CARE HOME ADULTS 18-65
Venetia House 348 Aylestone Road Leicester Leicestershire LE2 8BL Lead Inspector
Ruth Wood Unannounced Inspection 9 January 2008 9:30
th Venetia House DS0000006380.V354121.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 Venetia House DS0000006380.V354121.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. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Venetia House Address 348 Aylestone Road Leicester Leicestershire LE2 8BL 0116 2837080 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) Mrs Phyliss Turner Mrs Valerie Moseley Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration. Date of last inspection 31st August 2006 Brief Description of the Service: This is a well established home for people with either learning disabilities and/or mental health problems. It is located in the Aylestone area of the City and is on a main bus route. The homes accommodation is over three floors, the first floor being accessible by stair lift. There are two double and eight single rooms; one double room is located on the ground floor and there is also a ground floor bathroom. There is a large lounge on the ground floor as well as a small sitting area where residents may smoke. There is also a small lounge on the first floor. The dining room is located near to the kitchen on the ground floor. Residents are encouraged to use the kitchen to make snacks and drinks with the appropriate support of staff. There is a large, well-maintained garden to the rear of the home with three patio areas where residents can sit. Current fee levels at the home range from £297 to £398 per month. Residents receive a copy of the Service Users’ Guide, which contains information about the home. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes.
An Annual Quality Assurance Assessment (AQAA) was completed by the service and returned to the Commission prior to the inspection visit. The Commission also issued surveys to all twelve residents and to members of the staff team; all twelve residents and seven staff members responded. Information from these sources together with that gathered during the inspection visit was used to produce this report. The inspection visit took place on a weekday between 9.30 and 4pm. The registered manager was present throughout and discussion was held with her about the assessment and care planning procedures in the home as well as the recruitment and management of the staff team and the way quality is monitored within the service. The registered provider also visited during the inspection and contributed to these discussions. The care plans of the three most recently admitted residents were examined together with their financial and medication records. Medication storage was also examined together with procedures for receiving and returning medication. Staff training and recruitment records were examined and discussions held with staff members on duty as to the training they had received and their understanding of service users’ needs. Two residents were spoken with at some length about their experiences of living in the home, the care they received and the activities they engaged in. Other residents were observed interacting with staff members and each other and also shared some of their experiences with the Inspector. What the service does well:
There are very good arrangements made for people to ‘test-drive’ the home before they move in by making a series of day, overnight and weekend stays. This helps people to make an informed decision about whether the home can meet their needs. People who live at the home are engaged in a variety of activities such as attending specialist day centres, college courses, theatre groups and paid employment. However people can also choose not to take part in these kinds of activities. All residents are very positive about the food served in the home commenting that there is “plenty of choice” and that is “very good”. The majority of staff have received training in providing a nutritionally balanced diet and residents are encouraged to bake and make snacks and be involved in the weekly shop.
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 6 The people who live at Venetia House are very positive about the care that they receive from the manager, the staff team and the owner of the service with several commenting on “that it is like a family”. Several residents spoke about how much they had enjoyed the Christmas party, which their friends and relatives had also attended. Staff offer good support to enable people to maintain contact with their friends and relatives, helping them to remember key dates, make phone calls or arrange visits. 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. Venetia House DS0000006380.V354121.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 Venetia House DS0000006380.V354121.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): 1, 2, 4 Quality in this outcome area is good Residents’ needs and aspirations are competently assessed and excellent arrangements are in place to allow new residents to test drive the home. Information about the home should be made available in different formats to make sure that it is accessible to all prospective residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user guide and statement of purpose are available in a standard written format; given the resident group that the home caters for alternative formats should be considered to ensure that information is fully accessible to all prospective residents. Some updating of the contents of these documents is required to ensure that it accurately reflects the services offered by the home. Additionally the results of service user and other stakeholder surveys should be published as part of the service user guide. A new resident’s assessment was examined. This gave a good outline of their needs and outlined which agency was responsible for various aspects of their care and the frequency with which future reviews would be held. Excellent arrangements are in place to enable residents to ‘test drive’ the home. A series of day, overnight and weekend stays is arranged to help residents make an informed decision. All twelve of the home’s residents responded to the Commission’s survey and said that they had received enough Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 9 information about the home to enable them to make an informed decision before moving in. Venetia House DS0000006380.V354121.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 Quality in this outcome area is good Residents are involved in day to day decisions, are supported to take reasonable risks and care plans accurately reflect their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ care files were examined in detail and discussion was held with the manager and staff about their needs; the residents themselves were not available to discuss their plans but signatures at the end of plans and details of their involvement recorded in Review minutes suggested their active involvement. Plans are written in plain language and the manager and provider have recently attended training in person centred planning. The manager discussed her ideas for introducing this style of care plan to the home. Plans contain risk assessments appropriate to the individual and their lifestyle. All seven staff that completed one of the Commission’s surveys said that they were given up to date information about the needs of people they support. The majority of residents receive support in managing their finances and detailed, accurate records are kept of all transactions. A sample of financial records and balances was examined and found to be accurate.
