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Amersham Hospital Building

Amersham Hospital, Whielden Street, Amersham, Buckinghamshire, HP7 0JD

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Access Guide

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Getting To The Hospital

  • By Road View
    • From the M40 Beaconsfield at Junction 2 follow signs for Amersham and take the A355. Continue down the steep hill and go straight across the first roundabout. Go left at the next roundabout at the bottom of the hill. At the next roundabout turn left into Whielden Street. The hospital is located 500 metres on the right. From the Chorleywood M25 junction follow signs for Amersham and take the A404. As you enter Amersham follow the signs for High Wycombe and take the bypass. Go straight across the Stanley Hill roundabout then turn right at the Gore Hill roundabout. At the bottom of the hill turn left at the mini roundabout then take the first left into Whielden Street. The hospital is located 500 metres on the right. From Aylesbury follow signs for Amersham and take the A413 then the Amersham bypass. At the Whielden Lane roundabout turn right onto the A404 to High Wycombe and then turn left into Whielden Street. Take the first left and the main car park is about 400m down the road. From High Wycombe follow signs for Amersham and take the A404 to Amersham. As you enter to Amersham you will pass a Crematorium on the left and then come to a roundabout. Go completely around the roundabout and head back towards High Wycombe. Take the first turning on the left into Whielden Street. Take the first left and the main car park is about 400m down the road. Please Note: It is not possible to turn right into Whielden Street from the A404.
    • The main car park is at the rear of the building. There is an additional car park at the front of the building. There is also a limited number of parking spaces available on the public highway at the front of the hospital.
  • By Bus View
    • Amersham Hospital is served by the following buses: Route 1 Arriva/Carousel: High Wycombe – Hazlemere – Holmer Green - Amersham – Chesham Route 55 Redline Buses: Aylesbury – Stoke Mandeville Hospital – Wendover – Great Missenden –Amersham – Chesham Route 73 Red Rose Travel: Whelpley Hill – Chesham – Amersham – Winchmore Hill - Coleshill Route 353 Redline Buses: Slough – Stoke Poges – Gerrards Cross – The Chalfonts – Amersham.
  • By Train View
    • The nearest train station to Amersham hospital is Amersham station. Details of trains to Amersham station can be accessed via the Chiltern Railways website.
  • By Underground View
    • The nearest London Underground station is Amersham station.
  • Useful Links View

Getting Help and Assistance

  • There is not a Patient Advice and Liaison Service (PALS) at the hospital.
  • Volunteers do not receive disability awareness / equality training.
  • There are volunteers available for help and assistance at the hospital.
  • Volunteers can be found at the help desks.
  • Hospital staff do receive disability awareness / equality training.
  • Hospital staff receive deaf awareness training.
  • The alternative formats documents can be provided in include; large print on request, Makaton on request and different languages on request.
  • There is not an assistance dog toilet or toileting area on the hospital site.
  • Water bowls for assistance dogs are available.
  • BSL interpreters can be provided on request.
  • Language interpreters can be provided on request.
  • Mobility aids are available to help patients move around and include; wheelchairs.
  • To obtain mobility aids please contact staff at Main Entrance C and Entrance D.

Hospital Parking (Main Hospital Car Park)

  • Parking View
    • The hospital does have a dedicated car park.
    • The car park is located at the rear of the hospital site.
    • The car park type is open air/surface.
    • The car park does not have a height restriction barrier.
    • The car park does not have a barrier control system.
    • The car park surface is concrete.
    • There is a/are Blue Badge parking bay(s) available.
    • The Blue Badge bay(s) markings are faded.
    • There is/are 5 designated Blue Badge parking bay(s) within the hospital car park.
    • The dimensions of the designated Blue Badge parking bay(s) surveyed are 367cm x 480cm (12ft x 15ft 9in).
    • There is not a 120cm hatched zone around the Blue Badge parking bay(s).
    • The dimensions of other designated Blue Badge parking bay(s) vary in size.
  • Drop-off Point View
    • There is not a designated drop-off point.
  • Paying View
    • There are parking charges for the hospital car park.
    • Payment signs are provided.
    • Payment signs are clearly presented.
    • Payment signs are located throughout the car park.
    • Payment signs do not make it clear if parking charges apply to Blue Badge holders.
    • Parking is free for Blue Badge holders.
    • Payment machines are located throughout the car park.
    • There is not a payment machine at a convenient height for wheelchair users.
    • There is not a level turning space (minimum 185cm x 210cm) in front of the payment machine(s).
    • To see the hospital parking charges please click here (opens new tab).
  • Access to the Hospital View
    • The route from the car park to the entrance is accessible to a wheelchair user with assistance.
    • Assistance may be required because there is/are slopes/ramps.
    • The hospital entrance is clearly visible from the car park.
    • The nearest designated Blue Badge parking bay is approximately 18m (19yd 2ft) from the entrance (C).
  • Comments View
    • There is free parking for Blue Badge holders provided a valid Blue Badge is clearly displayed on the windscreen of the vehicle.

