CARE HOME ADULTS 18-65
Kenilworth (Horley) 117 Balcombe Road, Horley, Surrey, RH6 9BG Lead Inspector
Penelope Calthrop Announced 4th August 2005 10:00 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 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 Stationary 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. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Kenilworth (Horley) Address 117 Balcombe Road, Horley, Surrey, RH6 9BG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 784299 01999 999999 www.the avenuestrust.co.uk The Avenues Trust Limited Joanne Wood CRH Care Home 6 Category(ies) of LD Learning disability, 6 registration, with number of places Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 30 - 45 YEARS 2 1 Named Service user may be aged over 45 years 3 2 named Service users may have a sensory impairment Date of last inspection 19-April-2005 Brief Description of the Service: Kenilworth provides a home for six adults with a moderate to severe learning disability and behaviours that may be challenging. Currently there are four males and two females living at Kenilworth. The home is owned and managed by The Avenues Trust, which has a number of similar homes in the Southeast of the Country. Kenilworth is a converted two floor house situated in a residential area of Horley, within reach of the town centre with its amenities. The property has six bedrooms across both floors, with communal areas consisting of bathrooms, kitchen, dining room and lounge. There is also a large garden with a summerhouse, that has been partially converted for use as a sensory room for service users to relax in. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place on one day, over a period of five and a half hours. The home manager and service manager were present for the visit. Five of the six service users were seen and were present at times during the inspection, as they were involved in going out on activities. Staff were not interviewed on this occasion. A tour of the premises took place and records were sampled. Service users at this home are limited in their comprehension and communication, therefore obtaining direct feedback from them is difficult. Observations of interaction between staff and service users, showed that individuals were confident in their approaches to staff. It is important in this home for staff to know the differing behaviours of individuals and what this means, as this is used as a means of communicating needs. This was seen to be recorded in a section relating to communication in individuals care plans. Written feedback was received from a GP, indicating that they are satisfied with the level of care in the home in respect of service user health. This home has a mix of individuals with differing needs and some who have behaviours that challenge. Effectively meeting the needs of all the service users who live there is an on going area of review with funding bodies ,that The Avenues are addressing together with the home manager. Since the last inspection, the home has had investigations under the local authority multi agency procedures for the Protection of Vulnerable Adults, which are nearing conclusion. What the service does well:
The home benefits from a core of stable staff that understand the service users and their needs well. The home has a lot of information about each person living at the home used to inform their care plan. There is particular attention to health needs of individuals, with clear medical information in place and records of visits made to health professionals. Efforts are made to ensure service users attend their activities and the home has benefited from the provision of extra staff during the day to ensure this happens. There is attention to staff training in this home. Staff supervision occurs monthly, in excess of the minimum required. The home is subject to heavy wear and tear of the environment from the individuals who live there, redecoration of most of the home and carpet cleaning had taken place and the home was looking cleaner and brighter as a result. It is to the credit of the staff that they had undertaken some of the painting, which service users were reported to have enjoyed watching. The replacement of two individual’s bedroom carpets has been arranged. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better:
The home must have an additional staff member on duty earlier than the current day shift arrive each morning, as some service users are regularly awake at this time. The one night worker on duty has struggled on some occasions with differing needs of individuals at this time and there have been incidents that might have been preventable, if another staff member was present. A requirement was made in respect of this. The home currently has a number of permanent staff vacancies, which they have reported as being in the process of recruiting to. This means they have to regularly make use of bank staff, although the same individuals are used to ensure continuity for service users. A record of those staff recruitment records held at head office for bank staff working at the home, need to be included in those that are held on site. A requirement was made in respect of this. Some behavioural guidelines for one individual were noted to have been updated, but had not been written up and included in his file. A requirement was made that this be completed. One service user’s bedroom was noted to have a small area of mildew on the wall adjoining a bathroom. This must receive attention and a requirement was made. A recommendation was made regarding replacing the rough grass area close to the house at the back of the home. This is difficult for service users to walk on, as it is uneven. The overgrown area at the end of
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 7 the garden is unsightly and needs to be fenced off or a decision made on what is to be done with it. The move to the new form of care planning has still to be completed and it was recommended that this be done as soon as possible. The current system of care plans and information held is bulky, confusing and difficult to negotiate around. This means new staff in particular may not find it easy to locate information about a service user. It was also a recommendation of this visit that emotional needs are clearly identified on the new care plans, as individuals may not be able to express these needs in conventional ways. The manager and two senior care staff should attend the local authority vulnerable adults training. This will ensure they are fully aware of actions to take in regard to this, should they be needed. 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. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 5 The home has the information needed about the service it offers, enabling prospective service users to make an informed decision about entering the home. A procedure for assessing an individual before a decision on admission is made, is in place. Improvements to contracts have been made. EVIDENCE: The organisation is in the process of making the home’s statement of purpose, terms and conditions and contract into a more service user friendly format, using pictures and photographs. The inspector was shown progress made so far. In their present form the individuals in this home cannot understand these documents. Contracts have been amended to now show the room number each individual occupies on their contract. Prior to being considered for admission, an initial assessment is completed on a individual. A process of assessment gathering will then occur, from everyone that may be involved with the prospective service user. A programme of visits both to the individual in their own setting and by them to the home, enable the home manager and staff to complete their own assessment. A decision can then be made on whether their needs can be met by the home. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9. Current care plans contain plenty of information, but can be confusing for the reader. New ones are in the process of being completed and should be completed by October 2005. EVIDENCE: Progress could be seen on the development of the new care plan format made since the last inspection visit. The service manager advised that the new plans should be in place by the end of October. It was concluded that the new system will condense the amount of information on each service user, which is currently held in a variety of files. The locating of specific information can be time consuming, due to the amount held and the way this is stored. Some guidelines on one individual’s needs were reported as having been updated, but this had not been transferred to a new document. A requirement was made that this be completed. It was also recommended that service users emotional needs be clearly documented on the new format. Although reference is loosely made to this area in other sections, this should be more specifically documented to evidence how the home meets this area of need. Risk assessment documentation had been reviewed and updated since the last inspection which was positive to note, as some of these had appeared very dated on that occasion.
