CARE HOMES FOR OLDER PEOPLE
Solent Cliffs Nursing & Residential Care Home 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS Lead Inspector
Pat Griffiths Unannounced Inspection 10:00 2nd July 2007 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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.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. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Solent Cliffs Nursing & Residential Care Home Address 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS (01329) 662047 01329 665429 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) www.brookvalegroup.co.uk Solent Cliffs Nursing Home Limited Felicity Dennis Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (5), Physical disability (6), Physical disability of places over 65 years of age (30), Terminally ill (6), Terminally ill over 65 years of age (30) Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: Solent Cliffs is a care home that offers personal care and nursing care for up to thirty- five older people and older people who have a physical disability. The home is not registered to provide care for older people with mental health care needs or dementia. The home is owned by Solent Cliffs Nursing Home Limited. The home is a large detached house in the small village of Hill Head, on the mainland shore between Portsmouth and Southampton, with views across to the Isle of Wight. It is located in a quiet residential area, close to the sea, local amenities, shops and public transport. Following recent refurbishments there are now thirty-three bedrooms, thirty single and three doubles, some with en-suite facilities. The bedrooms are located on two floors and can accessed by passenger lift. The communal areas in the home consist of two sitting rooms, a dining room and a conservatory. There are gardens to the front and side of the house with seating provided for residents use. There is a car park to the side of the property. Information provided at the time of the inspection indicates that the fees are currently £550.00 to £725.00 per week, based on accommodation and care needs. Items that residents are invoiced for separately include chiropody which is £9, hairdressing which is £5 for a haircut, and newspapers and toiletries. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 2nd July 2007. All key standards were examined; policies and procedures, documents, staff and residents’ files and other records were examined. Other information included in this report is obtained from sources such as the Annual Quality Assurance Assessment [AQAA], which is similar to a pre-inspection questionnaire and is completed by the manager, completed survey forms and information that the commission has received such as notices about incidents or accidents that have occurred in the home. Staff working practices were also observed where possible, without being intrusive. During the course of the day the inspector looked at different areas of the home, such as bedrooms, communal and shared areas and the home’s kitchen and laundry as well as the garden. There has been building work and refurbishment in the home which was recently completed and has made the home one building, instead of a house and an annexe, and has increased the number of bedrooms to thirty-three and provided a new dining room. Residents, visitors and staff were spoken to in order to obtain their views of the service that the home provides. Visitors that spoke to the inspector were positive about the care their relatives received and about the improvements in day-to-day living that the refurbishments have made. What the service does well:
The home has a warm and welcoming atmosphere. The residents looked comfortable and those that spoke to the inspector said that they felt they were well looked after. The home now employs a full-time activities organiser and residents and their relatives were positive about the activities available Comments from relatives include ‘ my relative doesn’t always want to do what is arranged, but I can vouch that things are arranged on a very regular basis’ also ‘ they respect his wishes when he does not want to join in and try to offer him something individual’ A resident commented ‘an activities organiser is now employed – very supportive both individually and in groups’ and Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 6 ‘The activities arranged are very much appreciated, she is very hard working and has done a great deal to bring pleasure and enjoyment to the residents. Some of the events she organises have been very memorable’ 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. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 7 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 Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 8 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to use this service benefit from having a comprehensive preadmission assessment of their needs before moving into the home. EVIDENCE: The manager said that the homes’ statement of purpose, which gives information about the admission procedures, has recently been reviewed and updated and the brochure is currently being updated. The home is registered to offer personal care and nursing care to older people and older people with physical disabilities, it does not offer care to people with mental health needs or dementia. The manager said that all potential residents have an assessment of their needs before admission to the home is offered. They are also offered visits to
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 9 the home, but many asked a friend or relative to attend on their behalf as they were not well enough. All admissions are initially for a month’s trial period. A resident commented ‘I was able to visit the home at any time and was shown around and given lots of time to ask questions and discuss concerns. I was also given a booklet about the home’ A relative commented ‘ my relative had to be moved in rather suddenly, with only a days warning, but the staff had a meeting with me before they moved in and told me all I needed to know, I guess it was enough to help me make the decision’ The care plans and pre-admission assessments for three new residents were seen, which confirmed that prior to admission, a senior member of the care staff, usually the manager or her deputy, assesses all potential residents. The assessments were detailed and there was evidence that residents’ and their relatives were encouraged to be involved in the assessment process to ensure that all information is gained Care management assessments are also sought and staff reported that both of these pre-admission assessments formed part of the care planning for each resident. The home does not provide intermediate care. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide sufficient information to ensure that the people in the home have all their needs met. Staff medication administration practices protect the residents. EVIDENCE: As part of the inspection process the care plans of three residents were examined to assess the information provided about how the staff in the home planned to meet the individual needs of the people who live there. The care plans were seen to contain information about the personal histories, strengths and abilities of each resident, their social and healthcare needs. There were assessments and notes covering aspects of their care, such as nutrition, mobility, risk of falls, moving and handling assessments and information in the daily records indicated when baths or showers were taken. If the assessments highlighted a problem, such as the risk of falling, there was a care plan in
