CARE HOMES FOR OLDER PEOPLE
Woodlands Farmhouse Woodlands Farmhouse Wrantage Taunton Somerset TA3 6DF Lead Inspector
Ms Sue Hale Unannounced Inspection 6th January 2006 09:30 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 Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Woodlands Farmhouse Address Woodlands Farmhouse Wrantage Taunton Somerset TA3 6DF 01823 481036 01823 481125 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 Emma K Purvis Mrs Emma K Purvis Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The two rooms on the first floor to be used for low dependency service users, requiring minimal assistance with manual handling. 28th September 2005 Date of last inspection Brief Description of the Service: Woodlands Residential Care Home is located in the village of Wrantage. The Registered Provider / Manager is Mrs Emma Purvis. Woodlands Residential Care Home is registered with the Commission for Social Care Inspection to provide personal care for up to thirteen people over the age of 65 years. Residents’ accommodation is provided over two floors. Each service user bedroom has en-suite toilet facilities and there are three assisted bathrooms within the home. There is a pleasantly furnished lounge and dining room on the ground floor, and a further small lounge situated on the first floor. All areas of the home have been decorated and furnished to a high standard. Woodlands Residential Care Home provides day care for one or two resident users each day. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was carried out as part of the planned annual programme and was unannounced and took place over the course of one day in January 2006. The inspection involved discussions with the people who live and work at the home and the registered provider, talking to a visitor to the home, checking of selected residents and staff files and examination of documents relevant to the running of the home. As part of the inspection process the inspector used ‘case tracking’ as a means of assessing some of the Care Home for Older People national minimum standards, this process allowed the inspector to focus on a small group of people living at the home. All records relating to those residents were checked along with the rooms they occupied in the home. An immediate requirement was issued on the day of the inspection in relation to a member of staff working at the home without a POVA First or enhanced Criminal Records Bureau check. What the service does well:
Daily entries were made on record sheets to detail the care given to residents by staff and to note any concerns. Residents have access to national health and medical professionals. All residents spoken to were very satisfied with the care they received at the home and comments included, ‘the food is lovely’, ‘staff are very good’ and ‘I like living here’. A visitor to the home described it as ‘excellent’ and was very satisfied with the care provided for their relative. The complaints policy and procedure was clear with recording systems in place and residents were confident that any concerns would be taken seriously and listened to by staff. The home is well managed by the registered person/manager who is committed to providing a high standard of care at the home. Residents clearly have a positive relationship with the registered person/manager and feel able to talk freely and voice their opinions. Residents’ financial affairs were safeguarded by the home’s policies and procedures.
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better:
The homes assessment, care planning and risk assessment process must be further improved to ensure that the needs of the service users are identified and met. Residents should be weighed monthly and sit on scales should be purchased to enable those residents unable to weight bear to be weighed and their weight monitored. The adult protection policy and procedure should be amended to ensure that it contains up to date good practice advice for staff, and all staff should receive training in how to protect vulnerable adults. All required checks must be undertaken in relation to the employment of staff to ensure the protection of residents living at the home. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 7 Information about local advocacy services should be provided in the home’s documentation. Staff should undertake appropriate induction and foundation training to ensure that the workforce has the skills and knowledge to provide a good quality service; this was identified in the previous report. Some staff spoken to would welcome more formal training to widen their knowledge and skills. Formal quality assurance systems that include the views of residents, relatives and other stakeholders must be put in place and the results made available interested parties. Polices and procedures must be reviewed and updated to ensure that they reflect legislation and current good practice advice. An annual development plan for the home must be developed to ensure systematic planning takes place. Formal staff supervision arrangements are not in place. These regular meetings will enable care staff to develop their practice and standards within the home. The home must ensure that they comply with the fire service requirements to ensure that safety of residents accommodated at the home. The home must ensure that it complies with the requirements issued by environmental health. All staff must undertake mandatory training to ensure that they are aware of how to undertake their roles in relation to all health and safety matters. 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. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (standard 6 is not applicable to this service) Admission procedures need to improve to ensure that the home is confident it can meet the needs of prospective residents. EVIDENCE: The inspector checked the personal files of two people who had moved into the home since the previous inspection. One file contained a pre admission assessment but it did not cover all the topics recommended in the Care Homes for Older Peoples national minimum standards as recommended in the previous report. One resident had moved into the home without the registered person undertaking a pre admission assessment so that they could not be sure that the home could meet their needs. