CARE HOME ADULTS 18-65
4 - 6 Cavendish Road Felixstowe Suffolk IP11 2AX Lead Inspector
Helen Fontaine Unannounced Inspection 9th January 2006 10:00 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 4 - 6 Cavendish Road DS0000048200.V278205.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 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. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 4 - 6 Cavendish Road Address Felixstowe Suffolk IP11 2AX 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) 01394 286990 Together: Working for Wellbeing Post Vacant Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (13) 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users must be under 65 years of age at the time of admittance to the home. 11th October 2005 Date of last inspection Brief Description of the Service: The home is situated in a residential area of Felixstowe within easy reach of the beach and local amenities, such as shops. The home is in two linked adapted domestic houses, providing accommodation on three floors. Cavendish Road has a small back garden, which is accessible to service users and is attractively designed. The home is registered for thirteen service users with mental disorder. Service users are aged below 65 years of age at the time of admission, but may remain at the home over 65 years of age, so long as the home is still able to meet the service user’s physical and mental health needs. The home is owned by Together, which was previously known as MACA. The homes manager is Janet Gentry. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection of Cavendish road took place over two days and was the second statutory inspection visit in the inspection programme for 2005/6. Over the course of the two visits, all core standards have now been assessed. Six requirements and two recommendations were set at the previous inspection. One requirement has not yet been met and has been restated in this report with a new timescale for compliance. A further four requirements and two recommendations were set at this inspection. During the first visit to the home a senior assisted the inspector and a number of residents were spoken to, documents were looked and a tour of the home was undertaken. It was during this visit that a resident became very unwell and the inspector’s presence in the home was distressing to the resident. It was felt at this point that the inspector should leave and return at a suitable time for the resident. The home informed the inspector that the resident had been admitted into hospital and the second visit took place. The manager and the area manager were present, residents were spoken to and a number of documents looked at. What the service does well: What has improved since the last inspection?
At the last inspection there were six requirements and two recommendations, all but one requirement has been met. All the residents are subject to a Care Planning Approach, which involves a review of the residents needs. This involves the resident, health, social care, the home and anyone else involved that the resident requests attends. The care plan is then written by the Co-ordinator and read and signed by the resident. During the inspection a Co-ordinator was present to share a care plan
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 6 with a resident this therefore meets the standard stated in the previous requirement. The requirement over the hot water, the resident’s files looked at showed that there were risk assessment on all residents’ files. During the tour of the home, it was noted that there were warning notices in all the areas warning about the hot water. The requirement around training, the manager said that four staff are now undertaken National Vocational Qualification level three. Once these staff have completed their National Vocational Qualification, more than 50 of the staff will be trained above the National Minimum Standards. The manager said that the staff are doing very well and are completing units in a month. The home’s complaints procedure does now provide the Commission for Social Care Inspection, address and telephone number. The home also now informs the Commission if there has been an incident that affects the home or its residents. The two recommendations do not need to be repeated following this inspection, documents seen during this inspection evidenced that the home have taken on board the comments from the last inspection. What they could do better:
During the inspection a tour of the home was undertaken and it was found that there were a number of areas that were of concern to the inspector. As previously stated the home is currently undergoing some quite major refurbishment and because of the builders working in the home items that should not be left around were found. On the second visit the home had worked very hard and had removed some of the items that were of risk to the residents. However a number remain. There were two areas where fuse boxes and connections were not locked away and were accessible to the residents. There remained some builder’s materials in the form of a water pipe, left in a cupboard with the property of a resident. There was also a bracket on the second floor landing over the stairs with a hook at the end; this is seen as a risk if any of the residents become suicidal. The home must make sure that every effort is made to keep the residents safe during the refurbishment. Another area of concern is the security of the building, the home has four entry doors and when the inspector arrived the main entrance door was left open. It is appreciated that the residents; if risk assessed as being able, should have freedom to come and go. However there is the concern of people getting into the home and putting the residents at risk and residents not able to go out alone, going out without the knowledge of the staff. The resident who was admitted into the hospital now has high care needs and the manager said that the home couldn’t meet their needs. The manager said
