CARE HOMES FOR OLDER PEOPLE
Lingdale Lodge Lingdale East Goscote Leicestershire LE7 3XW Lead Inspector
Thea Richards Unannounced Inspection 3rd December 2007 10:00 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 Lingdale Lodge DS0000001730.V355986.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. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Lingdale Lodge Address Lingdale East Goscote Leicestershire LE7 3XW 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) 0116 2603738 F/P 0116 2603738 Mr John William Nunn Mrs Barbara Elsie Nunn *** Vacant *** Care Home 48 Category(ies) of Dementia (9), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (10), Old age, not falling within any other category (37), Physical disability (8), Physical disability over 65 years of age (8) Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No one under the age of 55 years may be admitted to the home. Service user numbers - PD & PD(E) No one falling within the categories PD or PD(E) to be admitted to the home when there are already 8 persons falling within categories/combined categories PD or PD(E) already accommodated within the home. To be able to admit the person of category MD(E) identified in correspondence from the previous registration authority dated 5/4/2000. To be able to admit the named persons of category DE named in variation application number 55170 dated 10th September 2003. To be able to admit the named persons of category DE(E) named in variation application number V11211 dated 25th August 2004. 1st August 2007 3. 4. 5. Date of last inspection Brief Description of the Service: Lingdale Lodge is a large 48- bedded purpose home built on one level. It is a care home providing personal care and accommodation for 48 older people with a physical frailty and/or mental health needs. The home is owned by the Registered Providers Mr and Mrs Nunn and is part of fifteen homes owned by the Broadoak Group of Care Homes. There is a central area that contains the main lounge, with corridors leading off it with the dining rooms, small lounges and the bedrooms. The residents with dementia live in a separate wing with their own staff. This gives them a family environment with people who they know well. There is a well- maintained garden where the residents may sit in the better weather. The home is set back off the main road in a quiet location of East Goscote and is close to shops, and other amenities in the village. It is easily accessible by car or public transport and there is parking available in the grounds. The home is situated next to Primrose Residential Home, which is also part of the Broadoak group of homes.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 5 The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone or fax. The current level of fees range from £275.00 to £420.00pw. There are extra charges for hairdressing, chiropody, newspapers and personal items. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social care Inspection), spent five hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 1st August 2007. The visit took place on the 3rd December 2007 and lasted five and a half hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to three of the residents. To achieve this, the residents were spoken with. We spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit we spoke with the registered provider, the acting manager, the staff, visiting district nurses and the residents and the families. What the service does well:
The staff are well trained to care for the residents and there is a thorough recruitment process to make sure that the residents have a safe staff to look after them. The staff are committed to the care of the residents and treat them with dignity and respect. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 7 The home provides a welcoming, clean and well -maintained environment for the residents to live in. What has improved since the last inspection? 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. Lingdale Lodge DS0000001730.V355986.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 Lingdale Lodge DS0000001730.V355986.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): 1, 3, 5. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using the available evidence. Residents’ needs are assessed and agreed with by the resident or their families before moving into the home, which they are able to visit before their admission. EVIDENCE: The residents whose care plans were checked had all received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply, making sure that they can get the most suitable care. These can be made available in other formats such as large print to make sure that as many people as possible can understand them. Completed assessments were present in the files, identifying the residents’ care needs, before they were admitted to the home.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 10 Care plans showed that they contained the needs of the resident which had been identified in the original assessment. The staff spoken with said that they usually knew what the resident’s needs were before they were admitted to the home. All of the care plans seen had been agreed by the residents or their families. The residents and the family spoken with told the inspector that they had a visit from a member of staff from the home before they were admitted. They confirmed that they were given the opportunity to visit the home before they came in. They said that when they came in they had a month’s trial to see if they liked it. These practices make sure that that the staff in the home have the the right information before the resident and that they can meet their needs. It also makes sure that the resident meets someone from the home who they can recognise, which makes the move into care easier to manage for them. The current registration certificate from the Commission for Social Care Inspection (CSCI) and up to date details of insurance cover were displayed in the entrance of the home. The reports from the CSCI are available in the manager’s office. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 11 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 group is good. This judgement is made using the available evidence including a visit to the service. The staff meet the care needs of the residents as identified in the care plans with dinity and respect. There could be some risks with some of the lifting methodsthat the staff have been taught. EVIDENCE: The care plans for the ‘case tracked’ residents and were found to contain good individual evidence of care, which reflects the care being given to the residents. The care plans include a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 12 The residents and the family spoken with said that they were happy with the medical care that was being given. The home are starting to use a new care planning system, which will make the records easier for the staff to use and the documentation will be clearer. Visiting District nurses told us that they were happy with the care that the staff were giving and that they always told them about any problems and carried out the instructions that they were given. Comments were made about the need for the district nurses, who were looking after people who were terminally ill, to arrange training so that the staff could recognise pain in those residents. There were some concerns identified about some of the moving and handling practices. These were seen by us during the inspection. The residents were seen to be taken to their rooms for treatment, to give them privacy. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Medication records for the case tracked residents were in order. Medicines are only administered by the manager or senior care staff in this home. Staff were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager completes monthly audits of the medication records to make sure that they are accurate. The above makes sure that the residents are protected with the correct medicine administration. The residents spoken with were happy that they got the right medicines at the right times. The controlled (dangerous) drugs records were checked and found to be correct. There is a policy and risk assessment in place for the residents who look after their own medicines. There are no residents taking their own medicines at this time. The staff were seen to be sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. When the staff were giving care and speaking with the residents they were seen to be doing so with dignity and respect. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 13 Staff seen moving and handling the residents, did not always use the correct methods to do so and were seen to be using practices which could damage the resident and/or themselves. When the manager and the staff were spoken with they told us that they had been trained that way. The residents spoken with were happy with the way staff treated them and said that they were very kind. Four visitors spoken with on the day of the visit were very happy with the level of care being given. One visitor had some concerns about the provision of some equipment, which had been recommended at the last review. The manager will discuss this wih her and with social services. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 14 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 group is good. This judgement is made using available evidence including a visit to the service. Residents have their social, spiritual and nutritional needs met. EVIDENCE: There was evidence of activites being provided for the residents. There was suitable music playing during the visit, with some staff joining in and singing along with the residents. The residents were taking part in ‘armchair’ exercises and all of them said that they had enjoyed them. The residents and the families spoken with felt that there were enough activities provided. The staff spent time talking with the residents and when involved in activity such as completing care plans sat with the residents to do it.. The home does not employ a dedicated activities organiser, but there are enough staff on duty to make sure that activities always happened. Taking part in activities is not recorded very well, so that it is not clear whether the residents have taken part or have been offered the choice of joining in.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 15 There is a choice of two main meals available every day and diabetic meals are provided. The cook has been using the information and knowledge that she got when she attended a course run by the Leicestershire dietetic service. We spent time with the residents at lunchtime in the dining room and all of the residents said that they were enjoying their meal and that they could have a choice of meal. Liquidised diets are presented as separate items, which gives the resident the opportunity of choosing which items they wish to eat. The meals that the residents have eaten are recorded in the careplans together with weight charts which makes sure that weight gain or loss can be checked. Visitors are made welcome in the home and some regularly take their relatives out. This was confirmed by visitors spoken with who told us that they were made very welcome at any time. We saw the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. These practices make sure that the residents maintain contact with the community and their families and that views for improvements can be considered. There is a monthly church service within the home and communion can be arranged. The local Roman Catholic church arranges visits for those residents of that faith. There are currently no residents in the home with different cultural or ethnicity needs. Local members of the community also attend the services which gives the residents a good contact with local people. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. The hairdresser visits the home regularly, which the residents enjoy. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 16 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 group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there are no records of any complaints having been received since the last inspection on the 1st August 2007. The complaints policy can be produced in other formats such as large print or other languages could be considered. This would make sure that as many people as possible could read it. The residents spoken with were happy that they would speak to the manager or a member of staff if they had a problem and that it would be dealt with. Visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The Commission for Social Care Inspection has received no complaints or concerns since the last inspection on 1st August 2007. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 17 All the staff have had training in ‘Safeguarding Adults’. The staff spoken with were aware of the procedure to follow and would be prepared to ‘whistle blow’ if they thought there was a need to. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 18 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 group is good. This judgement has been made using available evidence including a visit to the service. The residents are protected by the policies and procedures in the home to provide a safe environment. EVIDENCE: Lingdale Lodge is a purpose built home that is part of the Broadoak group of homes and is situated in the same grounds as Primrose Lodge. There is a small reception area that leads to a large lounge. The lounge is a balustraded area with a corridor around it. There are several lounges, which give the residents, a choice of sitting areas. The home has had new carpets fitted in all the communal areas and some of the bedrooms have had vinyl flooring fitted.