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 9. The care plans showed some improvements but risk assessments were not in place. EVIDENCE: The residents’ files checked showed some improvement in the care planning with more detail included and more topics covered to ensure that all of the resident’s care and health needs are assessed and met. All residents’ files checked had a care plan that had been drawn up when they moved into the home. However, there were no risk assessments in relation to falls, pressure sores, moving and handling or nutrition. Files did not contain photographs of residents. Information about residents was kept on their individual files. Not communally as noted in the previous report which was a welcome improvement. The files contained record sheets that had been completed daily and which contained good detail, including when residents had seen health and medical professionals such as the GP, Community Psychiatric Nurses or chiropodist.
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 11 There was no record that residents had been weighed or their weight monitored. An opening and discard date was recorded on all creams and ointments as required in the previous report. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 &14. The level of activities has improved and offers a range of choices for residents. Residents are supported to be able to exercise control over their daily lives within the home. EVIDENCE: A structured activities programme has been put in place offering residents a choice of activities within and outside the home. The home had recently had a singing group performing; a mulled wine and mince pie party and plans were in place to visit the theatre to see a pantomime. Some residents had also been involved in making some produce including marmalade and fudge to sell at the local farmers’ market. It was clear from checking records, talking to residents and a staff and by observation that the home supports and encourages residents to have as much control over their lives as possible. Their preferred rising and retiring times are recorded on their personal files and they are able to choose where they take their meals. Residents’ rooms contained their personal possessions that they are encouraged to bring into the home within the space constraints of their room.
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 13 The home has an advocacy policy but this did not include the details of how to contact local services that would be helpful to those people living at the home. Residents are able to see their personal file and staff spoken to were aware of this and very clear about residents’ rights. Residents are supported to manage their own finances with assistance from their families and staff. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18. The complaints policy was clear and available for all to see and residents were confident that any concerns would be taken seriously. The staff gift policy did not contain all the information recommended as good practice. The policies and procedures and staff training do not fully protect residents from abuse. EVIDENCE: The home has a complaints policy and procedure that was readily available for residents, visitors and staff. The complaint log was kept in the home and available for staff for recording purposes should a complaint be received. Residents spoken to were confident that they could raise any concerns and that they would be dealt with by staff or the registered person. The home has an adult protection policy that detailed what constituted abuse and in what situation it could occur. However, it did not meet the Care Homes for Older People national minimum standards and needed amendment. Staff spoken to were unclear of the correct procedure to follow if an allegation of abuse occurred and should be referred to the Somerset Policy for Safeguarding Vulnerable Adults. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 15 The home has a staff gift policy but it did not preclude staff from assisting with or benefiting from residents wills. All residents who are able are registered to vote and staff assist them to attend the polling station if they wish to. On checking staff files it was evident that one member of staff working at the home had not got a POVA First check or CRB enhanced disclosure, that must be undertaken prior to starting work to ensure that protection of residents. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 24. The home provides a good, homely environment for residents that is kept clean and tidy. All residents have a single en suite room. The standard of furnishing and fittings are high. EVIDENCE: All areas of the home were clean, tidy and free from odours on the day of the inspection. A record of property brought into the home by residents had been developed and put on each resident’s file. A new dishwasher has been purchased and a new lounge carpet ordered as required in the previous report. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28. The number of staff available on the day of the inspection was sufficient to meet the needs of residents. Progress in giving care staff access to obtaining a qualification, mandatory and foundation training is poor. The homes recruitment and selection procedure does not protect residents. EVIDENCE: There was sufficient staff on duty on the day of the inspection to meet the needs of the residents in a professional and unhurried manner. All residents spoken to were very satisfied with the care they receive from staff and comments included that staff were ‘very nice’ and ‘very good’. There had been no change to the number of qualified staff at the home since the previous inspection. Progress towards supporting the staff to obtain NVQ qualifications and access other relevant training in order for them to provide a high quality of care was slow. One staff file checked showed that the person had not completed a detailed induction course that was to the Skills for Care standard. Several staff had not completed mandatory training and there was no evidence that staff had access to foundation training such as dementia and other conditions related to age.
