in place to protect vulnerable adults, however, these were not audited during the inspection and will be assessed at the next inspection. On speaking and questioning staff they displayed their awareness and understanding of the homes policies on reporting any issues that may be abuse and how to maintain privacy and the dignity of the service users living at the home. Staff displayed an excellent awareness of service user needs and advised the inspector of the promotion of individual needs and how these are met. Several examples of how individual needs are being met were given by the staff and included supporting service users to participate in the home, promoting independence and listening to service users choices in meals, activities and accessing the community. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 36 The home is well run and has an ethos of a family environment. Service users are consulted about the running of the home. The home needs to implement a system for staff supervision and appraisals. EVIDENCE: Staff, service users and visitors to the home all spoke positively about the homes manager. Service users confirmed that the manager is available in the home almost every day and that the manager seeks their views about changes to the home. The home holds service user meetings and these were found to be documented. Staff act on the wishes of service users and this was evidenced through menus, activities and how care is provided in the home. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 20 The home holds regular staff meetings, which staff confirmed are open and that their views are heard and acted upon by the registered manager. Staff advised the inspector that they are always kept up to date and aware of any changes in the home. Staff felt that communication between the all the homes staff is very good. The home had started to implement staff appraisals/supervision but this appeared to be random and not all staff had been supervised by the home. The manager agreed to implement staff supervision and appraisals into the homes systems. St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 3 x x 2 x x St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 38 Regulation 13(4) Requirement Timescale for action 30/11/05 2. 36 18(2) 3. 38 18(1) Undertake a risk assessment for the outside stairs and pond in the garden and implement suitable controls for any identified risks. Implement staff supervisions and 30/11/05 appraisals. Supervisions must be provided at least 6 times per year and documented. Ensure staff are trained in 30/11/05 moving and handling and food hygiene. It is recommended that the home consults with environmental health regarding staff training on food hygiene and safety. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations St Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 23 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Katherines Residential Care Home H55-H03 S11953 StKathertines V224290 050905.doc Version 1.40 Page 24 - 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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