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 11 place to provide guidance for staff about how to minimise the risks for the resident. The manager said that the registered nurses wrote the plans and she then audits them every three months. Whilst reading the care plans it was apparent that the reviewing and updating of the plans was done regularly and written up on the evaluation sheet at the back of the notes. Medication policies and procedures are in place, and residents are supported to manage their own medication if they wish. Risk assessments would be completed to ensure safe systems were in place to enable them to do this but currently none of the residents’ self-medicates. The storage and management of medication is effective and records demonstrated that all medication coming into and going out of the home is monitored. Each person in the home who is receiving medication has a Medication Administration Record [MAR] sheet, which is a chart indicating what medication is to be given and when. Staff administering medication sign in the allotted boxes on the chart to indicate that the medication has been given. The MAR sheets on two of the medication trolleys in the home were looked at and were seen to have been completed correctly. The manager said that the pharmacy are also arranging medication administration training for the nurses in the home. Residents are given information about local dentists and opticians and are registered with local GP’s, who visit the home. A resident commented that ‘the nursing staff are very attentive to this aspect of my care’ Residents that spoke with to the inspector felt that staff supported them well, were respectful and made sure they were able to maintain their privacy and dignity as much as possible within the home. Staff were observed speaking quietly and appropriately to the residents during the course of the day. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good quality food and their diverse needs are generally well supported. EVIDENCE: The people who live in the home are encouraged to maintain contact with their friends and families and care plans emphasised the need for staff to support residents in this. Residents spoken with felt they were able to receive visitors at any time and that their visitors were welcomed into the home. The visitors’ policy was clear about the rights of residents to receive visitors and to meet with them in private. The building work in the home has been completed and the residents now have more communal areas and the staff have a training room and staff rest room. A local cat also wanders in and around the home and is happy to sit in peoples’ chairs and have lots of attention from the residents.
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 13 The home has a full-time activities co-ordinator who used to be a member of the care staff in the home. Activities are arranged and are also flexible so that activities may be changed if the weather changes or people are not interested in what has been suggested for the afternoon. Activities include writing a personal history, which includes details of school days, place of birth, favourite colours, hobbies, and interests. Birthday and seasonal parties are arranged as well as themed evenings, quizzes, games, craft sessions, walks on the cliff path and trips to town for shopping or coffee. Most of the activities in the morning are one-to-one which often include ‘pampering’ such as hand massages. A ‘PAT’ dog also visits the home, which is enjoyed by everyone. The co-ordinator writes an evaluation sheet for each resident following activity sessions, which include comments such as - “sat chatting, looked at their book of trains” and “enjoyed a sing-a-long and played bingo” Comments from relatives include ‘ my relative doesn’t always want to do what is arranged, but I can vouch that things are arranged on a very regular basis’ also ‘ they respect his wishes when he does not want to join in and try to offer him something individual’ A resident commented ‘an activities organiser is now employed – very supportive both individually and in groups’ and ‘The activities arranged are very much appreciated, she is very hard working and has done a great deal to bring pleasure and enjoyment to the residents. Some of the events she organises have been very memorable’ The cook said there was a four-week menu and the likes and dislikes of the residents were known and catered for, with choices available for each meal. There was a good supply of fresh vegetables and fruit. Residents were offered a choice of breakfasts that included a cooked option. A list was kept in the kitchen of what residents liked to drink throughout the day. This enabled residents to have their individual preferences met. A resident commented that they usually like the meals in the home – ‘the food is generally good and suitable - with some choice available’ A relative commented ‘Mum has a poor appetite and the home copes well with this. The meals are always well presented and look appetising. Food is also available if a meal is missed for any reason and some choice is available’ Staff support was available throughout the mealtime for people who needed it and this support was provided in a discreet, respectful and sensitive manner Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training in adult protection, and the knowledge that all complaints are dealt with appropriately usually safeguards the people who use this service. EVIDENCE: The home has a complaints procedure in place, which is displayed in the hallway and is in the statement of purpose, and encourages residents or their friends and relatives to make complaints if they not happy about the care they have received. The home had an effective system in place for recording and responding to complaints. The manager said that three complaints had been received in the last year, but none had been upheld. The procedures in the home for responding to instances of suspected abuse were clear and staff spoken with were clear about their role within the procedures and about the nature of abuse. Training records demonstrated that all staff received training on abuse issues as part of their induction as well as further, ongoing training throughout their employment. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a safe, well maintained, clean and hygienic home. EVIDENCE: Building works and renovation of several parts of the home have been completed since the last inspection visit. The home was previously a large house with an annexe, now it is one large building. What had previously linked the two areas is now a corridor that contains a new office and five bedrooms. During the course of the day the inspector was able to see various parts of the home, including sitting rooms, the dining room, kitchen, laundry and some of