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 18 One new member of staff had started work at the home since the previous inspection and their file was checked. It contained a medical declaration, evidence of identification and a record of application to the Criminal Records Bureau. It did not contain any evidence that a POVA First check had been obtained, that proof of qualifications had been obtained to ensure their authenticity, no written references had been obtained although the registered person stated that one verbal reference from the last employer had been obtained but the information given had not been recorded. There was no evidence that the employee had been given a contract of employment, job description or an individual copy of the General Social Care Council code of conduct. Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. The home is well run by an experienced registered person/manager. Formal systems for assessing the quality of care provided at the home were not in place. Sound financial systems were in place to safeguard residents interests. The health, safety and welfare of residents was not fully promoted. EVIDENCE: The registered person (Mrs Emma Purvis) has several years experience of running the care home and is committed to providing a high standard of care in the home, although she has not obtained a NVQ level 4 qualification or undertaken any training other than in mandatory topics for some time. Staff
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 20 spoken to were very clear about the role of the registered person/manager and said that they felt well supported and able to ask for advice and support as necessary. The registered person stated that there is not a formal written development plan and that internal quality assurance schemes are limited to visitor questionnaires and a suggestion box. However, the results were not collated and there was no evidence that the views of other stakeholders in the community were sought. However, it was clear from observation and from talking to the residents that they have a very positive relationship with the registered person and are able to put their opinion to her about events in the home. Policies and procedures relevant to the care home were in place but not all were up to date. The home did not manage residents’ finances; this was done by residents themselves or with assistance from relatives and solicitors. Records were kept and receipts given of valuable handed over for safekeeping. A supervision policy covering the topics recommended in the Care Homes for Older people national minimum standards has been developed, although regular formal supervision did not yet take place. Fire Safety The Fire Service had visited the home in August 2005 and issued the home with notice of several areas of non-compliance with the Fire Precautions (Workplace) Regulations 1997, including the lack of a suitable fire risk assessment. These issues had not been fully addressed by the time of the inspection. Mandatory Training Six members of staff did not have a current moving and handling qualification to ensure that residents were assisted safely. Seven members of staff did not have current first aid certificates to ensure that emergency first aid could be given to residents if necessary. The fire safety training did not meet the requirements of the fire service and were not certificated. Two members of staff had not completed food hygiene training. and only one member of staff had completed health and safety training. Servicing The parker bath was serviced and repaired on the 12th September 2005, PAT testing was undertaken on the 15th March 2005 and the fire alarm and call system were serviced on The 7th October 2005. The stair lift had been serviced on the 23rd March 2005 and the fire extinguishers on the 5th February 2005.
Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 21 The hard wiring certificate was not available although the registered person stated that it had been issued in 2001and was still valid. Kitchen Opened food was seen to be stored in the fridge correctly; it was covered, dated and labelled. Records were kept of temperatures checks of food served. Infection Control Policies and procedures were in place Policies and procedures were in place in relation to safe working practices. The registered person stated that health and safety induction was undertaken in house using a Crier handbook, this was not certificated, Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 2 3 X X X X 3 X X STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 3 2 Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes. 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 OP3 Regulation 14 Requirement The registered person must ensure that a pre admission assessment is undertaken prior to admission for all prospective residents. (Timescale of 31/10/05 not met) 2 OP7 15 Schedule 3(1b) 13(4b,c) All residents must have a risk assessment in relation to falls undertaken on admission and as necessary thereafter. (Previous timescale of 31/10/05 not met) 3 4 OP7 OP29 Schedule 3(2) 19(1)(c) Schedule 2(5) 19(1)(b) (i)(4)(b) (i)(c) Schedule 2(7) All photographs of residents must be kept on their file. The registered person must ensure that proof of qualifications is obtained to ensure that they are authentic. The registered person must not employ anyone at the home unless a satisfactory POVA first check or enhanced CRB disclosure had been obtained.
DS0000016064.V275146.R01.S.doc Timescale for action 28/02/06 28/02/06 28/02/06 28/02/06 5 OP29 06/01/06 Woodlands Farmhouse Version 5.1 Page 24 6 OP30 18(1)(c) The registered person must ensure that staff are given access to appropriate training to enable them to develop their existing knowledge and skills to care for older people. (Previous timescale of 31/12/05 not met) The registered person must ensure that they are working towards obtain an NVQ level 4 in management and care. The registered person must ensure that there is an annual development plan developed in line with the Care Homes for Older People national minimum standard 33.2. A verifiable quality assurance system, involving residents should take place at least yearly. The results of surveys should be collated and made available to residents, their representatives and other interested parties. The registered person must ensure that policies and procedures are reviewed and updated to reflect current good practice advice. The registered person must ensure that all staff are appropriately supervised through formal supervision arrangements and opportunities. (Previous timescale of 30/11/05 not met) 28/02/06 7 OP31 19(2)(b) (i) 31/03/06 8 OP33 24(1)(a) (b)(2)(3) 31/03/06 9 OP33 24(1)(a) (b)(2)(3) 31/03/06 10 OP33 10(1) 12(1)(a) (b) 31/03/06 11 OP36 18(2) 28/02/06 12 OP38 23(1)(a) The registered person must
DS0000016064.V275146.R01.S.doc 28/02/06
Version 5.1 Page 25 Woodlands Farmhouse provide evidence of compliance with the requirements issued by the fire service in August 2005. 13 OP38 18(1)((a) (c)(i) The registered person must 28/02/06 endure that all staff undertake training in moving and handling, first aid, food hygiene, fire safety and health and safety. 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 OP3 Good Practice Recommendations It is recommended that the pre admission assessment covers all topics detailed in standard 3.3 of the national minimum standards. The registered person should ensure that all residents are weighed regularly. It is recommended that a nutritional risk assessment tool is obtained and undertaken on admission and regularly thereafter for all residents. Sit on scales should be purchased to enable all residents’ weights to be monitored. Pressure sore risk assessments should be undertaken on admission and regularly thereafter. The advocacy policy should include the details of local advocacy services. The gift policy should make clear that staff are precluded from assisting with or benefiting from residents wills. The registered person should obtain copy of the Department of Health guidance No Secrets and the
DS0000016064.V275146.R01.S.doc Version 5.1 Page 26 2 3 OP8 OP8 4 5 6 7 OP8 OP8 OP17OP14 OP18 8 OP18 Woodlands Farmhouse Somerset policy for safeguarding vulnerable adults. The adult abuse policy should be revised to correspond with good practice advice and guidance. 9 OP28 The registered person should ensure that at least fifty per cent of staff are qualified to NVQ level 2 as soon as practicable. The registered person should ensure that all staff are given a job description and contract of employment. All staff should be given their own copy of the General Social Care Council code of conduct. The registered person should ensure that they undertake periodic training relevant to the role of running a care home. Formal staff supervision should take place at least six times a year. 10 11 12 OP29 OP29 OP31 13 OP36 Woodlands Farmhouse DS0000016064.V275146.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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