CARE HOME ADULTS 18-65
Park Road 88 New Barnet Hertfordshire EN4 9QF Lead Inspector
Daniel Lim Key Unannounced Inspection 1st October 2007 09:25 Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 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 Park Road 88 DS0000065435.V346531.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Park Road 88 Address New Barnet Hertfordshire EN4 9QF 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) 020 8440 2192 020 8440 7936 CareTech Community Services (No.2) Ltd Miss Kerry Catherine West Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. As agreed on the 15th August 2006, one named service user over the age of 65 years can be accommodated. The CSCI must be informed if this service user no longer resides at the home. 19th September 2006 Date of last inspection Brief Description of the Service: 88 Park Road is a small care home registered to provide personal care for a maximum of five younger adults who have learning disabilities. A variation to the registration was approved this month to allow the home to admit a fifth resident over the age of 65 year into the extra bedroom built. The home was opened in 1988 and is owned by CareTech Community Services Limited. The company also runs other similar homes in Barnet and other parts of the country. The stated aim of the home is to work in partnership with residents and others involved in their care and provide support for residents to enable them to attain their full potential. The home is a detached two-storey house with five single bedrooms. The fifth bedroom which was added to the home recently, has ensuite facilities. On the ground floor, there is an office, a kitchen / diner, laundry room, bathroom with a toilet, a lounge and two bedrooms. On the first floor there is a bathroom with a toilet and three bedrooms. There is a small parking area at the front of the building and a garden at the side and rear. The home is located in a quiet residential area of New Barnet. It is close to shops, restaurants, transport links and other community services located along East Barnet Road and Cockfosters Road. The fees charged by the home range from £1089.00 - £1265.62 each week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out on 1st October 2007 and took a total of six hours to complete. A second visit was carried out on 2nd October 2007 to view documents not available on the first day. During this inspection, the inspector was assisted by the acting manager of the home (Mr Darren Cahill). The inspector was able to interview two residents. The feedback received from them indicated that they were satisfied with the care provided. A record of compliments received from residents and their relatives had also been kept. Statutory records were examined. These included three residents’ case records, the maintenance records, accident records, complaints’ record, financial records and fire records of the home. These records were well maintained. Three staff on duty were interviewed on a range of topics associated with their work. They were noted to be knowledgeable. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. These were satisfactory. The minutes of staff and residents’ meeting were also examined. These indicated that changes had been communicated and residents and staff had been consulted regarding the management of the home. The premises including bedrooms, bathrooms, lounges, treatment cabinets, kitchen, garden and communal areas were inspected. These areas were clean and well maintained. What the service does well:
Residents were involved in the running of the home and their preferences had been documented and responded to. One to one consultation sessions with residents were held weekly. There was evidence that residents were encouraged to be as independent as possible. The activities programme included activities aimed at promoting independence. Care plans had been carefully prepared, regularly reviewed and had been carried out. Some residents had made improvements in their communication and daily living skills and this was evidence in certificates obtained by them The acting manager and his staff were knowledgeable regarding the needs of residents and their approach towards residents was sensitive and caring. Staffing levels were good. There was regular and close supervision of staff and this was well documented.
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 6 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. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken by the manager. Admissions only take place if the service is confident that the needs of people to be admitted can be met. This ensures that the admissions to the home are appropriate. EVIDENCE: The case records of three residents who were admitted since the last inspection of the home were examined. They contained comprehensive preadmission assessments carried out by the home manager. These assessments were comprehensive and met the required standard. Risk assessments had been prepared by staff from the home. These included risk assessments for challenging behaviour. An appropriate and comprehensive care plan had been prepared for each resident and the care provided had been regularly reviewed with professionals involved. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 9 Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 People who use this service experience an excellent outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. Staff are committed to supporting service users lead purposeful and fulfilling lives. A variety of methods are used to help service users contribute in the development of their care plans. The care plans include a comprehensive risk assessment. Residents are continually consulted on how the service runs and those interviewed were happy with the care provided. EVIDENCE: The two residents who were interviewed indicated that they had been well treated and they were happy with their care provided. Comments made included, “very happy with care,” and “they treat me well”. The minutes of residents’ meetings were available for inspection.
