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* 1. Name of the care home?

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* 2. Your name?

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* 3. Job Role

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* 4. Are you part of a group?

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* 5. What is your current CQC rating?

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* 6. Address of the care home?

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* 7. Direct contact number?

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* 8. Email address?

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* 9. You agree to the following:
  • You are the responsible person authorised to request a visit to your organisation. 
  • You agree to sign a mutual confidentiality agreement with OCH Solutions Ltd. 
  •  You agree to pay for my travel and accommodation if your care home is more than 20 miles away from my location in West Sussex. 
  •  You agree that I would be wearing a Christmas jumper for this project.  
  • You agree that you are genuinely interested to improve your service and action my feedback. 
  • You agree that you give me feedback by end of Jan 2019 on how you have actioned my feedback. 

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