Depends on degree and species. Some summer fatigue is normal, particularly in Box, which often pauses growth almost entirely during the hottest weeks. Foliage might look slightly less vibrant in late August than fresh spring growth—this is environmental response, not decline.
Concerning signs: Yellowing foliage despite adequate water, brown patches spreading, significant leaf drop, or foliage that's dull grey-green rather than just slightly less glossy. These indicate a problem—likely insufficient water, nutrient depletion (containers), or pest/disease issue.
How to assess: If watering has been consistent (2-3 times weekly through summer) and you fed in spring, August tiredness is probably just seasonal. Apply a mid-summer feed if you haven't already (slow-release granules or fortnightly liquid feed through remaining summer). Increase watering slightly if there's any doubt about adequacy.
For Box specifically: temporary growth pause and slight dullness in late summer is characteristic. Don't panic. September's cooler weather usually brings a subtle revival, and spring growth will emerge vigorously.
For Yew, Japanese Holly: These rarely show August fatigue if care has been adequate. Tiredness in these species usually indicates a genuine problem worth investigating.
For Portuguese Laurel, Privet: Some reduction in vigour by late August is normal after producing prodigious growth May through July. As long as foliage remains green and no browning appears, they're fine.