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12. There is a varied programme of activities in place for each individual living in this home. EVIDENCE: Service users are encouraged to take part in a range of activities. Some of these are at day care facilities, such as cookery. Others may be within the local community, such as horse riding, going to the pub or for a walk. Due to the nature of their needs, individuals activities tend to be of short duration rather then for a whole or half day. Some service users need considerable staff support to access activities, extra individual support is provided for this. The home needs to continue to ensure that staff numbers allow for all service users to get out and about, as this is an area they have improved in. The Avenues have just obtained two allotments and it is planned that service users will be able to use these for growing vegetables and also as a place to socialise with others. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 20. There is attention to service users physical health needs in this home. Emotional needs should be more clearly documented, to evidence awareness of this area of need. A system for safe administration of medication is in place in this home. EVIDENCE: Each service user has a health care profile on their file. This was seen to be detailed in it’s content and covered both routine and specialist needs. A record of any visits made to health care professionals was documented, with the outcome and any treatment provided. Please see comments made under section 6-10 in respect of service users emotional needs, which should be clearly recorded. The current procedure for consent for medical treatment for service users is that their consultant does this, as none of the individuals can give informed consent. The manager reported that she has written to other interested parties with regard to this following a previously made requirement. The home uses a system of blister packs as a way of dispensing medication. The manager is responsible for the ordering and returns of medicines. The home has a system in place for recording all orders, incoming medication and returns to the pharmacy. Checks are made by two staff and a weekly stock check is also made. No excessive amounts of ‘as required’ medication were found on site. One service user is regularly away from the home at weekends and the pharmacist prepares a separate prescription for these times. No
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 13 service user at the home is able to self medicate. Staff training is provided internally by The Avenues but following a recommendation previously made, the home manager advised that the local pharmacist is due to visit and talk to staff. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23. A comprehensive complaints procedure is in place and is in pictorial format for service users. The home in conjunction with the local authority vulnerable adults investigation, are undertaking some further work to ensure all service users are adequately protected from abuse EVIDENCE: The home has had one complaint since the last inspection, that was investigated by the home and social services under the vulnerable adults procedure and found to be unsubstantiated. There is a complaints procedure in place and a book for recording these on site in the home. There is a current vulnerable adults investigation at this home and the manager and organisation are working with the local authority and CSCI, to better protect the service users who live here. Please see the requirement made under section 31-36 regarding increasing staff numbers to two, from 6am to the time the day staff arrive. This is to meet the needs of the service users at this time of the day. Staff at the home receive in house training in protecting vulnerable adults and this was seen to be occurring on the training schedule. The home manager has attended the local authority training in the past, but needs to update this. It is strongly recommended that both she and the two senior staff in this home attend this training. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26 & 30. Recent attention to the decor and furnishings has improved the environment in the home, making it a generally pleasant place to live in for service users. EVIDENCE: Much of the home has been redecorated since the last inspection and this was evident in the cleaner, brighter, environment. Carpets have been cleaned and looked much improved. Staff have undertaken some of the painting, due to problems with this being completed and should be congratulated. It can be a challenge to maintain the internal environment in this home, due to the wear and tear from some individuals living there. Service users bedrooms were seen and are individually decorated in their chosen colour scheme with matching bedding. Family photographs were in evidence. The environment of one bedroom was noted to be particularly improved. The manager reported that two bedrooms are due to have new carpets fitted soon. A requirement was made in respect of an area of mildew noted at the bottom of a wall in bedroom 1, which adjoins a bathroom. This must receive attention. Externally, some repainting of the house has been completed. At the front, it was reported that what was a lawned area, which has become used for parking is to be properly redesigned for this. The back garden showed that some maintenance has been completed. The grass area close to the house however is comprised of tussocks of tough grass. This can be a challenge to walk on,