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 7 that the home had increased the staffing level until an alternative and suitable placement is identified, but the hospital and social worker are over stretched. Until such a placement is found there is a need to monitor the placement closely and identify timescales for reviewing the placement. It is also important that the home do not have any residents in the home that are still under section three of the mental health act. 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. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 8 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 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that, prospective service users can expect to be provided with the information they need to make an informed choice about where to live and their individual aspirations and needs are assessed. Service users can be assured that they will be provided with an opportunity to visit and to ‘test drive’ the home. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the choice of home. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Residents can expect to have their changing needs reflected in a care plan and have support to make decisions. The home does support residents to take risks to allow them to as independent as possible. EVIDENCE: All the residents living in the home are part of the Care Programme Approach process and have regular reviews. This process has to involve the resident, Health, Social Care, the home and anyone else who is supporting the resident. This process is part of the Mental Health act and each resident has a Coordinator who works for Health, organising the reviews and documenting the outcomes. The Co-ordinator was present during the second visit to the home, as they had come to read the review document to the resident. Documents seen during the inspection showed that the home uses these documents as the main information to give the residents the support they need. Residents were observed coming to the staff and deciding what they wanted to do. One resident had decided to go to a charity event and was asking the member of staff if they wanted to come as well. There was a discussion about the event, another resident was heard to be discussing a weekend away and the member of staff said they would sort out their medication for them. One
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 11 residents file looked at, said that the resident had travelled back from Ipswich to Felixstowe on the train by themselves. They had coped well with various difficulties over train times and had decided to then get themselves from the station to the home. It was documented how pleased the staff were that this resident had done this and that the home had expected a phone call to go and pick them up from the station. Documents looked at showed a number of risk assessments; the home has an ethos of giving the residents total freedom with any kind of activity supported by an appropriate risk assessment. The risk assessments were all individual, covering all areas identified that were assessed as being a possible risk. This is a difficult balance for the home; there are the issues over Duty of Care and allowing the residents their rights and freedoms, which does result in levels of risk. The manager said that the home and the staff work very hard to give the residents every opportunity to experience all aspects of daily life. The resident currently in hospital has now had their needs re-assessed. The manager has identified that the home cannot meet these changing needs and are awaiting the Local Authority and Health to find an appropriate placement. The manager said that they had increased the staffing levels especially at night over the time the resident was so ill. Another resident currently on trail at the home, the manager said was still on Section three of the Mental Health Act. The home must need to make sure that no service users should be in the home that the home cannot meet the needs of or that are still under a Section other than Section 117. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 and 17 People who use this service can expect to be encouraged to maintain contact with family and friends, to be able to choose how they spend their time and to receive a balanced diet. EVIDENCE: During the two visits most of the residents living in the home were spoken to, either individually or during the inspection process. On the second visit the inspector joined the residents during their midday lunch. The residents had planned a Ploughman’s lunch and this they were enjoying. Residents were discussing events that morning and other issues, some of those being contact with family and activities. One resident joining the lunchtime had just come back from the hospital and collecting their prescription. They had got the bus and had then collected their prescription and got the bus back to the home. There was then a discussion between residents and manager, about which buses would be appropriate but some agreement that the resident had done really well to accomplish this. During the lunchtime there was a discussion around various topics, which included achievements in independence and activities they were undertaking.