Hospital Parking (Front Car Park)

  • Parking View
    • The hospital does have a dedicated car park.
    • The car park is located at the front of the hospital site.
    • The car park type is open air/surface.
    • The car park does not have a height restriction barrier.
    • The car park does have a barrier control system.
    • The barrier controls/touchscreen can be reached from the car.
    • The car park surface is concrete.
    • There is a/are Blue Badge parking bay(s) available.
    • The Blue Badge bay(s) markings are faded.
    • There is/are 6 designated Blue Badge parking bay(s) within the hospital car park.
    • The dimensions of the designated Blue Badge parking bay(s) surveyed are 245cm x 480cm (8ft x 15ft 9in).
    • There is not a 120cm hatched zone around the Blue Badge parking bay(s).
    • The dimensions of other designated Blue Badge parking bay(s) vary in size.
  • Drop-off Point View
    • There is not a designated drop-off point.
  • Paying View
    • There are parking charges for the hospital car park.
    • Payment signs are provided.
    • Payment signs are clearly presented.
    • Payment signs are located throughout the car park.
    • Payment signs do not make it clear if parking charges apply to Blue Badge holders.
    • Parking is free for Blue Badge holders.
    • Payment machines are located at Entrance F.
    • There is a payment machine at a convenient height for wheelchair users.
    • There is not a level turning space (minimum 185cm x 210cm) in front of the payment machine(s).
    • To see the hospital parking charges please click here (opens new tab).
  • Access to the Hospital View
    • The route from the car park to the entrance is accessible to a wheelchair user with assistance.
    • Assistance may be required because there is/are uneven surfaces.
    • The hospital entrance is clearly visible from the car park.
    • The nearest designated Blue Badge parking bay is approximately 6m (6yd 1ft) from the entrance (D).
  • Comments View
    • There is free parking for Blue Badge holders provided a valid Blue Badge is clearly displayed on the windscreen of the vehicle.

Outside Access (Main Hospital Entrance - C)

  • Entrance Details View
    • This information is for the entrance located at the rear of the hospital site.
    • The entrance area/door is clearly signed.
    • There is ramped/sloped access at this entrance.
    • There is a canopy or recess which provides weather protection at this entrance.
    • The entrance door(s) does not/do not contrast visually with its immediate surroundings.
    • There is a dark mat or floor marking at this entrance that might be perceived as a hole.
    • There is an intercom.
    • The height of the intercom is 139cm (4ft 7in).
    • There is a hand sanitiser.
    • The height of the hand sanitiser is 107cm (3ft 6in).
    • There is a door release button when exiting.
    • The height of the door release button is 125cm (4ft 1in).
    • Standard manual wheelchairs are available for people to borrow at this entrance.
    • The main door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 152cm.
    • There is a small lip on the threshold of the entrance, with a height of 1.5cm or below.
    • There is a second set of doors.
    • The door(s) open(s) automatically.
    • The door(s) is/are single width.
    • The width of the door opening is 121cm.
  • Ramp/Slope Details View
    • The ramp/slope is located to the right as you face the entrance.
    • The ramp/slope gradient is slight.

