Certificate of Registration

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1 Certificate of Registration This is to certify the following service provider has been registered by the Care Quality Commission under the Health and Social Care Act 2008 Certificate number: Certificate date: Provider ID: CRT /04/2015 RLY Section 1 Name of service provider: Address of service provider: Service Provider details North Combined Healthcare NHS Trust Trust Headquarters Bellringer Road, Trentham Lakes South ST4 8HH Date of Registration: 01/04/2010 Signed David Behan Chief Executive You can CQC at: You can contact CQC on telephone number: You can write to CQC at: CQC National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA Page 1 of 6

2 Section 2 North Combined Healthcare NHS Trust is registered in respect of Regulated Activity: Accommodation for persons who require nursing or personal care For Regulated Activity Accommodation for persons who require nursing or personal care the Nominated Individual (where applicable) is: Caroline Donovan Conditions of registration that apply to: North Combined Healthcare NHS Trust for Accommodation for persons who require nursing or personal care 1. The registered provider must ensure that the regulated activity accommodation for persons who require nursing or personal care is managed by an individual who is registered as a manager in respect of that activity at or from all locations. 2. This Regulated Activity may only be carried on at or from the following locations: Dragon Square Community Unit 4 & 5 Dragon Square Chesterton Newcastle Under Lyme ST5 7HL RLY36 1. The registered provider must only accommodate a maximum of six service users at Dragon Square Community Unit. Page 2 of 6

3 North Combined Healthcare NHS Trust is registered in respect of Regulated Activity: Assessment or medical treatment for persons detained under the Mental Health Act 1983 For Regulated Activity Assessment or medical treatment for persons detained under the Mental Health Act 1983 the Nominated Individual (where applicable) is: Caroline Donovan Conditions of registration that apply to: North Combined Healthcare NHS Trust for Assessment or medical treatment for persons detained under the Mental Health Act This Regulated Activity may only be carried on at or from the following locations: Darwin Centre 167 Queens Road Penkhull ST4 7LF RLY86 Florence House 57 Belgrave Road ST3 4PN RLY39 Harpland's Hospital Hilton Road ST4 6TH RLY88 Page 3 of 6

4 Summer View Furlong Road ST6 5UD RLY87 Page 4 of 6

5 North Combined Healthcare NHS Trust is registered in respect of Regulated Activity: Treatment of disease, disorder or injury For Regulated Activity Treatment of disease, disorder or injury the Nominated Individual (where applicable) is: Caroline Donovan Conditions of registration that apply to: North Combined Healthcare NHS Trust for Treatment of disease, disorder or injury 1. This Regulated Activity may only be carried on at or from the following locations: Darwin Centre 167 Queens Road Penkhull ST4 7LF RLY86 Dragon Square Community Unit 4 & 5 Dragon Square Chesterton Newcastle Under Lyme ST5 7HL RLY36 Florence House 57 Belgrave Road ST3 4PN RLY39 Page 5 of 6

6 Harpland's Hospital Hilton Road ST4 6TH RLY88 Summer View Furlong Road ST6 5UD RLY87 Trust Headquarters Trentham Business Centre Bellringer Road, Trentham Lakes South ST4 8HH RLY00 End of certificate Page 6 of 6

Certificate of Registration

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