CARE HOMES FOR OLDER PEOPLE
Longview Rosehill Goonhavern Truro Cornwall TR4 9JX Lead Inspector
Paul Freeman Key Unannounced Inspection 6th August 2007 11:00 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 Longview DS0000063014.V342873.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. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Longview Address Rosehill Goonhavern Truro Cornwall TR4 9JX 01872 573378 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) Longview Care Home Ltd Mr Yogesh K Patel, Mrs Neepa Patel, Mr Kanubhai R Patel Mrs Maria Jane Boyden Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (28) Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Longview provides care for twenty-eight residents. The home is registered to provide care for adults over 65 with mental disorder (excluding learning disability), or for adults with dementia. The home is located in a rural setting outside the village of Goonhavern. The nearest town is Newquay that offers a wide range of facilities and amenities. The home is a two-storey building that has three lounges and a dining room on the ground floor. The bedrooms are located on the two floors and the majority are for single occupancy. The home also has a lift. All external doors are locked and alarmed due given the need to safeguard residents. The home has attractive gardens that are accessible to residents. There is also good car parking. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A planned unannounced key inspection took place on 6 August 2007. The purpose of the inspection was to consider the work that had been undertaken on the requirements and recommendations set at the last inspection on 28 September 2006 and to inspect other core standards. Therefore some of the key standards considered included assessment of resident’s needs, care planning, staffing arrangements and safe working practises. The registered providers, residents, staff and visitors were consulted about the services and facilities provided. The environment, records and documents were also considered. What the service does well:
Each prospective resident is assessed to make sure the providers are able to meet their needs, preferences and choices. Each resident also has a care plan that summarises their needs and the care and support required. Wherever possible residents are encouraged to direct their own care and it is evident that trusting and meaningful relationships have been established between the residents and staff. Visitors are also positive about the standards of care and support provided and one described the care as “wonderful”. Residents’ health needs are well met and medical services are promptly accessed when required. Suitable arrangements are in place to manage prescribed medicines in order that residents’ health is promoted. Residents are offered a varied and stimulating lifestyle that reflects their preferences and choices. Visiting arrangements at the home are flexible and visitors commented staff always warmly welcomed them. A varied and nutritional diet is in place that reflects the individual residents preferences and choices and promote healthy living. Suitable arrangements are in place to deal with complaints and to protect residents from abuse. Residents and visitors said there are no barriers to raising any concerns. All allegations or issues about abuse are taken seriously and referred to the statutory authorities for investigation. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 6 The home is maintained to the required standard and the furniture, furnishings and fitting are domestic in nature wherever possible. The home is regularly maintained and a programme of redecoration is in place. Residents and visitors said they were very satisfied with the facilities provided and all were very pleased about their individual bedrooms that are also maintained to a good standard. Many have also been personalised by the occupant. Residents and visitors stated good standard of hygiene and cleanliness are maintained at all times. The staff is well trained and good team work arrangements are in place. The staff said that good support arrangements are also in place and advice, guidance and assistance is readily available each day and night. Visitors and residents clearly have confidence in the staff and the manner in which they undertake their duties. Appropriate management arrangements are in place and the providers and registered manager are suitably experienced. Two of the registered persons also take an active part in the care and support provided. Visitors and residents had confidence in the management arrangements. A range of measures is in place to promote safe working practices and to minimise risks to residents and staff. What has improved since the last inspection? What they could do better:
To make sure that robust arrangements are in place regarding medicines the providers need to further develop the disposal arrangements of medicines that
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 7 are no longer required. In addition the temperature of the dedicated fridge for medicines needs to be monitored regularly and suitable records maintained. Given the complex and changing nature of residents needs the recreational opportunities require further development. This will improve the opportunities for residents to have a varied and stimulating lifestyle. The kitchen staff need to make sure that good records are maintained to confirm the required health and safety measures have taken place. This will provide residents with further safeguards. Specialist equipment at the care homer needs regular servicing and maintenance. It is also important the temperature of the hot water supply is reviewed and regulated to make sure the temperature is close to 43oC. The induction arrangements for new staff require improvement to make sure that staff have the knowledge and skills to meet residents needs. The providers also need to make appropriate staffing arrangements are in place to provide the care and support required and to safeguard residents. The risk assessment and risk management have continued to improve and develop but there continues to be occasions where better information and directions is required. This will make sure that residents and staff health and well-being are not potentially compromised. 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. Longview DS0000063014.V342873.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 Longview DS0000063014.V342873.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): The standards considered were 3 and 6. Quality in this outcome area is good. The providers undertake satisfactory needs assessment for each prospective resident. This is to makes sure they can meet the person’s needs and that staff are provided with clear information about the care and support required. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each prospective resident is assessed to make sure the providers are able to meet their needs. The assessments identify the care and support required and the resident is invited to participate in the process wherever possible. The relatives and representatives of the individual are also consulted and the opinions of any specialist workers involved with the person are taken into account.