Outside Access (Entrance B - Dermatology)

  • Entrance Details View
    • This information is for the entrance located to the right of the main entrance.
    • The entrance area/door is clearly signed.
    • There is ramped/sloped access at this entrance.
    • There is a canopy or recess which provides weather protection at this entrance.
    • The entrance door(s) does/do contrast visually with its immediate surroundings.
    • There is not a bell/buzzer.
    • There is an intercom.
    • The height of the intercom is 125cm (4ft 1in).
    • There is a hand sanitiser.
    • The height of the hand sanitiser is 87cm (2ft 10in).
    • There is a door release button when exiting.
    • The height of the door release button is 131cm (4ft 4in).
    • The main door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 100cm.
    • There is a small lip on the threshold of the entrance, with a height of 1.5cm or below.
    • There is a second set of doors.
    • The door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 130cm.
    • There is a small lip on the threshold of the entrance, with a height of 1.5cm or below.
  • Ramp/Slope Details View
    • The ramp/slope is located in front of the entrance.
    • The ramp/slope gradient is slight.
    • The ramp/slope is permanent.
    • There is not a level landing at the top of the ramp/slope.
    • There is not a/are not handrail(s) at the ramp.

Outside Access (Entrance D)

  • Entrance Details View
    • This information is for the entrance located at the front of the hospital site, on the left hand side of the building.
    • The entrance area/door is clearly signed.
    • There is ramped/sloped access at this entrance.
    • There is not a canopy or recess which provides weather protection at this entrance.
    • The entrance door(s) does/do contrast visually with its immediate surroundings.
    • There is not a bell/buzzer.
    • There is an intercom.
    • The height of the intercom is 130cm (4ft 3in).
    • There is not a hand sanitiser.
    • There is a door release button when exiting.
    • The height of the door release button is 115cm (3ft 9in).
    • The main door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 136cm.
    • There is a small lip on the threshold of the entrance, with a height of 1.5cm or below.
  • Ramp/Slope Details View
    • The ramp/slope is located in front of the entrance.
    • The ramp/slope gradient is slight.

Outside Access (Entrance F)

  • Entrance Details View
    • This information is for the entrance located at the front of the hospital site, in the middle of the building.
    • The entrance area/door is clearly signed.
    • There is ramped/sloped access at this entrance.
    • There is a canopy or recess which provides weather protection at this entrance.
    • The entrance door(s) does not/do not contrast visually with its immediate surroundings.
    • There is a dark mat or floor marking at this entrance that might be perceived as a hole.
    • There is not a bell/buzzer.
    • There is an intercom.
    • The height of the intercom is 134cm (4ft 5in).
    • There is a hand sanitiser.
    • The height of the hand sanitiser is 114cm (3ft 9in).
    • There is a door release button when exiting.
    • The height of the door release button is 124cm (4ft 1in).
    • The main door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 144cm.
    • There is a small lip on the threshold of the entrance, with a height of 1.5cm or below.
    • There is a second set of doors.
    • The door(s) open(s) automatically.
    • The door(s) is/are double width.
    • The width of the door opening is 164cm.
  • Ramp/Slope Details View
    • The ramp/slope is located in front of the entrance.
    • The ramp/slope gradient is steep.

Reception (Main Entrance)

  • Reception View
    • The reception point is located immediately on the left when entering through the main entrance.
    • The reception point is approximately 3m (3yd 10in) from the main entrance.
    • The reception area/desk is clearly visible from the entrance.
    • There is step free access to the reception point.
    • There is a clear unobstructed route to the reception point.
    • There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read.
    • The reception counter is not placed in front of a background which is patterned.
    • The lighting levels at the reception point are moderate to good.
    • The height of the reception counter is high (110cm+).
    • There is sufficient space to write or sign documents on the counter.
    • There is not a low section of the counter (76cm or below) available.
    • The counter is staffed.
    • There is not a bell to attract attention.
    • There is not a hearing assistance system.
    • Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are provided in the reception area.
  • Reception Waiting Area View
    • There is not a waiting area close to the reception point.
  • Comments View
    • There is a small café near to the reception area.