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 11 The three residents’ case records contained comprehensive and appropriate care plans, assessments and details of reviews carried out. The preferences of residents had been documented. One to one sessions between residents and senior staff had been conducted weekly and these were recorded. These were were aimed at listening to residents’ views and ensuring that any preferences or concerns they have are being responded to. There was also documented evidence that residents had been encouraged to be as independent as possible. Two of the residents had attended training courses. Certificates received by them were on display in their bedrooms. These indicated that they had completed courses in life skills, relaxation and art. Risks assessments had been prepared for residents. They were noted to be comprehensive and up to date. Staff were aware of action to be taken to minimise risk. The case records of a resident with challenging behaviour and in need of assistance to keep her room tidy were examined. The plan of care was comprehensive and contained specific guidance on the care to be provided. The inspector noted that staff had been successful in assisting her keep her room tidy and in managing her challenging behaviour. There was documented evidence that the care of residents had been reviewed regularly. The minutes of these reviews (including reviews done by health and social services professionals) were kept in the case records and available for inspection. The acting manager stated that one of the residents had been involved in interviewing a prospective staff member and it was the intention of the home to enable residents to have a say in the running of the home. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The home had sought the views of residents and considered their varied interests when planning their daily routines. Links to specialist support are facilitated when needed. Residents have the opportunity to develop skills and are encouraged to be as independent as possible. The meals arrangements take into account the preferences of residents and their dietary needs. EVIDENCE: The home’s activities programme was available for inspection and on display in the reception area. Activities provided included bus rides, shopping, going out for a meal, aromatherapy, games, day centre attendance, theatres shows and
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 13 walks. Holidays had also been organised to Centre Parcs. Individual activities for each resident were prepared weekly in consultation with them and took into account their individual preferences. These weekly activities programme were on display in the reception area. Residents were also encouraged to participate in the local community and visit local facilities such as the library, leisure centre, nearby park and a local church. There was also documented evidence in the case records that residents had been visited by their family or had visited their relatives. The kitchen was inspected. Daily recorded temperatures of the fridge and freezer had been kept. These were satisfactory. A fire blanket and fire extinguisher were in place. The inspector was informed by the acting manager that weekly menus were prepared following consultation with residents regarding their preferences. The menu examined appeared balanced. The inspector was informed that one of the residents was on a special protein diet and this had been taken into account when preparing the menu. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. Satisfactory arrangements for personal, specialist healthcare and dietary requirements were in place. Personal support provided was responsive to the individual needs and preferences of people who use the service. Residents’ individual plans clearly record their personal and healthcare needs and how they will be delivered. The service was sensitive to the changing needs of residents. Staff are well trained and competent. Residents interviewed were happy with the care provided. EVIDENCE: The two residents who were interviewed stated that staff had treated them well. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 15 The three residents’ case records examined contained details of how the healthcare needs of residents had been met and included appointments with doctors, dentists and chiropodists. Residents had been consulted and this was evidence in the plans of care which had been signed by them (or their representatives). One to one consultation sessions had been carried out weekly and these were documented. The individual preferences of service residents had been documented and staff were aware of them. The medication charts were examined. These indicated that medication had been administered as prescribed. The temperature records of the fridge and room where medication was stored had been recorded daily. These were satisfactory. The home had a policy and procedure for the administration of medication. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. This ensures that residents are well treated and protected from abuse. Residents and others involved with the service say they are happy with the service provision. EVIDENCE: The complaints record was examined. There was evidence to indicate that complaints recorded had been promptly responded to. The acting manager and his staff were aware of the procedure to follow when responding to allegations of abuse. There was documented evidence that staff had been provided with adult protection training and when interviewed, they were aware of the procedures to follow when responding to allegations or incidents of abuse. The issue of equalities and diversity was discussed with the acting manager and her staff. They were aware of the importance of treating all residents
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 17 sensitively and with respect regardless of disability, gender, race, religion or sexual orientation. The home had an equalities and diversity policy. The two residents who were interviewed indicated that they had been well treated by staff. An allegation of abuse had been brought to the attention of the inspector by the home manager. This incident had also been reported to CSCI and Social Services and was appropriately responded. A record of compliments received by the home had been kept. These indicated that relatives were satisfied with the care provided. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 29, 30 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. It is clean, tidy and well maintained. Appropriate aids and equipment had been provided. The premises were homely, comfortable and cheerfully decorated. People who use the service can personalise their bedrooms. They stated that they were happy with the accommodation provided. EVIDENCE: The bedrooms and communal areas inspected were clean, tidy, and well furnished. The home was well maintained and the required safety inspections had been carried out. The gardens were attractive and seating had been