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 10 The assessments have improved following the last inspection and provide more information about the individual’s needs, preferences and choices. Given the complex needs of residents the providers should continue to improve, develop and refine the assessment opportunities in line best practise standards for residents who experience dementia or other associated conditions. This goal should also be adopted with the residents care plans. The providers do not offer a dedicated rehabilitation or intermediate care service. It is evident that every reasonable effort is make to promote the independence of each resident. Longview DS0000063014.V342873.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): The standards considered were 7, 8, 9 and 10. Quality in this outcome area is good. The care plans provide satisfactory advice and guidance to staff about the care and support each resident requires. Good arrangements are in place to meet and promote residents health needs and medicines are safely stored and managed by trained staff in order that residents’ health is not compromised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has a care plan that outlines the care and support required and provides staff with information, direction and guidance. The care planning arrangements have continued to be improved to make sure good information is in place for the staff.
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 12 The providers encourage residents to direct their own care as far as possible and where this occurs the information provided in the care plans is satisfactory. Where residents are unable to effectively direct their care more detailed information is provided. This helps to make sure that residents are provided with the care they require and need. The care plans are regularly reviewed so that residents’ needs are met in the best way possible. Visitors and relatives at the home were very positive about the care and support provided and clearly have confidence in the staff. One visitor described the care as “wonderful”. Residents were also complimentary about the care they receive and said that the staff were attentive to there needs and requests. The arrangements to meet residents health needs are good and health services are promptly accessed when required. Health professionals also have regular contact with the care home and during the inspection a General Practitioner visited a number of residents. Medication is held in secure facilities and residents are able to administer their own prescribed medicines providing it is safe to do so. A suitable policy and procedure is in place and the staff maintain appropriate records. The staff administering medicines are suitably trained and reliable arrangements are in place to dispose of medication that are no longer required. A dedicated secure fridge is also provided for medicines that require refrigeration. It is advised that disposed medicines are recorded without delay in the disposal record to make sure they are no potential misunderstandings. Staff also need to regularly monitor the fridge temperatures and maintain suitable records. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 13 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): The standards considered were 12, 13, 14 and 15. Quality in this outcome area is good. Residents are provided with a varied lifestyle that reflects their choices and preferences. A range of activities are regularly offered so that residents can have a varied and stimulating lifestyle. Residents are provided with a varied and nutritional diet that reflects their personal preferences and promotes good health. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Visitors said the routines of daily living are flexible and are determined by the residents or their needs and moods. There are no barriers to residents accessing the community when it is safe to do so and flexible visiting arrangements are in place. Visitors said they always receive a warm welcome from the staff and found that good communication took place.