Getting Around (Amersham Hospital)

  • Access View
    • There is step free access throughout the building via lift(s).
  • Circulation View
    • There are not doors in corridors which have to be opened manually.
    • The type of flooring in walkways and corridors is carpet and vinyl.
    • There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people.
    • Handrails are provided in some corridors.
    • Seating is provided in some corridors.
    • There is good colour contrast between the walls and floor in all areas.
    • The lighting levels are varied.
  • Signage and Wayfinding View
    • Wayfinding signage is provided.
    • The colour, design and typeface of signs is consistent throughout the building.
    • The wayfinding signage does not include pictograms.
    • Dementia friendly signage is provided.
    • Maps are provided at key intersections.
    • Each floor has its own colour code.
  • Audio View
    • This venue does not play background music in public areas.
    • There is not a hearing assistance system in the public areas of the building.

Eating and Drinking (Tea Bar)

  • The following information is for the café.
  • Full table service is not available.
  • Food or drinks are ordered from the service counter.
  • Food or drinks can be brought to the table.
  • There is a lowered section at the counter.
  • No tables are permanently fixed.
  • No chairs are permanently fixed.
  • All chairs have armrests.
  • The nearest table is approximately 5m (5yd 1ft) from the Main Hospital Entrance C.
  • The standard height for tables is 61cm.
  • Plastic / takeaway cups are available.
  • Plastic / takeaway cutlery is available.
  • Drinking straws are not available.
  • There is not ample room for a wheelchair user to manoeuvre.
  • Menus are hand held only.
  • Menus are not available in Braille.
  • Menus are not available in large print.
  • Picture menus are not available.
  • Menus are clearly written.
  • Menus are presented in contrasting colours.
  • The type of food served here is hot and cold drinks and snacks.

Other Floors (Main Staircase)

  • Stairs View
    • Signs indicating the location of the stairs are clearly visible from the entrance.
    • The floors which are accessible by stairs are G,1,2.
    • There are 15+ steps between floors.
    • The height of the step(s) is/are between the recommended 15cm and 18cm.
    • The going of the step(s) is/are between the recommended 30cm and 45cm.
    • The steps are clearly marked.
    • The steps do have handrails.
    • The steps have a handrail on both sides.
    • Handrails are at the recommended height (90cm-100cm).
    • Handrails do cover the flight of stairs throughout its length.
    • Handrails are easy to grip.
    • Handrails do not extend horizontally beyond the first and last steps.
    • There is a landing.
    • Clear signs indicating the facilities on each floor of the building are provided on landings.
    • The lighting levels are good.

Other Floors (Entrance F)

  • Stairs View
    • Signs indicating the location of the stairs are clearly visible from the entrance.
    • There are manual, double doors which may be difficult to open to from the first floor upwards.
    • The floors which are accessible by stairs are G,1,2.
    • There are 15+ steps between floors.
    • The height of the step(s) is/are between the recommended 15cm and 18cm.
    • The depth of the step(s) is/are between the recommended 30cm and 45cm.
    • The steps are clearly marked.
    • The steps do have handrails.
    • The steps have a handrail on both sides.
    • Handrails are at the recommended height (90cm-100cm).
    • Handrails do cover the flight of stairs throughout its length.
    • Handrails are easy to grip.
    • Handrails do not extend horizontally beyond the first and last steps.
    • There is a landing.
    • Clear signs indicating the facilities on each floor of the building are provided on landings.
    • The lighting levels are good.

Lift (Main Lifts)

  • There is a lift for public use.
  • The lift is located straight ahead as you enter the Main Hospital Entrance (C).
  • Signs indicating the location of this lift are clearly visible from the entrance.
  • The lift is approximately 14m (15yd 11in) from the Main Hospital Entrance (C).
  • The lift is a standard lift.
  • Staff do not need to be notified for use of the lift.
  • The floors which are accessible by this lift are G,1,2.
  • Clear signs indicating the facilities on each floor are provided on lift lobby landings.
  • There is a clear level manoeuvring space of 150cm × 150cm in front of the lift.
  • Lift doors do contrast visually with lift lobby walls.
  • The external controls for the lift are within 90cm - 110cm from the floor.
  • The colour contrast between the external lift controls and the control plate is poor.
  • The colour contrast between the external lift control plate and the wall is good.
  • The clear door width is 130cm (4ft 3in).
  • The dimensions of the lift are 151cm x 241cm (4ft 11in x 7ft 11in).
  • There are not separate entry and exit doors in the lift.
  • There is not a mirror to aid reversing out of the lift.
  • There is not a list of floor services available within the lift.
  • The lift does have a visual floor indicator.
  • The lift does have an audible announcer.
  • The internal controls for the lift are within 90cm - 120cm from the floor.
  • There is not a hearing assistance system.
  • The lift does not have Braille markings.
  • The lift does have tactile markings.
  • The lighting level in the lift is good.