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 19 provided. Bedrooms inspected appeared cosy and had been personalised by residents with their own pictures and ornaments. Residents who were interviewed indicated that they were happy living in the home. No offensive odours were detected. The laundry room was inspected and noted to be well equipped. Staff had been instructed to wash soiled linen at the required temperature (65 C for at least 10 min). The inspector noted that the laundry room was excessively hot when the machines were in use. This was discussed with the manager who stated that the problem had been identified and a request had been made some time ago for ventilation to be improved. To ensure that the problem is promptly rectified, a requirement is made in this report. Following discussions, the manager promptly carried out a risk assessment and instructions were given to staff to use the laundry only at specific times. Specialist equipment available included ramps to the garden, grab rails in bathrooms, a shower chair and a wheelchair. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 20 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The service has a well developed recruitment procedure that has the needs of people who use the service at it’s core. There is a good level of staffing at all times to support the needs of residents. Management prioritise training and facilitate staff members to undertake the required beyond the basic requirements. Staff meetings are used for the involvement of staff in the development of the service and care of residents. Staff understand and are aware of the specific care to be delivered to each resident. People who use the service and their representatives expressed confidence in the staff who care for them. EVIDENCE: Three staff who were on duty were interviewed on a range of topics associated with their work. They were noted to be knowledgeable regarding their roles and responsibilities and were able to provide appropriate answers to questions
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 21 asked. They stated that they had been instructed to treat all residents with respect and dignity regardless of their race, religion or sexual orientation. This was confirmed in the induction programmes seen. Residents who were interviewed indicated that staff had taken good care of them. This was confirmed in letters and cards from relatives. The inspector noted that staff spoke to residents in a respectful manner and there was regular interaction with residents. The duty rota was examined. It indicated that in addition to the acting manager, there was normally at least 2 care staff during the morning shift, 2 care staff during the afternoon and evening shifts and 2 care staff (one on waking duty) during the night shifts. The acting manager is supernumerary two days a week. The acting manager and staff interviewed indicated that this level of staffing enabled staff to perform their duties. No concerns regarding staffing levels were brought to the attention of the inspector by those interviewed. The training records examined, indicated that staff had been provided with the required training (such as health & safety, first aid, care of residents with challenging behaviour, fire training, food hygiene and adult protection). There is a staff training plan which is reviewed annually. Recruitment records examined indicated that the required recruitment procedures (including obtaining of satisfactory CRB disclosures and two references) had been followed. This ensures that staff recruited are appropriate and residents are protected. There was documented evidence of regular monthly supervision sessions organised for staff. Induction had been provided for new staff. The minutes of staff meetings were available for inspection. These indicated that changes affecting the running of the home and the care of residents had been communicated to staff. Staff stated that there was a good team spirit. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 22 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The home was run in the best interest of residents and satisfactory arrangements were in place to ensure the safety and welfare of residents in the home. The manager has a clear understanding of the key principles and focus of the service. She works continuously to improve services and provide an increased quality of life for residents. EVIDENCE:
Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 23 The acting manager was knowledgeable regarding the management of the home. He stated that he had received his NVQ L3 qualifications and hoped to enrol for an NVQ L4 course soon. All staff interviewed were satisfied with the management of the home. The home had effective quality assurance and monitoring systems. This included a development plan and regular consultation with residents regarding their care and the management of the home. The minutes of monthly residents’ meeting were available for inspection. These indicated that changes had been communicated to residents and staff and suggestions made had been responded to. A current certificate of insurance was available for inspection. The level on insurance met the required standard. The financial record of two residents were examined. The records were well maintained and contained receipts for items purchased on behalf of the resident. The fire logbook was examined. The weekly fire alarm tests, fire drills and fire training had been carried out and documented. The home had an up to date fire risk assessment. The report from the fire authorities (LFEPA report dated 17 Aug 2007) indicated that the fire safety arrangements were satisfactory. The emergency lighting had been checked once a month. The required health & safety inspections on the home’s portable appliances, gas and electrical installations had been carried out. Window restrictors in one of the bedrooms on the ground floor were not in place. This was brought to the attention of the acting manager who promptly made arrangements with the maintenance department for them to be fitted. A requirement is made for these to be in place. Annual quality assurance assessment forms had been sent to the manager by CSCI (Commission for Social Care Inspection). These had not yet been returned although the deadline for the return of these documents had passed. A requirement is made for these to be sent to CSCI. This is to ensure that the required information regarding the service is provided. Park Road 88 DS0000065435.V346531.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 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 Standard No Score 1 X 2 3 3 x 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 4 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 2 X X 2 x Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 13(4)(c) 23(2)(b) (c) Requirement The registered person must ensure that the ventilation and excessively hot working temperatures in the laundry are rectified. 28/11/07 The registered person must ensure that the AQAA forms are completed and returned to CSCI. 3 YA42 13(4)(6) The registered person must ensure that window restrictors are fitted to and engaged in all bedrooms. 24/10/07 Timescale for action 13/11/07 2 YA39 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 26 No. Refer to Standard Good Practice Recommendations Park Road 88 DS0000065435.V346531.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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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