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 16 the bathrooms and bedrooms. The manager said that potential residents are encouraged to make their rooms ‘homely’, bringing pictures, ornaments and small pieces of furniture with them. The home now has thirty- three bedrooms, thirty single and three double rooms, eleven of which are en-suite. There are three bathrooms, two shower rooms and lavatories in each area of the home. There are now two sitting rooms, and the third has become a dining area. There are two conservatories, one of which is used as a quiet room. The upstairs rooms in the old annexe are now used as the managers’ office, staff room and a training room. The manager said that the plans for further refurbishment included decorating the sitting rooms and replacing the carpets, curtains and furniture. Storage of equipment had previously been a problem, but separate storage areas for wheelchairs and hoists had been included during the refurbishment. Nurse call bells now have extension cords, so they can be used when residents are sitting out in their chairs, previously they did not reach further than the bed. The care staff in the home are supported by cleaners, laundry and kitchen staff and on the day of the visit the home was seen to be clean and tidy with no malodours. The home also has a newly appointed handyman and a rolling programme of maintenance has begun. During the inspection it was noted that some radiators did not have covers, notably the one in the new shower room, the manager said they would be replaced as part of the redecorating programme that was on-going. The home had a large laundry, which had also been refurbished, it contains industrial washing machines and dryers, and there is a programme for the disinfecting of soiled linen. Staff had received infection control training and specialist training for the different machines in the laundry. Disposable gloves and aprons were provided throughout the home for staff to use when required. The manager said that the home had won an award of £6000 from Hampshire County Council to build raised flowerbeds in the garden. They are now waiting for advice from the builders and hope that the work will start soon. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment practices and staff training protect people who use this service. EVIDENCE: The total number of staff employed to work in the home at the time of the fieldwork visit was forty-nine, this includes ten registered nurses and twentythree care assistants who are supported by ancillary staff such as domestic, laundry and kitchen staff. The staffing duty roster indicates that there are always two trained nurses on duty during the day and one at night. They are supported by five or six care assistants during the day and two at night. Comments from residents and relatives (including the views expressed in survey forms) indicated that the staffing levels in the home were usually sufficient and they had confidence in the abilities and competence of the staff to meet their needs The home now has a robust recruitment procedure, which was apparent when the files were examined of four staff that had recently been employed to work in the home. All statutorily required information and checks, such as
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 18 references and Criminal Records Bureau [CRB] disclosures had been obtained before they had started work in the home. The manager confirmed that the registered nurses that are employed in the home have had their professional registrations checked with the Nursing and Midwifery Council. All new staff received comprehensive in-house induction, which includes moving and handling, learning to care training and fire safety. The Common Induction standards are also used and training needs are later identified during staff development interviews. Training records for the staff were seen and ongoing training for care staff includes health and safety, infection control, first aid, dementia care, protection of vulnerable adults and wound care. Regular supervision takes place for all staff, and each staff member has their own named supervisor. The manager said that fifteen of the care staff have an NVQ at level 2 or 3 in care, and four more carers have started the training course. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are usually safeguarded by good management. EVIDENCE: The home’s manager is a registered nurse who has had many years experience managing care homes. She has recently completed her application for registration with the commission. She has an open style of management, which encourages residents, relatives and staff to share any needs or concerns they may have in an informal way, but there are systems in place for a more formal approach to management. The home recently competed a service user
Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 20 survey amongst the residents and the manager said that the feedback was very positive. There is also a suggestion box in the hallway, which the manager says she checks regularly. The home had a large number of comprehensive policies and procedures, which are available and accessible to the staff and have been recently reviewed and updated where necessary. The manager said the home holds small amounts of money for some of the residents, which is kept separately in individual plastic wallets. There are records of any expenditure and only a limited number of staff have access to the safe. Residents said they were aware the home held money for them and felt they could get some when they needed it. Information provided by the manager indicated that the home’s equipment, plant and systems were checked and serviced at appropriate intervals i.e. passenger lift and hoists; boilers; fire safety equipment alarms, emergency lighting; and portable electrical equipment. There were contracts in place for the disposal of clinical and household waste and pest control. Records indicated that staff attended regular and compulsory fire and other health and safety training and the home’s fire alarm system was checked regularly. There was a fire risk assessment for the premises and regular risk assessments of the premises were undertaken. Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 21 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 3 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 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Solent Cliffs Nursing & Residential Care Home DS0000011496.V339067.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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