Lift (Entrance F)

  • There is a lift for public use.
  • The lift is located to the right as you enter from entrance F.
  • Signs indicating the location of this lift are clearly visible from the entrance.
  • The lift is approximately 6m (6yd 1ft) from the entrance.
  • The lift is a standard lift.
  • Staff do not need to be notified for use of the lift.
  • The floors which are accessible by this lift are G, 1, 2.
  • Clear signs indicating the facilities on each floor are provided on lift lobby landings.
  • There is a clear level manoeuvring space of 150cm × 150cm in front of the lift.
  • Lift doors do contrast visually with lift lobby walls.
  • The external controls for the lift are within 90cm - 110cm from the floor.
  • The colour contrast between the external lift controls and the control plate is poor.
  • The colour contrast between the external lift control plate and the wall is good.
  • The clear door width is 91cm (2ft 12in).
  • The dimensions of the lift are 132cm x 181cm (4ft 4in x 5ft 11in).
  • There are not separate entry and exit doors in the lift.
  • There is not a mirror to aid reversing out of the lift.
  • There is not a list of floor services available within the lift.
  • The lift does have a visual floor indicator.
  • The lift does have an audible announcer.
  • The internal controls for the lift are within 90cm - 120cm from the floor.
  • There is not a hearing assistance system.
  • The lift does not have Braille markings.
  • The lift does have tactile markings.
  • The lighting level in the lift is good.

Accessible Toilet(s) (Ground Floor - Left Hand Transfer)

  • There is an/are accessible toilet(s) available.
  • Location and Access View
    • This accessible toilet is located opposite the cafe.
    • This accessible toilet is approximately 23m from the entrance (D).
    • There is step-free access into the accessible toilet.
    • This is a shared toilet.
    • A key is not required for the accessible toilet.
    • There is Braille, pictorial, written text and dementia friendly signage on or near the toilet door.
    • The contrast between the external door and wall is good.
    • The door opens inwards.
    • The door is easy to open.
    • The door is locked by a lever twist.
    • The width of the accessible toilet opening is 86cm (2ft 10in).
    • The contrast between the internal door and wall is good.
    • The door does not have a horizontal grab rail.
  • Toilet Features View
    • The dimensions of the accessible toilet are 159cm x 278cm (5ft 3in x 9ft 1in).
    • The accessible toilet does have an unobstructed minimum turning space of 150cm x 150cm.
    • The height of the light switch/pull cord is 117cm from floor level.
    • The lighting levels are moderate to good.
    • There is a lateral transfer space.
    • As you face the toilet pan the transfer space is on the left.
    • The lateral transfer space is 90cm.
    • The transfer space is obstructed by a sanitary bin.
    • There is a flush, however it is not on the transfer side.
    • There is not a spatula type lever flush.
    • There is a lever flush.
    • There is a dropdown rail on the transfer side.
    • The contrast between the dropdown rail(s) and wall is good.
    • There is a/are wall-mounted grab rail(s) available.
    • As you face the toilet the wall-mounted grab rail(s) is/are on the right.
    • There is not a vertical wall-mounted grab rail on the transfer side.
    • There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space.
    • The contrast between the wall-mounted grab rail(s) and wall is poor.
    • The contrast between the walls and floor is fair.
    • There is an emergency alarm.
    • The emergency alarm is fully functional.
    • There is not a red flashing fire alarm beacon within the toilet.
    • Disposal facilities are available in the toilet.
    • There is a/are sanitary and pedal bin disposal units.
    • There is a/are coat hook(s).
    • The height of the coat hook is 120cm from the floor.
  • Additional Fixtures View
    • There is a mirror.
    • The mirror is not placed at a lower level or at an angle for ease of use.
    • There is not a shelf within the accessible toilet.
    • The toilet has a backrest.
    • The height of the toilet seat above floor level is 52cm (1ft 8in).
    • The toilet seat colour contrast is poor.
    • There is a toilet roll holder.
    • The toilet roll holder can be reached from seated on the toilet.
    • The toilet roll holder is placed higher than 100cm (3ft 3in).
    • The height of the toilet roll holder is 103cm (3ft 5in).
    • The contrast between the toilet roll holder and the wall is poor.
    • There is a wash basin.
    • The wash basin and tap(s) can be reached from seated on the toilet.
    • The wash basin is placed higher than 74cm (2ft 5in).
    • The height of the wash basin is 83cm (2ft 9in).
    • There is a vertical wall-mounted grab rail on the left hand side of the wash basin.
    • The contrast between the wash basin wall-mounted grab rail(s) and wall is poor.
    • The wash basin tap type is lever mixer.
    • There is a wall fixed soap dispenser.
    • The soap dispenser can be reached from seated on the toilet.
    • The height of the soap dispenser is 115cm.
    • There is a towel dispenser.
    • The towel dispenser cannot be reached from seated on the toilet.
    • The towel dispenser is placed higher than 100cm (3ft 3in).
    • The height of the towel dispenser is 124cm (4ft 1in).
    • The contrast between the towel dispenser and the wall is fair.
    • There is not a hand dryer.

