CARE HOME ADULTS 18-65
Birch Tree Lodge 11 Toller Road Quorn Loughborough Leicestershire LE12 8AH Lead Inspector
Lesley Allison-White Unannounced Inspection 9th July 2007 10:00 Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 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 Birch Tree Lodge DS0000001758.V341310.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 Adults 18-65. 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. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Birch Tree Lodge Address 11 Toller Road Quorn Loughborough Leicestershire LE12 8AH 01509 415665 01509 415842 manager.birchtree@aermid.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) Aspire Lifestyle Limited Ms Gillian Smart Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration. Date of last inspection 6th June 2006 Brief Description of the Service: Linden Lea is a residential home for 4 adults with learning disabilities with three resident at the time of the inspection. Residents all have complex needs including autistic spectrum disorder and epilepsy. The home is situated in a quite residential part of Quorn village and is close to local amenities such as shops and public transport links. The home is well maintained and decorated and has a large garden to the rear. Fees £11476.16 per week for one service user, for another service user £1153.00 per week. No fees were available for the third service user at time of inspection. A copy of Commission For Social Care Inspection (CSCI) report to be available. was not seen A copy of Service Users Guide and Statement of Purpose was not seen to be available. A copy of an Investors In People certificate is displayed at front of home dated Feb 2006. The Commission For Social Care Inspection Certificate of registration is displayed in kitchen also the current Employers Liability insurance. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for service users and their views of the service provided. The inspection took place on a Friday. It took four hours to complete. This home provides care for up to four service users, it had one vacancy on the day of inspection, and service users were within the category of learning disability. As part of the preparation for this inspection an annual quality assurance assessment was sent to the Registered Person for completion and return. No questionnaires were returned by the service users. The history of the service was also examined and used as part of the planning process. On the day of inspection all the service users were preparing to go on holiday that day and were busy getting ready to do so. However some discussion was held with two of the service users. No relatives were seen on the day of inspection. The primary method of inspection used was “case tracking”. This involved speaking to or observing the service users who use the service provided, looking at two service users care plans, making observations, talking to four staff members in detail. All the required key standards were inspected during this visit. There were no previous concerns. New requirements and recommendations were made at this inspection. The Registered Manager was not present at this inspection and the four staff members assisted the inspector during the inspection. What the service does well:
No individual moves into the home without having their needs assessed. Care plans that were seen reflected the care needs of the service users. Service users who spoke with the inspector felt they were happy and able to make choices in terms of going out with support and to environments that they routinely visited. Risk assessments were evident in the care records to reflect the needs of the two-service users case tracked. Service users went out to day centres, walks in the local park, shopping for food, clothing and other personal items that they may need. One of the service
Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 6 users who the inspector met was looking forward to going on holiday. All the service users were going on holiday on the day of inspection. Service users take part in a number of activities in the community including disco’s, shopping or bus rides. Service users were able to say that they maintained contact with their families. Service user records contained information regarding service users’ personal and healthcare needs. Appointments with healthcare services are recorded service users are supported to attend appointments to see their doctor. Staff who assisted the inspection were able to describe what they would do given specific situations affecting the care of service users living at the home such as service users who go missing or medical emergencies. They were felt able to protect the service users from harm. Staff at Birch Tree Lodge have access to a comprehensive protection policy and has access to the ‘No Secrets’ document. Service users said they felt safe. The home was clean and tidy. The home is kept clean by the care staff and the service users. Bedrooms seen by the inspector reflected the service users own personal preferences in terms of colour choices, style and furnishings. Service users who spoke to the inspector were able to explain that they went out with visitors or were able to use the conservatory or their bedrooms if they required privacy. What has improved since the last inspection? What they could do better:
