CARE HOMES FOR OLDER PEOPLE
Hyde (The) Walditch Bridport Dorset DT6 4LB Lead Inspector
Melanie Edwards Key Unannounced Inspection 30th October 2007 10:30 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 Hyde (The) DS0000026823.V349140.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. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Hyde (The) Address Walditch Bridport Dorset DT6 4LB 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) 01308 427694 01308 427766 www.bupa.co.uk BUPA Care Homes (CFC Homes) Ltd Mrs Melody Walters Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. A maximum of three of the following bedrooms to be used as doubles at any one time: 1, 2, 5/6, 7, 18, 21, 29. 22nd June 2006 Date of last inspection Brief Description of the Service: The Hyde is a large Victorian mansion situated in 20 acres of gardens and woodlands close to the village of Walditch and approximately 1½ miles from Bridport. The Hyde is registered as a care home for up to 28 older persons requiring personal care and has been under the ownership of BUPA since 1998. On the ground floor are communal rooms including a large lounge, separate dining room and a smaller lounge known as the ‘library’. The accommodation is spread over three main floor levels and includes a total of 26 bedrooms; 16 bedrooms have en-suite hygiene facilities. A passenger lift provides access to some bedrooms on the first and second floors. The main staircase leading to the lower landing and bedrooms is fitted with a stair-lift. To access some other bedrooms it is necessary to use a small flight of steps although there are two stair-lifts enabling access to bedrooms at first floor levels. The extensive gardens and grounds are well tended with garden furniture available so that residents can sit and enjoy the rural setting. There is car parking space at the front of the house for use by visitors. A bus to nearby Bridport stops at the main gates to The Hyde. Laundering of clothing and household linen is carried out at the home and arrangements are made for chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly; at present fees for permanent residents range between £450 and £980 per person, weekly respite care fees are £550 per person. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector met eleven of the twenty-one residents living at the Home. A number of visitors were also consulted. The inspector joined a small group of residents for lunch. The registered manager Mrs Walters, three care assistants and a cook were consulted about their roles and responsibilities, their training needs, and how they assist and support residents. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. Two residents care records and care plans were reviewed. The majority of the environment was seen. The only areas that were not viewed were a small number of bedrooms. The ‘AQAA’ (an annual quality assessment document that all Homes are required to complete) has been used to help form the judgments in the report. Parts of the document have been quoted with Mrs Walters’s permission. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well:
Staff treat residents in a kind and considerate way when supporting them to meet their needs. Residents made a range of comments including, ‘ the staff are charming they will go out of their way to do something ’, and, ` there’s nothing we want for, the Hyde must be the best place of all the homes ’. Residents’ meals are of a good variety and quality. Meals are nutritionally well balanced and well presented. Residents take part in a range of social and therapeutic activities. This helps residents to enjoy a good quality of life at the Home.
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 6 The environment is highly suitable for residents and is decorated to a very good standard that further enhances the Home for residents. Mrs Walters is providing effective leadership and management in the Home. She demonstrates she is committed to putting the needs of residents first. 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. Hyde (The) DS0000026823.V349140.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 Hyde (The) DS0000026823.V349140.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): 1,3,4. Quality in this outcome area is good. Residents’ assessed needs are well met by the Home. Residents and their representatives have the information they need to make an informed choice about living at the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To check what sort of information is available for prospective residents and their representatives a copy of the service users guide was reviewed. Each resident is given their own copy of the guide so they have access to helpful information about life in the Home. There are colour photographs of the Home, and of staff and residents together, to show what daily life is like at the Hyde. The guide includes information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain if they need to.