Standard Toilet(s) (Ground Floor)

  • Standard toilet facilities are available.
  • Toilet Facilities View
    • The shared toilet is located opposite the cafe.
    • There is step-free access into the toilet(s).
    • The standard toilet(s) is/are approximately 24m from the entrance (D).
    • There is Braille, tactile, pictorial and written text signage on or near the toilet door.
    • The colour contrast between the external toilet door(s) and wall(s) is good.
    • The colour contrast between the internal toilet door(s) and wall(s) is good.
    • The colour contrast between the walls and floor is fair.
    • Toilet seats do not have a good colour contrast.
    • An ambulant toilet cubicle is available.
    • There is a/are horizontal wall mounted rail(s) on the left as you face the toilet.
    • The colour contrast of the horizontal wall mounted grab rail(s) in the ambulant cubicle(s) is poor.
    • There is a/are vertical wall mounted rail(s) on the left as you face the toilet.
    • The colour contrast of the vertical wall mounted grab rails in the ambulant cubicle(s) is poor.
    • There is a/are dropdown rail(s) on the right as you face the ambulant toilet(s).
    • The colour contrast of the dropdown rail(s) in the ambulant cubicle(s) is poor.
    • The height of the wash basin(s) is 86cm.
    • The wash basin(s) tap type is lever mixer.
    • There is a wall fixed soap dispenser.
    • The wall fixed soap dispenser is located above the wash basin.
    • Lighting levels are moderate to good.
  • Toilet Facilities 2 View
    • The shared toilet is located to the left of the Drake Unit.
    • There is step-free access into the toilet(s).
    • The standard toilet(s) is/are approximately 10m from the entrance (F).
    • There is Braille, tactile, pictorial and written text signage on or near the toilet door.
    • The colour contrast between the external toilet door(s) and wall(s) is good.
    • The colour contrast between the internal toilet door(s) and wall(s) is good.
    • The colour contrast between the walls and floor is poor.
    • Toilet seats do not have a good colour contrast.
    • An ambulant toilet cubicle is available.
    • There is a/are horizontal wall mounted rail(s) on the left as you face the toilet.
    • The colour contrast of the horizontal wall mounted grab rail(s) in the ambulant cubicle(s) is poor.
    • There is a/are vertical wall mounted rail(s) on the right as you face the toilet.
    • The colour contrast of the vertical wall mounted grab rails in the ambulant cubicle(s) is poor.
    • There is a/are dropdown rail(s) on the right as you face the ambulant toilet(s).
    • The colour contrast of the dropdown rail(s) in the ambulant cubicle(s) is poor.
    • The height of the wash basin(s) is 86cm.
    • The wash basin(s) tap type is lever mixer.
    • There is a wall fixed soap dispenser.
    • The wall fixed soap dispenser is located above the wash basin.
    • Lighting levels are moderate to good.

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