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 19 The home was clean and welcoming, although there was a slightly unpleasant odour noted in the area where the residents with dementia live. The bathrooms are clean and free from inappropriate items, which could present a hazard for the residents. With their permission we looked at the case tracked residents bedrooms. They provided good accommodation with en-suite facilities of a W.C. and wash-hand basin. The bedrooms were clean and well maintained and the residents had been able to bring their own belongings in to personalise them. There are three shared bedrooms. There was evidence of a track on the ceiling between the beds, which shows that privacy could be provided with a curtain when the room was being shared. The provider is in the process of updating and replacing the bedroom furniture. There was evidence of equipment such as hoists and special mattresses having been provided to help in the care and comfort of the residents. There was anew resident call bell system being fitted during the visit. This will give the residents a better means of calling the staff and the staff will have to visit the room to turn the bell off. The staff spoken with said that they had received health and safety training for the chemicals used in the home. There were data sheets in place for them to find information about how to use the chemicals safely. There was a locked cupboard containing the cleaning products, which keeps them safe. There were no outstanding safety or maintenance issues seen on the tour of the premises. The registration certificate from the Commission for Social Care Inspection was displayed in the reception area. The current inspection report is available in the managers’ office. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 20 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 group is good. This judgement is made using the available evidence including a visit to the service. The residents’ needs are met and the recruitment policy and the training protect their safety. EVIDENCE: There is evidence of a good skill mix of staff, which makes sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough numbers of staff on duty to look after their needs. We looked at six staff files and the required information was complete in all of them. This included evidence of identification, adequately completed application forms, two written references and a Criminal Records Bureau (CRB) check. There was evidence of staff training including induction and the staff spoken with confirmed that they had received recent training in moving and handling. The protection of vulnerable adults, basic food hygiene and health and safety. There was the availability of non mandatory courses which the staff could access such dementia training and infection control.
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 21 The provider has put a new induction course in place, which will improve the training and the experience that new carers have. There are 100 of the staff with a National vocational award at level 2 or above. This is to be commended. The acting manager holds an NVQ level 4 in care and in management. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 22 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, 36, 38. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The residents live in a home, which provides for their needs, with safety systems in place, and with good staff training and supervision. EVIDENCE: The acting manager was available throughout the visit to the home. The acting manager has been a care home manager for 27 years, most recently at the sister home which is next door to Lingdale Lodge. She has completed National Vocational Awards at level four in both care and management. This makes sure that managers have the skills which they need to manage a care home. She has no administrative staff in the home,
Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 23 which in a large home would be a helpful support. She is supported by the company’s head office where the administrative tasks are done. There has been no application received by the Commission for Social Care Inspection for the acting manager to become the Registered Manager. This is a process to make sure that managers are ‘fit’ people to manage a service. There was evidence seen that regular supervision for the staff was being done. This was confirmed by the staff spoken with. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. . The manager holds regular meetings with the residents and the staff as well as one to one discussions, both to pass information on and to listen to their views and opinions. There are annual quality questionaires sent out to residents and their families to gain their views about the home. This allows the manager or the responsible person to respond to the residents and the staff’s needs. Residents finances are handled by their families with the home holding some monies on their behalf for incidental expenses. This is handled by the manager and there are always two signatures to confirm any transactions. The residents are well protected by the financial policies in the home. Records for the maintenance of fire equipment and testing of water temperatures were found to be in place. There are records in place to show that fire drills and fire instuction have taken place. This was confirmed by the staff spoken with. The accident book was inspected and found to be complete and in order. There were copies of accident forms present in the residents careplans. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 24 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 25 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. 2. 3. Refer to Standard OP8 OP14 OP31 Good Practice Recommendations The registered provider should make sure that the moving and handling trainer is up to date in his training knowledge. The manager should make sure that activities completed with the residents are recorded to demonstrate that they are making choices in their life style. An application should be made to the Commission for Social Care Inspection for the acting manager to be registered. Lingdale Lodge DS0000001730.V355986.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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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