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 9 There were a significant number of comments of high satisfaction expressed by residents about the care they receive and how they feel their needs are being met. One resident said, `we want for nothing at the Home’, another comment made was, `it’s a very good service and the staff are always happy to help ’. The assessment records of two recently admitted residents were read to find out how well residents’ needs are assessed. The assessment records were informative, and showed residents had been consulted, to find out about their range of needs. The assessment records also linked clearly to each resident’s care plans, and showed a detailed assessment of the persons needs had been carried out. The care plans had been written based on the information in the initial assessments. Hyde (The) DS0000026823.V349140.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): 7,8,9,10. Quality in this outcome area is excellent. Residents’ needs are very well met and care plans clearly demonstrate how they are met. Residents are fell they are treated with the up most respect and their privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a very high degree of satisfaction expressed by all the residents the inspector met, as to how well their needs are met. Examples of comments made by residents included, `it’s very good it’s excellent’, ‘everything is provided for us it’s first class’, `the staff are very friendly they do jobs cheerfully they have a word with you while they are doing it ’, `it’s a very good service the staff are always happy to help’, and `the staff go out of their way to help you’. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 11 Two residents’ care plans were read, to see how residents are supported to meet their needs. The care plans were informative and showed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. Included with each care plan was good evidence that residents have been consulted with, to find out what their needs are. There was also a range of helpful information about the life of each person and what matters to them, including important family and friends. Care plans had been reviewed and updated regularly. This demonstrates residents’ needs are being monitored and kept under review. There was supporting information in the care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. The staff on duty assisted residents in a very polite and respectful manner. This was noticeable throughout the inspection. The procedures for the administration, storage and disposal of medication were inspected to find out if the systems are safe. All staff who give out medication undertake regular training to make sure they can give out medication safely. Residents’ medication is stored in a small locked cabinet in each bedroom. Five residents medication administration were checked in detail. There was a photograph of the resident kept with each chart. The medication charts were satisfactorily maintained legible and contained the signature of the person dispensing medication. The reasons for any omissions of medication had also been recorded. The controlled drug record was in order, and one resident’s supply of controlled drugs was randomly checked .The records were correct. This helps show medication stock is well organised. Hyde (The) DS0000026823.V349140.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): 12,13,15. Quality in this outcome area is good. Residents are provided with a nutritious well-cooked diet and a variety of social and therapeutic activities that are suitable for their needs. Residents are supported to receive visits from family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an activity coordinator who works for five days a week, and puts on a range of activities for residents. Each resident is given a copy of the monthly timetable of social activities planned to take place. This helps to ensure residents are aware of activities that will take place. Activities that are planned for the near further include, a drive along a coastal road in Dorset to look at the sea, arts and crafts sessions, games, a visit from a therapeutic dog, musical afternoons, and gentle exercise classes. There were art works made by residents including pressed flowers arrangements on display in the Home. There is also a library with a range of books for residents to read. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 13 Mrs Walters wrote in the AQAA document ,` We have changed the Activity Programme to include additional musical entertainment and one-to-one excursions.We have created a therapy suite to offer additional and alternative therapies’. The therapy room is used for relaxation sessions, aromatherapy sessions, and for hairdressing purposes. A number of residents received visits from their family and friends during the inspection. Visitors said that the staff are welcoming and friendly. Residents were also observed having lunch with their visitors. The Home has a relaxed and flexible visiting policy. This benefits residents as this means they can keep in contact with family and friends. A portion of the lunchtime meal was sampled with a small group of residents. This was a choice of homemade chicken and leek pie or fish fingers with potatoes, peas, and carrots followed by choices of deserts .The meal was tasty and nourishing and was well presented. Residents commented positively about the food served at the Home. The residents’ menu was checked to find out if residents are provided with a well balanced diet. The daily menu choices are put out on prominent display in the entrance hall for residents to read. The meal options seen were nutritionally well balanced and varied. There are choices available each day, and staff ask residents what they wish to eat each day. Special diets are also catered for and there are a variety of special meals provided for residents who need them. Mrs Walters wrote in the AQAA document about improvements that have been made to residents menus :`We have incorporated a new menus system (Menu Master) which ensures the nutritional balance of each menu dish and promotes variety and choice We have altered the layout in the Dining Room to enhance the dining experience’. Hyde (The) DS0000026823.V349140.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): 16,18. Quality in this outcome area is good. Residents’ complaints are responded to promptly and are taken seriously. Residents are satisfactorily protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are given their own copy of the Homes complaints procedure. This helps to make sure residents have the information they need to make a complaint. The complaints procedure includes the up to date contact information for the Commission if a person wants to contact us directly Residents said that they see Mrs Walters regularly and she walks around the Home to see them. Residents said they could speak to her or to any of the staff about any concerns they may have. There are also regular residents meetings held .The minutes were seen of the last residents meeting. The minutes showed residents are consulted in the Home and are given good opportunities to express any concerns or complaints they may have. There is an up to date policy in place relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 15 All staff do regular training in the understanding of the principle of the protection of vulnerable adults from abuse. The care staff spoke knowledgably about the subject of abuse and how they protect residents in the Home. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 16 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): 19,20,21,24,25,26. Quality in this outcome area is good. The Home is safe well maintained, and very suitable for meeting the needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Hyde is a very spacious building, built over four floors, which can be accessed by stairs or lift. The building is over three hundred years old is situated close to the town of Bridport. The Home is situated in its own large self-contained gardens. There are also fields that back onto to the Home with Horses and sheep in them. Residents spoke of how much they like having animals so near. The Home is near to local shops, a church and the sea. All of the residents the inspector met spoke about how much they like the environment and the History of the building.