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 14 The providers have continued to improve the range of activities and leisure pursuits available to residents. Activities are provided each day and this occurs within small groups or on a one to one basis. Positive activities clearly benefit a number of residents many of whom have complex and changing needs. It is recommended this is an area that continues to be developed. Although the providers have improved the quality of the information in assessments and care plans there is still scope for improvement. This will help to reflect and take account of the changeable and demanding nature of residents needs. This will also make sure that residents’ lifestyles are stimulated further. A varied and nutritional meal is provided that reflects residents’ needs, preferences and choices. Residents said they were very pleased with the food and were provided with a choice at each mealtime. Visitors said that good food was provided that offered a healthy nutritional diet. The kitchen staff is suitably trained and the kitchen was found to be in good order. Suitable health and safety measures are in place and the equipment and services are regularly maintained and serviced. The providers need to make sure that the kitchen staff regularly completes the required health and safety records. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 15 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): The standards considered were 16 and 18. Quality in this outcome area is good. Suitable arrangements are in place to deal with any complaints and to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A suitable policy and procedure is in place to deal with any complaints, concerns or issues that are raised. Residents and visitors said there are no barriers to raising any issues of concerns and were confidant that all matters are dealt with promptly. The Providers or the Commission have received no complaints following the last inspection visit. A suitable policy and procedure is also in place to protect residents from abuse. The staff at the home have received training in this area and it is also included in the induction package for new staff members. Where any allegations or concerns arise the matter is reported to the statutory authorities for investigation. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 16 A whistle blowing policy is also in place. This makes sure that staff can report any concerns about abuse to a third party if they do not feel able to disclose their concerns to the providers. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 17 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): The standards considered were 19, 22,25 and 26. Quality in this outcome area is good. A good standard of accommodation is provided that is homely and comfortable for residents. High standards of cleanliness and hygiene are in place at all times which promote residents’ health and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is maintained to a good standard and the furniture, furnishings and fitting are domestic in nature. The layout of the home is satisfactory, generally accessible and comfortable. The home is regularly maintained and a programme of redecoration is in place. There are however certain areas that require attention given the decor is showing signs of tiredness. This work
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 18 needs to be factored into the annual plan. Residents and visitors said that any faults that occur are dealt with promptly. Residents and visitors said they were very satisfied with the facilities provided and all were very pleased about their individual bedrooms that are also maintained to a good standard. Many have been personalised by the occupant. There are a number of toilets and bathrooms distributed throughout the home and within a reasonable distance of the communal areas and residents bedrooms. Two of the bathrooms have specialist baths and the providers need to make sure the equipment is regularly serviced and maintained to safeguard residents. Some of the bedrooms also have en-suite facilities. The providers do need to make sure that the hot water temperatures throughout the care home comply with the temperature guidelines detailed in the National Minimum Standards. This will also make sure that residents’ health and well-being are not potentially compromised. There is also a range of disability equipment so that residents’ independence is promoted. The equipment also promotes safe working practises and the residents’ health and well-being. Individual residents are also provided with suitable equipment when required and following a specialist assessment. Residents and visitors were also very satisfied with the standard of hygiene and cleanliness that is maintained. Suitable laundry facilities are also in place and residents and visitors consider the service operates to a good standard. A dedicated house keeping staff is employed who clearly work to high standards and maintain a positive environment that promotes residents’ health and well-being. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 19 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): The standards considered were 27, 28, 29 and 30. Quality in this outcome area is adequate. The providers need to make sure that sufficient numbers of staff are on duty during waking hours to provide the care and support required and to safeguard residents. The staff are well-trained and good recruitment, selection and vetting arrangements are in place. New staff complete an induction programme but this needs improvement to make sure they have the knowledge and skills to provide the care and support required. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A senior carer is on duty for all waking hours. In addition a minimum of three carers are on duty each morning, two early afternoon and three in the evening each day. Additional staff is also employed during waking hours if required to meet the residents needs. Two waking staff is also on duty each night and the providers, manager or senior staff are on call to respond to any emergencies.
Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 20 The providers reside at the care home and are available to provide emergency assistance. During any provider absences senior staff sleep at the home to provide emergency cover. The providers do need to consider the staffing arrangements given on the day of the inspection there were at least two occasions when no staff were present in the communal areas. These are popular areas with the residents many of whom are frail, vulnerable and have the potential to be volatile. Positive arrangements are in place for staff to regularly attend training to make sure their skills and knowledge are up to date. In addition a good percentage of staff are trained to NVQ 2 standard. New staff members undertake a period of induction and the providers have adopted the Skills for Care induction package. Additional staff is also provided for each shift when new staff commence their duties to make sure that residents needs are not compromised. However the induction records do not adequately include the staff skills to undertake and provide personal care and support. This is an area that requires improvement in order that residents are safeguarded. Staff that had recently started work at the home said they had been well supported and had undertaken a comprehensive induction. The staff generally commented upon the good support they receive and stated that advice, guidance and assistance was available when required. It is also clear that good teamwork is in place. Visitors and residents were complimentary about the manner in which staff undertakes their duties. The recruitment, selection and vetting arrangements have improved and meet the required standards. This further protects and safeguards residents. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 21 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): The standards considered were 31, 33, 35 and 38. Quality in this outcome area is good. Good management arrangements are in place and two of the providers take an active part in service provision. Arrangements are in place to consult with residents, staff and stakeholders about the quality of the services and facilities provided. This is to help the providers to improve and develop the arrangements in place. A range of measures is in place to promote safe working practices and the providers continue to improve the arrangements so that residents’ health, safety and well being is protected. This judgement has been made using available evidence including a visit to this service. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 22 EVIDENCE: Two of the registered persons take an active part in the day-to-day delivery of the care and support to the residents. The registered persons have suitable experience to manage the care home and both are currently completing the Registered Managers Award. The registered manager Mrs M Boyden is also suitably experienced and trained in the management of care homes. To assist in the management of the care and support provided the providers have appointed a number of senior carers who coordinate the work of the staff each day. The senior staff also provides direct support and supervision of the work undertaken. Residents, visitors and staff were very positive about the management arrangements and said there were no barriers to raising any issues or concerns. The providers have begun to establish reliable methods to undertake quality assurance measures. The feedback to date has been very positive from relatives, representatives and professionals. Additional measures are being planned in order that all aspects of the services and facilities can be considered. A range of measures is in place to promote safe working practises and staff is provided with appropriate guidance and direction from a range of policies and procedures. Suitable risk assessment and risk management arrangements are also in place and each individual resident is risk assessed to make sure they are safeguarded. Some of the guidance for staff in residents’ care plans and indeed in the risk assessments and risk management plans could be more detailed. This will provide staff with better information and guidance to safeguard the residents. Suitable fire safety and prevention measures appear to be in place and the staff regularly undertakes fire training. Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 24 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 OP25 Regulation 13(4)(c) Requirement Timescale for action 30/09/07 2. 3. OP22 OP27 The hot water temperatures must comply with the guidelines detailed in the National Minimum Standards, standard 25.8 13(4)(a-c) Specialist equipment must be regularly serviced and maintained. 18(1)(a) The registered persons must ensure that sufficient numbers of suitably qualified and experienced staff is on duty in sufficient number to meet the health and welfare needs of service users. 18(1)(a) (c)(i) The induction programme and records must evidence that staff have the skills and competencies to provide the care and support required. The registered persons must establish and maintain a system for evaluating the services and facilities provided. 30/11/07 30/10/07 4. OP30 30/11/07 5. OP33 24(1) 30/03/08 Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 25 6. OP38 13(4)(a-c) More detailed information, guidance and directions must be provided for staff regarding risk assessments and management plans. 30/12/07 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 OP9 OP9 OP12 Good Practice Recommendations The providers should make sure the medicines for disposal are recorded in the disposal log at the earliest opportunity. The temperature of the dedicated fridge for medicines should be regularly monitored and suitable records should be in place. The opportunities for residents to participate in a range of activities that reflect their interest should continue to be developed and broadened. The kitchen staff must complete the required health and safety records each day. 4. OP12 Longview DS0000063014.V342873.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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