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 11 All residents are encouraged to take decisions about their day to day lives with regards to such areas as food, clothing and activities and regular residents’ meetings are held to discuss issues such as the way that communal rooms are used. Residents are encouraged to get involved in everyday activities such as domestic tasks, shopping and paying bills. Venetia House DS0000006380.V354121.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, 14, 15, 16, 17 Quality in this outcome area is good Residents have opportunities to engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends and enjoy good, nutritious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Many residents attended a specialist day centre during the morning of the inspection and on their return discussed the activities that they had been involved in with the Inspector. This centre offers a wide range of activities including some adult education courses. Another resident spent the majority of the day at their job and again discussed this with the inspector on their return. Some residents have elected not to engage in any formal activities and this is noted on their care plans. The home is well placed for accessing local amenities and residents visit local shops and pubs with staff support and independently. All twelve residents responded to the Commission’s survey: nine people felt that there were always activities in the home for them to take part in, two said that there usually were, one person said there were never such activities. Residents said that they played dominoes and cards and also chatted with each other and staff members.
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 13 Residents have the opportunity to go on holiday and day trips, with staff support, although some choose not to do this. Plans are being made for places to visit this year and this will be discussed at the residents’ meeting. Residents are well supported in maintaining links with their families and friends with staff assisting them with telephone calls and letters or in making journeys to their relatives if appropriate. Several residents have families that visit on a regular basis and the home also arranges social events which relatives and friends attend. Several residents and staff members spoke to the inspector about the Christmas party and how much they and friends and family had enjoyed it. Residents can choose to have keys to their own bedrooms and the front door if they wish. They are able to make telephone calls in private and open their own mail, requesting staff support if necessary. Residents are encouraged to maintain and develop their independent living skills such as ironing, shopping and cooking. One staff member related how a resident had shown them how to bake a cake and make custard when they first started working in the home. Regular baking sessions are held and there is a rota which details which residents are responsible for which chores on which days. Ten of the twelve residents said they always liked the meals and two said they usually did; three people commented that there was plenty of choice. Residents told the inspector that the food was “very good” “lovely” and that there was “lots of choice” One resident with diabetes said that staff supported them in maintaining their diet and making sure that they had the right things. Menu records showed a good balance of food, two choices offered for each main meal, details of alternatives for residents with diabetes and the use of fresh ingredients. The majority of staff have received training in nutrition in care settings. Residents are regularly consulted about their likes and dislikes and changes are made to the menu accordingly. Residents, with staff support, undertake the weekly food shop. Venetia House DS0000006380.V354121.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 Quality in this outcome area is good Residents receive appropriate personal support and their health and medication needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans outline the personal support that residents need and how they like to receive this. They also contain evidence of regular health appointments with doctors, specialist nurses, dentists and opticians. Residents have regular contact with specialist mental health care professionals and medication and care plans are regularly reviewed. Several residents in the home have diabetes and the arrangements for monitoring their condition were discussed with the registered manager; this includes regular checks with the diabetes nurse, monitoring of blood sugars and chiropody appointments. These arrangements were confirmed in discussion with one of the residents. The home has recently built a new storage facility for medication and the medication cabinet is clean and tidy with no excessive stores. Medication records relating to administration, receipt and return are in good order. All staff have recently had their training updated in medication administration and staff have also received training from a community psychiatric nurse about the medication residents take in relation to their mental health. All residents
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 15 entering the home are assessed as to their suitability to administer medication and given support to do this if it is safe and appropriate. Venetia House DS0000006380.V354121.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 Quality in this outcome area is good Residents’ views are listened to and systems and practice are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Complaints Procedure is available in a standard, written format and contains information about independent advocacy services. Some modification is needed to the document to clarify the respective roles of the Local Authority Social Services Department and the Commission for Social Care Inspection. Like other aspects of the service users’ guide the procedure should be made available in other formats so that it is fully accessible to all service users that may live in the home. A record is kept of all complaints made to the registered provider and this includes the response made and the date the matter was resolved. All twelve residents who responded to the Commission’s survey said that staff listened to and acted on what they said and that they knew who to speak to if they weren’t happy. Three residents confirmed this during face- toface discussions with the inspector. All residents appeared to have a very open relationship with the staff members on duty, the registered manager and the registered provider. Staff have received some training in how to deal with behaviour that may challenge and displayed a good understanding of how they would respond to any residents who may have needs in this area. During discussions with the inspector staff displayed a good understanding of the whistle blowing policy and who they would report any concerns to. Six of the seven staff that completed the Commission’s survey said that they knew what to do if a resident, relative or advocate had concerns about the home
