Inspection on 04/09/06 for St Peter`s Court Nursing Home

This inspection was carried out on 4th September 2006.

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

The inspector 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 Peter`s Court Nursing Home 07/08/07

St Peter`s Court Nursing Home 18/01/06

St Peter`s Court Nursing Home 01/06/05

St Peter`s Court Nursing Home 16/11/04

St Peter`s Court Nursing Home 05/05/04

St Peter`s Court Nursing Home 26/01/04

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

CARE HOMES FOR OLDER PEOPLE St Peter`s Court Nursing Home Spital Road Maldon Essex CM9 6LF Lead Inspector Lysette Butler Unannounced Inspection 08:30 4 September 2006 th 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 Peter`s Court Nursing Home DS0000015361.V311995.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 Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Peter`s Court Nursing Home Address Spital Road Maldon Essex CM9 6LF 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) 01621 840466 01621 840801 manager.burroughs@careuk.com Care UK Community Partnerships Limited Post Vacant Care Home 24 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24) of places St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 60 years and over, who require nursing care by reason of dementia (not to exceed 24 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of dementia (not to exceed 24 persons) The total number of service users accommodated must not exceed 24 persons 18th January 2006 Date of last inspection Brief Description of the Service: St Peters Court is a care home with nursing for 24 Older People with Dementia. A multidisciplinary team that includes Registered Mental Nurses, Care Assistants, and other professionals allied to medicine, deliver care that enables the residents to live safely and securely. The care environment consists of a purpose built bungalow style accommodation, situated in the grounds of St Peters Hospital in Maldon, Essex. There are eight single and eight double rooms. All resident rooms are on the ground floor, with staff areas only on the upper floor. St Peters Court is part of Care UK Community Partnerships Limited. All beds are contracted to the local mental health PCT. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection started on 1st April 2006. The inspection process included: a site visit on 4th September 2006, which lasted 71/2 hours; review of evidence supplied by the proprietor, residents, visitors to the service and the staff; resident, visitor, healthcare professionals and staff surveys; discussions with the acting manager, administrator, senior carers, care staff, ancillary staff, residents and relatives. During the site visit the premises were inspected, including inspection of the grounds. Samples of records and residents care plans were also reviewed. The home was clean and well maintained. The overall care and well being of the residents was the focus of the inspection. Staff were welcoming and happy to speak to the inspector at the site visit. (The residents at this home have high levels of cognitive impairment and were unable to articulate their views of the home and the care offered.) This inspection covered all twenty-two key standards and nine of the remaining standards. The acting manager and her staff approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. What the service does well: What has improved since the last inspection? Care planning has improved since the last inspection mainly due to the introduction of the Saturn system. (See Health & Personal care section for detail.) Staff are finding it easy to use and are utilising more of the assessments it contains to ensure that they are giving the residents appropriate care. It is very easy to access what care to give individual residents if the member of staff is not familiar with the resident. The type and range of food offered has improved since the last inspection and the new chef is anxious to improve the range further. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 6 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 Peter`s Court Nursing Home DS0000015361.V311995.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 Peter`s Court Nursing Home DS0000015361.V311995.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 & 6 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The admission criteria and supporting information are clear, ensuring that the relatives of prospective residents have a good understanding of what the home can offer. EVIDENCE: The statement of purpose and service user guide (Welcome pack) has been reviewed and updated, showing that the managers post is currently vacant. No other changes were needed to the documents. All beds at this home are contracted to the health authority and there has been no change to the contracts issued. All referrals to this home come from a local NHS assessment unit, called Drake House. Once the referral is made the acting manager carries out a full St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 9 assessment of the prospective resident using Care UK documentation, at Drake House. Care plans reviewed all contained completed assessments, which are transferred to the Saturn system on return to the home and used as the basis for the care plan. If a prospective resident is not accepted the paper copy of the assessment is kept and archived. All staff at this home have had training in dementia care at induction and it is updated regularly. Trial visits are not offered to prospective residents at this home as the medical team feel that this would be too disorientating to these residents, who already have a high level of cognitive impairment. However each resident is accepted into the home on a one-month trial to ensure suitability, with the option to return to Drake House, as the initial assessment was made in a different atmosphere, which may have given the wrong impression of the resident. Intermediate care is not offered at this home. St Peter`s Court Nursing Home DS0000015361.V311995.