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 16 particularly for service users at least one of whom one has a tendency to fall. This was discussed during the visit and it is recommended that an alternative to this grass should be sought. The overgrown area at the end of the garden remains and is unsightly. It was reported that The Avenues have yet to decide what to do about this. It is recommended that this be addressed. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 & 36. The provision of staffing at key times is an issue the home has to address. Use of bank staff is needed due to the vacancies in the staff team. Staff receive regular supervision and training needs are addressed. EVIDENCE: The permanent staff team currently have six vacancies, which is of concern. The service manager confirmed that the organisation is pursuing an active recruitment drive and had conducted recent interviews, with some success. The home is therefore at present reliant on existing staff working some extra hours, but also makes use of regular bank staff. It was reported that the same individuals are used so that they know the service users well, this is particularly important in this home due to the needs of the individuals living there. Some discussion occurred about staffing levels early in the day, which is related to the vulnerable adults issues currently being investigated at the home. A requirement was made that an additional staff member must be on duty to cover the period from 6am until main day staff arrive each day. This is to meet the needs of service users, some of whom wake early. The level of staffing at night time will need to be closely monitored by the home and organisation. The current provision of one waking night staff with an on call system, may have to be increased if service users needs indicates this. There is evidence of attention to training, with some staff having attended courses and others booked onto them on the home’s training schedule.
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 18 Training was not examined in detail on this visit. Please see also comments made under standards 22-23. There was evidence that staff supervision is now taking place each month for staff, with written records kept. The two senior carers assist the manager with supervision. The Avenues have just put in place a records system in the home, that shows those staff recruitment records and for whom are held at head office. These were not viewed in detail, but the manager advised that some missing information has still to be obtained. There were no information records for bank staff who work at the home and a requirement was made in respect of this. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 & 42. The home manager is experienced in the role. Service users are given priority meaning it can be difficult to complete management tasks to time. Service users safety and welfare have been of concern and are being addressed as part of the vulnerable adults process. EVIDENCE: The home manager advised that she sometimes struggles to complete management tasks on time. Events at the home may mean she has to provide on the floor assistance, when she has planned to attend to paperwork. The inspector concluded that the current staff vacancy situation must also be a factor in this. Due to the needs of the service users at this home, they are limited in the feedback they can give about their experience of living in the home. The Avenues as an organisation has a system of sending out annual questionnaires to all stakeholders involved with its homes. This includes relatives, professionals such as care managers and advocates. These are returned to head office and comments or criticisms are passed on to the respective home
Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 20 and service manager, to address where needed. Head office are then informed of actions taken in writing. The organisation collate all feedback and calculate the percentage received and in relation to what area, for example the environment of the homes. An annual report is printed and discussed at the organisation’s business plan meeting, this is available to families. The home has a named health and safety representative amongst the staff, who takes the lead in ensuring the regular checks in the home are undertaken. Different areas such as maintenance issues, are allocated to specific staff members to take responsibility for. There was evidence that weekly fire checks are carried out and regular fire drills undertaken. Due to the nature of the vulnerable adults issues currently being investigated by the relevant authorities together with the home management, there are some concerns for service users welfare at the home at key times during the 24 hour day. The increase in staffing which is a requirement of this visit, will reduce this concern. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23
ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 2 x x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x x Standard No 31 32 33 34 35 36 Score x x 2 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Kenilworth (Horley) Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 22 NO 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. 1. Standard 6 Regulation 15(2)(b) Requirement The registered persons must ensure that the updated behavioural guideline notes in respect of one individual identified on the inspection, are formally written up and included in the care plan. The registered persons must ensure that the area of mildew identified on the bottom of the wall in room 1 is attended to and the source for this identified. The registered persons must ensure that staffing numbers are increased to a minimum of two, to cover the period from 6am to the arrival of day staff each day. The registered persons must ensure that records held in the home, of staff recruitment documents held at head office includes bank staff who work at the home. Timescale for action 1/9/05 2. 24 23(2)(b) 4/10/05 3. 33 18(1)(a) 1/9/05 4. 34 19(1)(b) 4/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 23 No. 1. 2. 3. Refer to Standard 6/19 23 24 Good Practice Recommendations That the emotional needs of service users are clearly documented on care plans. It is strongly recommended that the home manager and two senior care staff attend the local authority vulnerable Adults training. That the area of grass close to the back of the home, is replaced with a more appropriate and safe surface. The overgrown area at the end of the garden should be fenced off or a decision made on its future use. Kenilworth (Horley) H58-H09 S13689 Kenilworth Horley V234317 040805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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