CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65
Grange Bank Cross Lane Wigton Cumbria CA7 9DL Lead Inspector
Nancy Saich Unannounced Inspection 7th December 2005 10:00 Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 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 Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 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 and 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. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Grange Bank Address Cross Lane Wigton Cumbria CA7 9DL 016973 45411 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) Mr Tom Ferguson Mrs Margaret Beasley Care Home 18 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (11), Mental disorder, excluding learning of places disability or dementia (5) Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Eleven people over 65 with dementia (DE(E) 11) Five people with a mental disorder (MD 5) Two named people with dementia who are under 65 (DE 2) Date of last inspection 18th November 2004 Brief Description of the Service: Grangebank is an older property set in its own grounds in a residential area of Wigton. The home is on two floors and has been adapted to accommodate residents in the above categories. The home is owned by Tom Fergusson who owns two other homes in the Allerdale area. Margaret Beasley manages the home on his behalf. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This home had not been inspected for over a year, as the home has not had any residents for some months. The provider has completed some refurbishment of the home and taken new residents into the house about seven weeks before this inspection. He plans to change the registration so that all of the accommodation is for older people with dementia. The inspection was unannounced and the lead inspector, Nancy Saich arrived around ten o’clock in the morning. She spent over five hours in the home. She saw all of the nine people who had been admitted since the home opened, spoke to relatives who were visiting and to one relative who phoned the home. She also met a doctor, a district nurse and the local priest. She spent time talking to the manager, the staff on duty and to the owner. She looked around all areas of the home, ate lunch with the residents and spent time with them in the lounge. She read various documents that backed up the things people said and the things she saw when she was with the residents. What the service does well:
This home is good at making sure they only take new residents who they know they can care for and who will fit in with the other people in the home. The manager has written a very good residents’ guide so that people are given lots of information that will help them decide if they want to come into the home. The staff team are kind and friendly and know how to care for people who may be muddled and have memory problems. The inspector saw plenty of examples of staff treating people very well and talking to them patiently. One resident said “the staff here have time for you and that makes all the difference…” The way people are cared for is written down in what are called ‘care plans’. These describe very well what people can do for themselves and what they need help with. These plans also show staff how to deal with any difficulties and this is important as it helps people to get the same high levels of care. Two relatives spoke very favourably about the way their loved ones had improved in the few weeks they had been in the home. They felt that the staff had quickly learnt what was important to these people and had put into practice all the things they felt made life good for their relatives. The inspector saw the residents being helped to move by staff who were skilled and competent. She also saw them encourage, reassure and calm residents. They also thought that the home made sure that the residents health was being looked after properly. Health service professionals were happy with the
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 6 way the staff cared for residents. The inspector looked at the stored medicines and these were being managed properly. Residents said they had been given the opportunity to go out; they did activities with the staff and were looking forward to entertainments and parties that were being arranged for Christmas. Several people helped out with drying dishes after lunch. The home has contact with local churches and one resident saw her priest on the day. Residents were complimentary about the food and the inspector enjoyed a pleasant meal with them. Everyone ate heartily and said they enjoyed their meals and had whatever they wanted. The residents said they knew how to complain but had no complaints. Relatives said they knew how to do this but had not had to do this as “the manager keeps us informed and asks our opinion”. Residents said that staff treated them properly and there was nothing unpleasant going on in the home. Staff knew what was abusive and knew how to report anything untoward. Relatives and visitors thought the residents were protected from harm or abuse. The building looked to be properly maintained and was clean and tidy on the day. Lounges and bedrooms were well decorated and furnished. Residents were relaxed in their home and said it was comfortable and homely. They felt it was kept clean and their laundry was done properly. The home has three staff on during the day and two waking night staff. The manager works very closely with the residents and spends a lot of time actually caring for people. The residents thought there were enough staff on duty to be able to care for them This new staff team have received some training in the basic things they need to know and the manager is training them on a daily basis so that they know how things should be done in the home. Further training is planned for the new year and staff were keen and enthusiastic. The manager has very good systems that help the home to run properly. She has started to make sure that everyone in the home can ask for the highest quality care and services and she had proof that this was working in practice. She has specific ways of making sure that residents are safe, well and comfortable. She is helping the staff to work properly as a team. Residents and visitors thought that the home ran smoothly and they felt this helped residents to have a relaxed life where they didn’t have to worry. What has improved since the last inspection?