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 17 with one saying that they did not. The registered manager’s knowledge of current safeguarding procedures requires some updating and it is recommended that she take advantage of the training currently available from the local authority for herself and her staff team in this area. Venetia House DS0000006380.V354121.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, 30 Quality in this outcome area is good Residents live in a clean and comfortable environment, which meets their needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection the home was fresh, clean and tidy throughout; all twelve residents in their survey responses said that the home is always or usually fresh and clean. Staff training records demonstrate that staff have received training in infection control and practices in this area seem well managed. A new TV and digital box have been provided for the second lounge as well as new settees for the downstairs lounge. All areas of the home appeared well maintained; the manager discussed plans for the re-decoration of some bedrooms. Residents’ rooms are highly personalised and reflect their personalities and interests. One resident commented, “My bedroom is lovely” Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is adequate Some improvements are needed in the consistency of recruitment practices and the breadth of staff training to ensure that service users are effectively supported and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the three most recently recruited staff members has a Criminal Records Bureau (CRB) check obtained by a previous employer. CRB checks are not transferable and the registered person must obtain a new CRB check for staff members before they begin work in the home as well as checking their names against the Protection of Vulnerable Adults Register. A letter of urgent concern was sent to the registered person about this. The staff member had completed an application form and there were two written references on file, together with evidence of the staff member’s identity. The recruitment records of the other two most recently recruited staff included all necessary documentation. Staff records contain records of supervision meetings and six of the seven staff that responded to the Commission’s survey said that the manager regularly or often met with them to discuss how they were working. One staff member commented “And if there is something I need to discuss with the manager she can always find time to talk. “
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 20 All staff members (except one) have a National Vocational Qualification in care at level 2 and two staff have obtained this Qualification at level 3. Six of the seven staff surveyed felt that their induction covered everything they needed to know and training files showed evidence (Certificates) that staff had received training in topics relating to health and safety, food hygiene and medication administration. Staff have not received any training directly concerning meeting the needs of people with mental disorder or learning disability, the categories of residents who the home provides a service for. The registered person should look to providing training in these two areas to ensure that the service continues to meet people’s needs and that staff are kept up to date with new developments in practice and legislation. Staff who responded to the survey said there is usually or always enough staff to meet individuals’ needs although one staff member commented that there needed to be additional hours allocated for key worker duties. Discussions with residents and staff indicated that staff, including key workers, do spend time with residents either engaged in activities or just talking. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good Practices in the home promote residents’ health and safety and systems are in place to ensure that standards are monitored and improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has obtained a National Vocational Qualification in care at level 4 together with the Registered Manager’s Award. She also undertakes regular training alongside her staff group to maintain and enhance her skills. The registered manager completed the Annual Quality Assurance Assessment (AQAA) issued to the service prior to this inspection with clear, relevant information. The manager regularly checks staff working practices and the fabric of the building as part of her quality monitoring of the service being provided. Residents’ views are sought both informally and formally using a variety of methods including simply talking to people, one to one meetings with key workers, residents’ meetings and questionnaires. The home has regular
Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 22 contact with a variety of professionals and several residents’ families and has obtained opinions from some about the service provided via a series of questionnaires. Changes have been made to the second residents’ lounge and the menus as the result of some of the feedback from service users. The registered person should ensure that the information gathered from these various sources is collated and placed into a report, which should be made available to the residents with a copy being sent to the Commission for Social Care Inspection. Records show that staff have received training in moving and handling, first aid, food hygiene and infection control. Documentary evidence was available to show that the home’s fire alarm system has been serviced, together with fire extinguishers in the last twelve months. Records show that fire alarms are tested regularly and that fire drills are held. The fire risk assessment has been updated to include the location of fire exits and alarm points. The AQAA gives details of the servicing arrangements for other systems such as the central heating system and electrical appliances. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 2 3 3 X 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4&5 Requirement Timescale for action 31/01/08 2 3 YA34 YA34 4 YA35 The Statement of Purpose and Service Users’ Guide must be modified to accurately reflect the categories of care for which the home is registered 19 (1) 10) A POVA First check must be 25/01/08 obtained for the identified staff member. 19 (1) A Criminal Records Bureau check 11/01/08 (10) in respect of the member of staff must be applied for and the member of staff must not work unsupervised until a Criminal Records Bureau check has been obtained 18 (2) (b) The Registered Person must 30/04/08 ensure that arrangements are made for staff responsible for the care and welfare of residents to receive training relevant to the specific needs of the resident groups that the home is registered for. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA1 YA1 YA22 YA23 Good Practice Recommendations The Statement of Purpose and Service Users’ Guide should contain a summary of the residents’ views obtained as part of the quality monitoring process. The Service Users’ Guide should be made available in different formats so that it is fully accessible to all residents and prospective residents. The Complaints Procedure should be made available in different formats so that it is fully accessible to all residents. The registered manager and the staff team should access training provided by the local authority in current safeguarding procedures. Venetia House DS0000006380.V354121.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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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