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. Transferring to the new internal computerised care planning system has improved the quality of the resident care plans, making them more up to date and relevant to both staff and residents. EVIDENCE: Care UK operates a computerised care planning system throughout their nursing and care homes, called Saturn. The Commission for Social Care Inspection has reviewed the Saturn system initially and the inspector for this home was enabled to review care plans on the system during the site visit. Three care plans were reviewed; all showed good levels of compliance and very good information included in all areas including the daily records. They had all been reviewed regularly. Individual problems are highlighted in yellow automatically as they are due for review, making it easy to check which ones need review at any time. The layout of the plans is good, they are easy to read, use and follow. Overall the quality of the care plans has greatly St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 11 improved using this system. (There is additional written documentation for use in the event that there is computer failure.) Staff were motivated to use all the information they could. Residents are enabled to be registered with whichever GP they wish, however one local GP takes responsibility for the home and will come in at short notice, she also undertakes a weekly clinic for the residents. All health care needs are dealt with as far as possible within the home, as taking the resident to various clinics would be too disorientating for them. On a review of the accident and incident book all A&E admissions/incidents that need reporting to the commission had been forwarded at the time of the incident. All medication administration records were checked during the site visit and were found to be correct, however documentation of the reasons for discontinuation of medications was not always clear. Care UK are currently reviewing all their medication policies and procedures, centrally. Storage is very limited in the medication room; archived care planning documentation was also being stored in the medication room. Medication room and fridge temperatures had been taken and documented daily. Documentation reviewed showed that the temperatures remained within the accepted limits. Dividers between each medication record contained a dated, current photograph of the individual resident and details about how that resident’s medication should be administered. There were no controlled drugs in this home at the time of the site visit, however a number of different types of drugs were being kept in the controlled drug cupboard as part of a new company policy. During the site visit the acting manager became aware of a drug error that had occurred overnight. Her actions were appropriate at the time and when she has investigated the problem further. (She confirmed she would forward her findings to the local office of the Commission for Social Care Inspection.) The staff of this home work well as a team and work hard to ensure that the privacy and dignity of the residents is maintained at all times. Relatives spoken to at the time of the site visit said that they felt their relatives were in the best place and that staff were kind and caring throughout. Staff showed themselves to be proactive to the needs of these highly dependent residents and were observed being kind and friendly to all they met. However 50 of places in this home are in double rooms. Privacy curtains are in place and staff are aware of the issues involved with using so many double rooms. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 12 Bereavement policies and procedures are good throughout the home. All staff undertake bereavement training and there are a number all of booklets available for families to consult should the health of their relative deteriorate. St Peter`s Court Nursing Home DS0000015361.V311995.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The staff worked as a team to ensure that the daily life of the residents in this home were meaningful and they cater for their needs regardless of their level of cognitive impairment. EVIDENCE: There are two part-time activities coordinators working at this home. Each one works three days each, so that all weekdays are covered and they have some overlap with each other. One of the coordinators has undertaken training in ‘Activities for people with dementia’. Activities outside the home are restricted due to the levels of cognitive impairment experienced by these residents. Relatives and friends can visit the home at any time. Key number padlocks allow visitors to gain entrance so that the residents cannot wander away from the home unaccompanied. The only request is that if a visitor is going to be visiting late, they ring ahead to the home so that the night staff are aware that they are coming. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 14 Due to the levels of cognitive impairment experienced by the residents of this home, choice is limited, although staff do try to encourage individual residents to make small choices in their everyday life, such as choosing their clothes and what they want to eat. None of the residents look after their own finances or medications. None of the residents were using the services of an advocate, but one relative was in the process of arranging one for their relative. All residents were on the electoral register at the time of the site visit. Menus reviewed demonstrated that a balanced diet was offered, utilising a wide range of different foods to stimulate the residents. The present chef had only been in post a month, at the time of the site visit, but was hoping to introduce more new dish’s as time goes on. Residents are unable to directly give input into the content of the menus, however staff take note of which dishes are left and which are popular. Staff were observed communicating with residents and helping out where necessary. Some residents ate in their room, the rest in the dining area; staff were visible throughout the meal time and worked well with the service users. There had been a recent change in the homes food supplier and they were finding that deliveries were sometimes erratic. The area manager was aware of the problems and in the process of talking to the new company. The new company appear to be unwilling to supply small quantities as required by this home, but negotiations are ongoing. Information received by the inspector highlighted that the visitors to the home thought the food was good. St Peter`s Court Nursing Home DS0000015361.V311995.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The handling of complaints and protection issues in this home is good ensuring a safe environment for the residents. EVIDENCE: Policies and procedures regarding complaints handling are central to Care UK and the staff in this home followed them well. The acting manager is aware of her responsibilities and the needs of her staff when investigating complaints. There were two ongoing complaints at the time of the site visit both of which were being handled internally by Care UK within their policies & procedures. All staff undertake regular POVA training and updating, all were up-to-date at the time of the site visit. Staff demonstrated a kind and caring attitude to residents and understood their responsibilities under Protection of Vulnerable Adults guidelines. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 & 26 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. This home is suitable for purpose but is still in need of a major refurbishment. The staff work hard to make it a homely, odour free environment, which they are now generally managing to achieve. EVIDENCE: There has been no change to the fabric of the building since the last inspection. All bedrooms are decorated, as residents leave the home. Some carpets are still heavily stained, particularly in the corridors. The home is currently investigating the possibility of changing to a non-slip flooring in the entrance and hallways. There are keypad locks on all doors and security is good throughout. The maintenance person undertakes all internal decorating and keeps the grounds looking tidy. There is no CCTV at this home. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 17 All lounges are accessible to residents; one has recently been changed from an activities room and Snoozelen to a visitor’s lounge, to give relatives and residents more privacy when meeting. One toilet was locked and used as a storage room at time of the site visit, but there were still enough toilets and bathrooms throughout the home for the residents’ needs. The manager was advised to remove the notice on the door to stop the residents being confused. There are two sluices in the home that were both locked, clean and tidy at the time of the site visit. On arrival at the home there were a number of areas that were malodorous, however by lunchtime these had all gone and the housekeeping staff had made the home look and feel fresh and airy. The laundry was clean and ordered. The laundry person had worked at the home for a number of years and was very clear about her role. The laundry has separate in & out doors to ensure infection control measures are maintained. Towels and soap were cited at all hand basins. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. There is a good multidisciplinary staff team in this home that work together for the benefit of the residents. EVIDENCE: Rosters reviewed before and during the site visit, demonstrated that there was still a number of agency staff used at the home, although the number of shifts covered by agency staff had decreased substantially since the last inspection. The agency staff were mainly registered nurses, as carer numbers are currently good. There is a good skill mix on all shifts taking into consideration the dependency of the residents and the layout of the home. There is a registered nurse in charge of every shift throughout the 24-hour period. There are a number of Polish staff at this home, which is useful as there is one resident who is Polish who enjoys conversing with the staff in their native tongue. To ensure that the Polish staff understood their roles within the home and the training offered, all training and induction packs have been translated into Polish. There are currently nine care assistants with NVQ level 2, or above, five undertaking a course and two other care staff due to start a course later in the year. When the five currently on courses have completed there will be over St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 19 50 of the care staff trained to NVQ level 2 or above. The NVQ course being undertaken has a language content to ensure that staff that speak English as a second language, can comprehend the content of the course. Three personnel files were reviewed during the site visit; the files contained all elements required to ensure that staff recruited are appropriate to work with vulnerable adults. There are paper copies all of appropriate parts of the recruitment files, however the majority of information is kept on the Saturn system. The majority of all of statutory training is undertaken ‘in-house’ Staff have been appropriately trained to run the sessions so they can be coordinated to ensure that all staff are trained when on duty. Following each training session attendees are asked to evaluate the session and answer a questionnaire regarding the content. (These evaluations have also so been translated into Polish.) All other training was brought in as necessary. Staff spoken to were happy that they had all the training they needed to carry out their jobs safely and within current good practice guidelines. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The management and administration team at this home is strong and supportive to all the staff ensuring that residents are well cared for. EVIDENCE: The acting manager for this home has decided, since the last inspection, that she was not going to apply for permanent the post. Therefore the post had recently been advertised and the short listed candidates were to be interviewed a couple of weeks after the site visit. The acting manager is still undertaking the role with support from a manager from one of the other Care UK homes and the home’s administrator, who has been at the home for a number of years. There were clear policies and management lines of accountability available for staff to follow. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 21 Care UK policies and procedures regarding quality assurance were being followed by the home and audit plans were being adhered to. Neither the administrator nor the acting manager were appointee for any of the residents at the time of the site visit. Two families were in the process of applying to the Court of Protection for control over their relatives’ estate. Three residents’ monies were looked after in Saver Plus accounts held by Care UK head office; all paperwork was available for review by the commission as necessary. Three residents’ accounts held within the home were examined and found to be correct. The procedures for handling money in the home were very good and there had been no change to the procedures since the last inspection. All staff appraisals were up-to-date. However supervision sessions were not undertaken regularly, but all staff had been involved with some sessions and there were plans to carry these out on a regular basis. Staff spoken to felt that they could speak to the acting manager, or other senior staff if they needed to and felt well supported even without regular supervision sessions. Care UK centrally reviews all policies and procedures throughout the home. All record keeping in the home is good; documentation held on the Saturn system is security protected and ‘backed up’ regularly so that in the event of computer failure information is not lost. All certificates and service agreements viewed during the site visit were up-todate. Maintenance records were clear and kept up-to-date by the regular maintenance person who also supports maintenance personnel at other Care UK homes, if required. St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 3 3 3 St Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP31 OP33 Regulation 8 24 Requirement The registered person must employ a permanent manager for the home. The registered person must compile an up-to-date quality assurance action plan to ensure ongoing improvement of the home. Timescale for action 31/12/06 31/10/06 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 Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Peter`s Court Nursing Home DS0000015361.V311995.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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