The home has been redecorated and new furniture bought. The manager has made improvements to all of the systems that she uses to run what was already a very good home. She has had the opportunity to improve things and one member of staff said, “ this is a fresh start and
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 7 everything was arranged properly so that we get it right….right from the start…” 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. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) 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 The home is good at only taking residents they can care for and who will fit in with other people in the home. EVIDENCE: Every bedroom had a copy of the residents’ guide. This explains lots of things that residents and their relatives need to know. The content of this was very detailed. The inspector spoke to all of the residents, most of who had only been in the home for days or weeks. They had all been visited and had been given the chance to come and look at the home. Residents’ files had good details of all the needs of the new person. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, This home is good at making plans with residents to make sure that their needs are properly met by the way they are treated. EVIDENCE: All nine residents had a written plan of care. Even people who had only been in the house for a few days had a plan. These showed how to help with personal care, how to move people, how to reassure them and also showed whom and what was important to the resident. Residents were aware of these plans and said they had been part of the planning. Relatives said that they had been involved with permission of their relative. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,17 The home is good at making sure that the residents’ daily lives are as fulfilling as possible. EVIDENCE:
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 12 The residents were asked about how they spent their time. They said they helped out around the home and several people helped with the washing up after lunch. Residents said they went out with families or staff. The staff said they tried to do various activities with the residents and a number of the male residents said they enjoyed things like dominoes. Residents said they got up and went to bed as they wanted and had choices about what they did during the day. The staff team guide people when their memory problems are making daily routines difficult. Residents said they enjoyed T.V and music and it was nice to see a member of staff taking time to read a newspaper with someone who found concentrating very difficult. The residents were looking forward to the Christmas party and to the concerts and entertainments that were being planned. The visitors’ book showed that lots of people came to the home. Visitors on the day said they were always made very welcome and could come whenever they wished and stay as long as they wanted. The residents said that members of local churches came to the home and the inspector spoke to the local priest who came to visit one of the residents. Residents said the food was very good and everyone enjoyed their lunch. The kitchen had plenty of stored food that would give residents plenty of choice at meal times. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 The staff team are very good at giving people sensitive and appropriate care to people and this helps to support them with the problems that ageing has brought. EVIDENCE: The residents said that the staff were very good and looked after them properly. One person said “They have time for us …and that makes all the difference.” The inspector watched as staff worked with people who found expressing themselves difficult. These people with dementia responded warmly to staff and showed that they trusted them to help and support them. Residents’ files showed that their health care needs were being managed properly. A nurse and a doctor visited on the day and they were happy with the way the staff team were caring for residents. Stored medicines were seen and these were in order.
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 14 The staff team were seen reassuring and supporting the residents when their dementia meant that they were frightened, unsure or were doing things that might harm them. The home was very calm and relaxed and residents were helped in a gentle and sensitive way. The staff were very aware of the needs of older people with dementia. The residents’ daily notes showed that the team were able to deal with any of these problems. A relative was very impressed by a member of staff who had phoned her to ask for some information that would help the resident to settle. This had really helped the resident and he had improved enough in the home to be able to talk about this himself. The relatives spoken to were very pleased with the way that people had settled and improved due to the care they had received. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection
The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home is good at making sure residents are listened to and kept as safe as possible. EVIDENCE: Each bedroom had a copy of the complaints procedure kept along with the residents’ guide. Residents or their families said they knew how to complain but no one had any complaints. Residents were asked if there was anything causing them concern and no one felt there was anything wrong with the way they were treated. Visitors were also asked about how the home protected people from harm. They had no concerns and thought that the residents were well protected. Staff were aware of how to protect residents and how to help them to have their concerns heard. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 16 Environment
The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The residents live in a safe, warm and comfortable house that makes them feel relaxed and secure. EVIDENCE: Grangebank has been redecorated to a high standard and nice new furniture has been purchased. The provider said he would be replacing carpets and doing further refurbishment work.
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 17 The residents were happy with their rooms and liked spending time in the comfortable lounge and dining area. The inspector visited all areas of the home and found them to be clean, safe and well maintained. All parts of the home were clean and tidy. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 18 Staffing
The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 The staffing arrangements make sure that residents get the best care possible. EVIDENCE: The inspector saw the rosters for the home. There were always three members of staff on duty and two people at night. There was a part time cook and a domestic who helped the care staff team. The manger discussed her future plans for staffing and the inspector thinks that these levels will make sure that residents get plenty of support. Residents and their relatives said there were always plenty of staff around and that the manger was in the home when they visited. Staff had been given basic training before the new residents came into the home and the manger has continued to train and develop them. Staff are keen to complete the training that is planned for the new year.
Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 19 The inspector thought that the manager would benefit from updating her own training so that she can continue to help train staff in moving and handling people. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 This is a well managed home giving residents a secure home where they can live as stress free a life as possible. EVIDENCE: Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 21 The manager has reopened this home in a planned and measured way. The residents and staff felt that the reopening had worked very well and that things had settled down well in the home. The inspector saw a lot of the paperwork that supports the systems in the home. These were very good and showed that the manager was already paying a lot of attention to the quality of care and services. The arrangements for health and safety were being handled well and there were no hazards or problems seen on the day. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 3 3 4 X 5 X
INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT 37 3 38 X 39 3 40 X 41 X 42 3 43 x Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 X X X X X 3 3 3 3 X 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 23 NA Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1 Refer to Standard 35 Good Practice Recommendations It is recommended that the manager update her training as a facilitator for manual handling training. Grange Bank DS0000022694.V255802.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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