One service user regularly displayed challenging behaviour and was recorded to need one to one supervision by the staff. When taken out his risk assessment stated that ‘ if out and about in the community to take a mobile telephone at all times.’ The service user did not have a mobile telephone. The staff did not have a mobile telephone provided by the company either. The contents of the menu were checked against the typed sheets and did not match up. Staff explained that the menu varies, as a service user will buy what they decide rather that what is on the typed menus for each week. This does not reflect provision for a balanced diet. It does not show where communication between all service users for the diet to be changed has occurred. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 7 The service users’ bathroom had no lock provided on the bathroom door for service users to ensure their privacy. The inspector asked staff who confirmed that they used a key lock. The service users did not have access to this key lock it was kept on staff keys or in the office. The hand written sheets for medications were inaccurate, poorly recorded and had mistakes on them due to hand writing errors. This can lead to potentially serious errors being made affecting the care of the service users involved with these medications. One staff member had only one written reference with no record of a further reference being sought. The staff duty rota showed that staff worked all day and covered the over night sleeping in. This would suggest that they were doing more than a 12 hour day at a time. Staff said that they had no means of effective managerial support at weekends if required. The staff was not supported by the management structure at this home. None of the service users monies had a record of the amount in the boxes or records of any paper trail. The management of money was poor. The fire records seen by the inspector were inaccurate. They showed that a fire test had taken place on 30/07/07 at 4.30pm. The home was evacuated and staff present were recorded in this book along with the three service users. This inspection took place on 09/07/07. This would indicate that these records are misleading. 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. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. No individual moves into the home without having his or her needs assessed. EVIDENCE: There were no new service users living at the home since the last inspection report. Those assessments seen appeared good at time of admission. The inspector did not see any Service User Guides or the Statement of Purpose and has requested that this is sent to her. The Commission For Social Care Inspection (CSCI) report was not seen in the kitchen where other daily records are kept but may be available on request. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff at Birch Tree Lodge meet identified daily and social needs and the outcome is positive for the individuals who live there. Individuals make decisions about their lives with assistance as needed. EVIDENCE: Care plans that were seen reflected the care needs of the service users and the service users who spoke with the inspector felt they were happy and able to make choices in terms of going out with support and to environments, such as places where they routinely visited. Risk assessments were evident in the care records to reflect the needs of the two-service users case tracked. Service users went out to day centres, walks in the local park, shopping for food, clothing and other personal items that they may need. One of the service users who the inspector met was looking forward to going on holiday. He regularly displayed challenging behaviour and was recorded to need one to one supervision by the staff. When taken out his risk assessment stated that ‘ if
Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 11 out and about in the community to take a mobile telephone at all times.’ The service user did not have a mobile telephone and the company did not provide a mobile telephone for the staff to use either. Two staff members were selected to take three service users on holiday and may not have been given sufficient support to do this. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service users live in a flexible environment however systems for checking practice are not always evident. EVIDENCE: An activity plan been developed for the two service users records seen. It is not clear as to how the service users have been involved in the plans made for them; the daily logs record the events as happening and the service users appear satisfied by the plans for them. Service users take part in a number of activities in the community including disco’s, shopping or bus rides. Service users were able to say that they maintained contact with their families. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 13 A menu dated 3rd July 2007 was seen in the kitchen. It was hand written and on a scrap of paper. The inspector checked the contents of the menu against the typed sheets and was unable to match it up. Care staff at inspection was asked about the menu and a staff member explained that the menu varies, as a service user will buy what they decide rather that what is on the typed menus for each week. This does not reflect provision for a balanced diet or where communication between all service users for the diet to be changed has occurred. The lunchtime menu for each day comprises of sandwiches on the typed sheet. The inspector saw service users being given paste and crab stick sandwiches and crisps. The inspector asked about the nutritious balance in the diet and the care staff added slices of cucumber. The fridge was empty as the service users were going away for four days. There was a provision of food in the freezer, frozen vegetables were also included. The provision of a healthy balanced and nutritious diet was not evident on the day of inspection. A requirement will be issued for this to happen. Service users did not complain and ate what they were given. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Individuals do not have access to the equipment that they may need and their privacy cannot be guaranteed. The administration and recording of medications could put service users as risk. EVIDENCE: Service user records contained information regarding service users’ personal and healthcare needs. Appointments with healthcare services are recorded Service users are supported to attend General Practitioner (GP) appointments. The inspector went to use the service users bathroom and found that there was no lock provided on the bathroom door for service users to ensure their privacy. The inspector asked staff who confirmed that they used a key lock. The service users did not have access to this key lock it was kept on staff keys or in the office. A requirement will be made to ensure that service user’s right to privacy is maintained.
Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 15 One service users risk assessment stated that the service user requires support at all times and that a mobile telephone should be available at all times. The service user is also prone to falls. However, on making further enquires the staff were expected to use their own mobile telephones when out in the community as they were not provided with one for this service user. A requirement will be made to ensure that suitable equipment is made available for the staff to use when taking this service user out; this service user has challenging behaviour. In this way staff, the general public and other service users will benefit. Medication was inspected. Medications dispensed from blister packs were recorded appropriately. However on closer inspection it was noted that there were hand written sheets for medications. These were inaccurate, poorly recorded and had mistakes on them due to hand writing errors. This can lead to potentially serious errors being made affecting the care of the service users involved with these medications. A requirement will be made. Regulation 26 inspections (the internal monitoring of standards within a home) are carried out by carried out by a manager from Aermid Health Care PLC at monthly intervals. On 22/05/07 medications were checked at the time ‘ MAR sheets were found to be correct’. It is unclear if the hand written sheets were also inspected. The inspector was told that there are no controlled drugs on the premises. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users feel safe. However, the changes in support from the management of the home may impact on this feeling of well-being. EVIDENCE: The complaints book was not seen, however the staff who assisted the inspection were able to describe what they would do given specific situations affecting the care of service users living at the home such as service users who go missing or medical emergencies. They were felt able to protect the service users from harm. Staff at Birch Tree Lodge have access to a comprehensive protection policy and has access to the ‘No Secrets’ document. Service users said they felt safe. However, the recent management changes could have a bearing on this outcome placing service users at risk. A number of new staff has been employed. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements in the area of service users personal privacy if not adequately met could put service users at risk. EVIDENCE: The home was clean and tidy. The home is kept clean by the care staff and the service users. Those bedrooms seen by the inspector reflected the service users own personal preferences in terms of colour choices, style and furnishings. Neither of the two rooms were en-suite. The inspector was informed that there was no longer a maintenance person for the home but that recruitment was in progress. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Training, development and supervision of staff is inconsistent and staff lack leadership. EVIDENCE: Staff records had evidence of some training. Three staff records were inspected. One staff member had only one written reference with no record of a further reference being sought. A requirement will be issued for this. There was evidence of supervision records. However, there was no effective evidence of the supervision provided for a new staff member at Birch Tree Lodge. All the service users were going on holiday on the day of inspection. However, there was no copy of where the service users were going to or where they were staying at or how to keep in contact with the Registered Manager for support should they need it. The staff did not feel supported. They informed the inspector that the Registered Manager had left on the Friday before the
Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 19 inspection and had called in briefly that morning to give the service users their money for their holiday. Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff did not feel that they were supported by the management systems of the home and this could reflect on the care received by service users. EVIDENCE: The staff duty rota showed that staff worked all day and covered the over night sleeping in. This would suggest that they were doing more than a 12 hour day at a time. Staff were asked about this and confirmed that this was the case. An immediate requirement will be issued for this. They also said that they had no means of effective support at weekends if required. The staff was not supported by the management structure at this home.
Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 21 Family members were encouraged to visit. Service users who spoke to the inspector were able to explain that they went out with visitors or were able to use the conservatory or their bedrooms if they required privacy. No evidence of recent meetings involving service users were seen on inspection and this information will be requested. The management of money is poor. All three service users money was seen. None of the service users monies had a record of the amount in them or records of any paper trail. The money was locked away. However, this does not provide sufficient protection for the use of service users money or for them having access to their money when they need it. An immediate requirement will be issued for this. The staff that spoke to the inspector said that there were no accident records to see and that accident procedures were in place. The fire records seen by the inspector showed that a fire test had taken place on 30/07/07 at 4.30pm. The home was evacuated and staff present was recorded in this book along with the three service users. This inspection took place on 09/07/07. These records are misleading as they are written down in advance. This is a serious concern. An immediate requirement will be issued for this and further follow up required. Birch Tree Lodge DS0000001758.V341310.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 Adults 18-65 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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 1 1 X 2 X 2 X X 1 X Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 23 None Are there any outstanding requirements from the last inspection? No. 1 Standard YA17 Regulation 16 (i) Requirement 2 YA18 12 (4) (a) The provision of a healthy balanced and nutritious diet must be given and recorded each day and records kept for inspection. The right to privacy and to be 09/09/07 treated with dignity must be maintained this includes bath rooms and bedrooms used by service users or evidence must be shown where it is deemed unsuitable to do so. Equipment must be made available for the staff to use when taking service users out, who are identified in their risk assessment as having challenging behaviour. Staff who needs to have access to a mobile telephone should be provided with this equipment to ensure that they are able to meet the continued needs of the service users they are with. In this way staff, the general public and other service users will benefit from this added support. 09/09/07 Timescale for action 09/09/07 3 YA19 15 (c) Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 24 4 YA20 13 (2) Hand written sheets for medications must be accurate, and correctly recorded closer monitoring for hand writing errors must take place as this can lead to potentially serious errors being made affecting the care of the service users involved with these medications. An immediate requirement will be issued for this. The correct recruitment and selection procedures must take place to ensure the safety and well being of service users living at the home. Two written references must be supplied when requested. The staff duty rota showed that staff worked all day and covered the over night sleeping in. This would suggest that they were doing more than a 12 hour day at a time. An immediate requirement was issued for this. The management of money is poor. All three service users money was seen. None of the service users monies had a record of the amount in them or records of any paper trail. The money was locked away however this does not provide sufficient protection for the use of service users money or for them having access to their money when they need it. An immediate requirement was issued for this. The fire records kept by the responsible individual must be accurate in terms of date and time. Records must not be prerecorded. An immediate requirement was issued for this.
DS0000001758.V341310.R01.S.doc 30/07/07 5 YA34 19 (4) © 09/09/07 6 YA33 18 (1) (a) 30/07/07 7 YA23 17 Schedule 4 (9) (a) (b) 30/07/07 8 YA41 23 (4) (e) 30/07/07 Birch Tree Lodge Version 5.2 Page 25 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 YA7 Good Practice Recommendations Plaque for the home seen outside the front door and some paper work still refers to the home by its’ previous name not Birch Tree Lodge. (This is a home for people with Learning Difficulties, this may cause confusion to service users). Birch Tree Lodge DS0000001758.V341310.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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
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