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 17 Several residents were observed sitting outside in the gardens and also going for walks in the grounds. Specialist equipment and adaptations are in place throughout the Home, to assist residents and visitors who may have reduced mobility. The majority of bedrooms and all the communal areas were viewed. Rooms were satisfactorily decorated and maintained. The environment was very clean and tidy throughout. Bedrooms have been personalised with residents’ photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory and residents asked said they really liked and valued the environment and setting of the Home. There is a dining room, a lounge, and a library room lounge located next to the dining room. Residents were sitting in communal rooms and looked very relaxed and comfortable in the surroundings. Accessible toilets are located close to the dining room and lounges. Communal bathrooms were clean and well maintained and were free of any unpleasant odours A number of the rooms have en suite facilities, and there are bathrooms and toilets located within close proximity to rooms that do not have these facilities. There is also a washbasin in each bedroom. The home is well ventilated and warm with plenty of natural light. Radiators were fitted with guards where needed. This is to help maintain residents’ health and safety so that they do not burn themselves. Mrs Walters wrote in the AQAA document about the environment ,`Our comprehensive policies and procedures include control of infection and handling clinical waste. We use specialist cleaning systems which ensures the correct dosage of cleaning materials. In addition we use a specialist microfibre cleaning system that combine with effective cleaning regimes and keeps the home clean and odour free. Our in house laundry facilities are pre-set to ensure infection control, and the equipment is regularly inspected and well maintained. Our services and facilities comply with the Water Supply regulations. The home is supported in maintaining the environment by a central team of experts within BUPA Care Homes. We have a specialist property and estates department and hotel services department. These departments complete regular reviews of the home and its environment’. The environment was clean at the time of the inspection and residents said that a very high standard of cleanliness is always maintained. There was soap and hand-towels available in the toilets and bathrooms this helps minimise the risks of cross infection in the Home. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 18 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): 27,29,30. Quality in this outcome area is good. Residents are cared for by a sufficient number of competent trained staff. The Homes recruitment procedures are safe and protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of staff on duty was reviewed to find out if there is enough staff to meet residents’ needs. There is a minimum of four care staff on duty in the morning, and three care staff in the afternoon. At night there are two care staff on duty. There are also senior staff on duty who work with the care staff every day. There are three domestic staff on duty most days, a cook and a kitchen assistant, a full time maintenance person, and an administrator. Mrs Walters works full time and works a range of different hours, to fit in with the needs of the Home. The staff were observed assisting residents with their care needs in a courteous and patient manner. The training records of the staff team were looked at to see if staff are keeping up to date in their knowledge of the needs of residents. There was good
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 19 evidence that staff had attended training sessions, and updating over the last twelve months. Many of the care staff have done National Vocational Qualification in care awards to Level 2 or Level 3. This is good evidence that demonstrates a commitment by the care staff to developing the skills that they have. Mrs Walters wrote in the AQAA document about staff training in the Home ` We have a comprehensive training programme for staff which includes manditory and enhancement training. Staff have the opportunity to undertake NVQ training and we have strong links with Bournemouth College to deliver additional personal training programmes. We have a training matrix which identifies the training requirements of the staff ’. The staff recruitment records of two staff were checked to see if the Home carry out the required employment safety checks on staff before they start work. There are two written references taken up for all new staff before they start work as well as Criminal Records Bureau Disclosures checks and Protection of Vulnerable Adult (POVA) first checks. This demonstrates residents are protected by the Homes recruitment procedures. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 20 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): 31,32,33,37,38. Quality in this outcome area is good. Residents’ benefit from the management and leadership of Mrs Walters and the senior staff. The health and safety of residents and staff is protected in the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Walters has many years of experience caring for people with a range of needs, and in running Care Homes. She has been the registered manager of the Home for two years. A number of residents said they see Mrs Walters every day and she will walk round the Home and make time for them. This demonstrates Mrs Walters
Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 21 makes sure she is available for residents. Mrs Walters was also observed spending time assisting, and talking to residents. BUPA audit different areas of their services, using an audit tool devised by them for use in Care Homes. A copy of the recent audit tool used was looked at. Mrs Walters and the team have recently reviewed and audited the care and the service. Mrs Walters wrote in the AQAA document, ‘ We encourage our users to complete annual service questionnaires, the information is then used to enhance our service offer. We also complete internal questionnaires relating to specific areas. i.e. menus. We hold quarterly residents meetings, and monthly departmental meetings and produce Home Newsletters’. Residents clearly benefit from the Home improving its standards based on the result of these audits. Residents’ records were satisfactorily maintained, up to date, legible and in order. The records relating to the management of the Home were also satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked satisfactorily maintained throughout. The maintenance manager carries out a regular health and safety audits of the whole environment, and equipment and furniture. A sample of recent health and safety audits were looked at. These were very detailed and aimed to address health and safety areas throughout the Home. The kitchen was clean and tidy and generally in order. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. However it would be beneficial if a record of the date-cooked food were stored in the fridge is kept, so that it is used within a safe timescale. All staff do regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff maintain a good understanding of health and safety principals and practises. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 3 Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP38 Good Practice Recommendations A record should be kept of the date cooked food has been stored in the fridge. Hyde (The) DS0000026823.V349140.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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