CARE HOMES FOR OLDER PEOPLE
Farnworth Care Home Church Street Farnworth Bolton BL4 8AG Lead Inspector
Grace Tarney Unannounced Inspection 17th January 2008 09:30 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 Farnworth Care Home DS0000060318.V337490.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. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Farnworth Care Home Address Church Street Farnworth Bolton BL4 8AG 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) 01204 578555 01204 578444 maryc@abbeyhealthcare.org.uk Abbey Healthcare (Farnworth) Limited Mary Crossley Care Home 120 Category(ies) of Dementia - over 65 years of age (38), Old age, registration, with number not falling within any other category (81), of places Physical disability (1) Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 120 service users, to include: Up to 81 service users in the category of OP (Older People); Up to 38 service users in the category of DE(E) (Dementia over 65 years of age). Up to 1 service user in the category of PD (Physical Disabilities under 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 28th November 2006 2. Date of last inspection Brief Description of the Service: Farnworth Care home is owned by Abbey Healthcare Limited. The home is purpose built with 4 units, which cater for up to 120 people with a variety of needs. The accommodation is provided on three floors in 120 single bedrooms. Two passenger lifts provide access to the upper floors. There is an older persons residential care unit on the ground floor. The ground floor is split into 2 units and is named Halliwell & Burnden. The first floor unit offers care to older people who require nursing care or social care and is named Belmont whilst the second floor unit provides care for older people with dementia. The second floor unit is named Firwood. The home is just off the main street in Farnworth and is close to bus stops, local shops and the market. There is easy access to the nearby motorway network. The home is pleasantly situated in its own grounds with surrounding gardens and there is ample car parking to the front of the home. All bedrooms have an adjoining toilet, sink and shower. There is a dining room and two lounges on each floor and each floor is provided with bathrooms and separate toilets. A copy of the last inspection report is available in the managers’ office. The provider informed the inspector that the fees within the home are £355.08 per week for residents funded by social services. For those residents paying privately for social care the fees are £475 per week. For residents needing nursing care the fees are £355.08 for those funded by social services plus the free nursing care contribution. For those residents paying privately for nursing care the fees are £600 per week. Additional charges are made for private chiropody, hairdressing, toiletries and newspapers. This information was received on the 17th January 2008. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes.
The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents, their relatives and staff at the home. The questionnaires that were sent out asked what people thought about the care and quality of the service provided. . 31 comment cards were returned, 20 from residents or their relatives and 11 from staff. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We felt this form was filled in honestly and that a lot ot time and effort had been given to filling it in. The Inspector spent 8 hours at the home and during this time she examined some care and medicine records to make sure that the health and care needs of the residents were being met. She also looked around the building at some of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. The Inspector also looked at the menus and looked at what the residents had for their lunch and evening meal. She also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. How the home manages the residents’ spending money was also looked at. In order to get further information about the home the Inspector also spent time speaking to 2 residents, 1 relative, 3 qualified nurses,2 carers, the activities organiser, the administrative person and management. What the service does well:
The Manager makes sure that the staff only care for those people whose needs they can meet. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 6 The residents’ care plans contain a lot of important information about what they need help with, and how they are to be cared for. The qualified nurses and care staff are extremely good at caring for the residents who are very ill and need lots of specialised care. Management make sure that all the necessary equipment needed for their care is available Residents feel that they are well looked after by the staff and the following comments were made both by residents and relatives: • • • I am really pleased with the care my relative receives. My relative is well looked after and I have no worries at all about his welfare. The communication and care for our relative is excellent. The staff are wonderful. Activities are considered to be an important part of the residents’ day. Enough staff are on duty to meet the needs of the residents. The staff make sure that the residents are clean, comfortable and well dressed. The staff teams work well together and good systems are in place for sharing information about residents. The home makes sure that they check care staff out properly and safely before offering them a job. This helps protect residents from being cared for by unsuitable people. Management make sure that the staff are properly trained. This ensures that people are cared for properly and safely. Management are good at checking out the quality of care and the services provided for the residents. What has improved since the last inspection?
Management have employed a further activities person so that there are enough activities going on throughout the home. A new catering manager has been appointed and there has been an improvement in the choice, content and variety of the food. There is now a very stable staff team and staff feel very confident in the management. The home now has the Investors in People Award. Great importance is attached to the training of all staff and management continue to look at further training for staff.
Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Assessments undertaken by other professionals requesting a residents’ admission i.e. care manager/social worker were also in place. Standard 6 does not apply. The home does not provide Intermediate Care
Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 &10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans and care practices ensure that the residents’ needs are met in a very safe, caring and dignified way. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 of the residents were looked at. The care plans were very detailed and gave clear instruction and guidance on how the care needs of the residents were to be met, especially when problems had been identified. The care plans also showed if a resident preferred a female or male carer to look after them. The care plans showed that 2 of these residents had been admitted to the home from hospital with pressure sores. There was clear information showing how the pressure sores were to be cared for, how they were progressing, and care plans were in place to prevent further pressure sores developing. The care plans showed that the staff had sought the advice of a nurse who specialised in wound care.
Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 11 The Inspector visited 2 of the residents in their bedroom. They looked very well cared for and all the correct type of equipment was in place to ensure that their needs were met. 1 of the residents told the Inspector “The staff are wonderful and look after me very well.” The staff looked at whether or not there was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems with their diet and fluid intake. They also assessed if it was safe to use bed rails and assessed whether a resident was at risk of falling. If any risk was identified then a care plan to manage or reduce the risk was then put in place. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. Inspection of the care files identified that the residents had access to health care professionals, such as dentists, opticians and chiropodists. Whilst the Inspector was in the home she saw a visiting GP and also a visiting nurse who specialised in caring for people with life threatening illnesses. 1 resident told the Inspector that she was waiting for the dietician to call and see her that day. The medicines were inspected on the Nursing Unit. A safe system of medicine management was in place. Medicines were stored securely and recorded accurately. Identification photographs of each resident are kept with the medication administration records. There is a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. Staff were discreet when providing assistance to the residents. Staff demonstrated by example their knowledge of maintaining privacy and dignity, by knocking on doors, closing toilet doors and speaking to residents in a quiet and respectful way. The residents looked clean and comfortable and were suitably dressed. 1 resident told the Inspector that staff were: very respectful. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have a choice in how they spend their day and find enjoyment with the activities available. The improvement in the choice and content of the meals ensures that the residents’ dietary needs are met. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. Throughout the day the Inspector saw that the residents were able to spend their day wherever they wished to. One resident told the Inspector that she preferred to stay in her room for most of the day but liked to sit and eat her meals with the other residents. Management has recently employed another activities person to work alongside the activities organiser who has been at the home for quite a long time. A discussion with the activities organiser showed that it was the intention for one of them to concentrate their attentions on the residential unit, one on the dementia unit and both of them to share the activities on the nursing floor. During the day the Inspector saw both of them assisting residents making table place mats for Valentines Day. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 13 They were also seen earlier on in the day on the Dementia Unit, playing music and, along with several care staff, dancing with the residents who looked as though they were thoroughly enjoying themselves. The Inspector was shown an Events Calendar for the year. Many different dates were in it such as St Patrick’s Day, Armistice Day, Halloween, Valentines and Burns Night. The Inspector was told that the catering manager was intending to match the food being served to the theme of the event...The Inspector saw the menu for the Burns Night. It had Scottish food such as haggis etc. Management has recently involved a local schools’ dance team who come into the home to do dance and exercise with the residents. The care plans gave detailed information about the residents’ religions and whether they practiced their faith 1 resident told the Inspector that her priest visits as often as he can and she receives Holy Communion every week. Another resident told the Inspector that she goes out to her place of worship 3 times a week. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were personalised with small pieces of their own furniture, pictures, photographs and ornaments. From talking with residents and staff the inspector confirmed that the visiting arrangements are flexible. Residents told the Inspector that their friends and relatives are able to visit at any reasonable time. The Inspector did not eat with the residents but watched what they were having for lunch. The meal looked appetising and nutritious. The food on the Nursing Unit was sent up to the unit in a dumb waiter and then placed in a heated serving unit. Since the last Inspection 2 new heated food trolleys have been provided, 1 for the Dementia Unit and 1 for the Residential Unit and the Manager told the Inspector that another 1 was on order and due to be delivered by the end of the month. The main meal is served at lunchtime and the lighter meal in the evening. Staff and residents felt that there had been a big improvement in the meals, since the new Catering Manager had started at the home. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents EVIDENCE: A detailed complaints procedure was in place and was displayed in the reception area. The complaints procedure was also included in the Service User Guide. It is easy to understand and gives an assurance that complaints will be responded to within 28 days. A record is kept of any complaint made and includes details of the investigation and any action taken 1 complaint in relation to care has been made to the CSCI since the last inspection in November 2006. This was dealt with properly. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with the senior staff identified that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by staff and is ongoing. Records of training were kept on file. The Inspector spoke to a Student Nurse who was on a placement at the home for a short period of time. She told the Inspector that the Deputy Manager had discussed the issue of adult protection with her and that she was also aware of where the file in relation to the protection of vulnerable adults, was kept.
Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 15 Farnworth Care Home DS0000060318.V337490.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in suitably adapted, clean, safe, comfortable and very pleasant surroundings. EVIDENCE: The Inspector did not look at every area of the home during this inspection. She visited each unit and walked around the lounges, dining rooms and some of the bedrooms, bathrooms and toilets. The home was clean, warm and decorated and furnished to a high standard. Bedrooms are spacious, well equipped and all are provided with an en-suite shower and toilet. Bedroom, toilet and bathroom doors are fitted with overriding door locks to ensure privacy and safety and every bedroom is provided with a lockable drawer for the safekeeping of residents’ personal items. Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 17 All the rooms throughout the home were centrally heated with radiators that were suitably protected. Thermostatic control valves were in place on immersion baths and showers. The home was clean and free from offensive odours. Hand washing facilities were in place in bedrooms, bathrooms and toilets. Additional hand cleaning dispensers were also available along the corridors for use by staff and visitors. The laundry was not inspected on this visit. Farnworth Care Home DS0000060318.V337490.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30. Quality in this outcome area is good. Residents’ needs are met by very experienced staff that are suitably trained and safely recruited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living in the home. On the Nursing and Dementia Units 24-hour nursing care continues to be provided by suitably qualified nurses who are supported by trained care assistants. The Inspector was given a copy of the training list that showed 75 of the staff had achieved their NVQ level 2 or above in care. This is extremely good progress. The personnel files of 3 staff members were inspected. All were in order and these staff had been properly and safely employed. Induction training is provided for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. The Deputy Manager is in charge of the training within the home. A wide range of appropriate and ongoing training in moving and handling, detection of
Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 19 abuse, basic food hygiene, fire safety, infection control and other relevant topics is provided to staff at the home. Training provided to individual staff is recorded in detail in their file and reviewed at frequent intervals. A comment from 1 staff member was: The service is good at offering adequate training for staff. Farnworth Care Home DS0000060318.V337490.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and practices within the home ensure the safety and wellbeing of the residents and staff. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She is a very experienced Registered General Nurse and has a lot of experience working within the NHS and the Care Home Sector. She has the Registered Managers Award and is currently undertaking a degree course in Business Management. The Deputy Manager is also a very experienced nurse and she too has obtained the Registered Managers Award. The following comments were made in the staff survey forms received: • It has improved a lot over the past year due to better management and organisation.
DS0000060318.V337490.R01.S.doc Version 5.2 Page 21 Farnworth Care Home • • The home seems to be more organised. It runs a lot better. I think this is due to a new manager and assistant manager. Also the management are approachable and listen to staff and residents. Excellent management. Open door policy. Staff with good team spirit. Relevant training sessions. Good induction and support for newcomers. Up-to-date policies and procedure. Management make sure that they do a monthly check of lots of things in the home. They check to make sure that there are no hazards around the building and also check the records about care, medicines, food and any accidents that have happened. They also check on staff training to see that it is kept up to date. Management also send out surveys to residents and relatives asking for their views on the friendliness of the staff, the care provided, the laundry service the meals provided, social activities and the cleanliness of the home. The home has recently been awarded the Investors In people Award. Also it has been accredited to take Student Nurses on placements within the home. A Student Nurse told the Inspector that she had learnt so much whilst she has been there. The system for the safekeeping of residents’ finances was good. Individual records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any “spending money” for their relative. The home had a detailed Health & Safety Policy. Regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. Information received in October 2007 from the Annual Quality Assurance Assessment document that the manager has to fill in and send to the Inspector showed that the equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. Farnworth Care Home DS0000060318.V337490.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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Farnworth Care Home DS0000060318.V337490.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. Standard Regulation Requirement Timescale for action 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 Farnworth Care Home DS0000060318.V337490.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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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