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 13 One resident spoken to said that they enjoyed being at the home, they went to a local café and talked about the possibility of accessing the local sports centre. Another residents file looked at, it was documented that they had gone to the local pub with another resident. It was observed through out the inspection, that all the residents came and went from the home with absolute freedom. The residents all choose what they want to eat, one resident is careful about what they eat and have been successful in keeping their weight down. The inspector joined the residents during the lunchtime on the second visit and there was a ploughman’s lunch. This was laid out in the kitchen by one of the residents, with choices about what they wanted to have. The residents spoken to all said that the food was good and that they either were involved in the preparation and clearing up, or cooked their own. The staff are supportive of helping the residents to make sure they have a good balanced diet and the ploughman’s lunch was seen as being very appealing. One residents file looked at, was developing skills to move to independent living. They chose what they did as far as activities and was observed to be planning to attend a charity concert. This resident cooked their own meals, as set out in their care plan. Discussion with this resident established that they took control of their lifestyle and staff were there if needed, but gave positive support to encourage this resident to continue to feel and be independent. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 Residents can expect to receive support in the way they prefer and that their care and health needs are met. EVIDENCE: The residents all receive support in a way that the residents wish to receive support. A number of residents spoken to individually said that they always receive support how they wish to and one resident said “I have every admiration for the staff and what they do”. Another residents file looked at documented that the resident had a skin condition and staff will support them to have special lotion in their bath. Resident all attends various outpatient’s appointments, one goes to a hospital review once a fortnight and staff support them in attending. Residents over the lunchtime, talked about the transport they could get to attend appointments like Dr and Dentist. The files looked at for three of the residents, all had a section for their health care needs. There were letters and appointments cards as well as the Care Programme Approach paper work, which is led by health. During the first visit to the home, a resident became very unwell and the staff were observed as giving really good care and support. The manager said that after the inspector had left, the resident did go to hospital, the good support the staff gave this resident resulted in them going to hospital without distress.
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 15 The home has a new resident whose file was looked at, who is still on trail from the hospital. This resident the manager said is till under Section Three of the Mental Health act. The home support the resident to attend a fortnightly review of their care and needs, but the home must make sure that no resident moves into the home that is till under Section two or three. However the resident can remain on Section 117, which is about the health and social care needs of the resident. The resident currently in hospital, does now have high health care needs and the home must make sure that they can meet these needs before they return. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Resident can be sure that any concerns or complaints will be listened to and acted on. Residents cannot be sure that the home is secure or that their safety can be assured. EVIDENCE: In the previous inspection report the home had a requirement about the need to ensure that the complaints procedure including the address and contact details of The Commissions for Social Care Inspection, address and contact details. This was looked at during the inspection and the manager said that they now have clearly documented, the contact details. It was observed that there were notices telling the residents and visitors about how to complain and the contact details for the Commission. Residents spoken to during the inspection were all very positive that any concern they had would be listened to and dealt with. All of them felt very happy and very safe living in the home and report immediately and concerns or incidents that affected them. Another requirement given at the last inspection related to the home informing the Commission about any incidents especially around theft or burglary as required by Regulation 37 of The Care Home Regulations. The home is now informing the Commission around any incident that affects the home of the residents. However the other requirement given around the building and the residents being safe remains. The home has four entry doors whilst it is appreciated that residents must remain free to come and go as they wish there is a risk that residents requiring to go out, could go out without the staff knowing. On arrival at the home for the second visit the main entrance door
4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 17 was wide open and this does place the residents at risk from people entering the home. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Residents do live in a homely and comfortable environment but cannot be sure that it is safe or clean and hygienic at all times. EVIDENCE: Issues around the home being homely, comfortable, clean and hygienic, is difficult for the home to maintain. The home is currently undergoing quite a major refurbishment, which when complete will be very beneficial to the residents and staff. However the builders are still working in the home and this has resulted in various breaches of the National Minimum Standards. The areas of the home that have been completed are of a high standard and improves the quality of the residents lives. The remaining areas are shabby in appearance and some of the carpeting is dirty and stained. On the first visit by the inspector there were areas where the builders had left equipment and materials. Some of these were left out and some stored in cupboards that were still accessible to residents. These were identified to the home and when the inspector returned to the home nearly all of these had been moved into an appropriate place. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Residents can be sure that they are protected by the home’s recruitment practices and are supported by competent and qualified staff. EVIDENCE: During the inspection, the files of the two newest members of staff were looked at. Both files had a photo of the member of staff on the front of the file and basic information. There was the three-month probationary report signed by the member of staff, job application, contract of employment, firm offer letter and two references. The files also had emails confirming that the staff had Criminal Record Bureau and the Protection of Vulnerable Adults first check. Also on the files were, GP details, interview checklist, medical check and photocopies of proof of identity. Staff training was looked at and the manager said that four staff are now doing their National Vocational Qualification level three. Once they have completed this, more than 50 of the staff will have exceeded the National Minimum Standard. The manager said that as the staff are working so hard, they are currently completing a unit a month and should be finished earlier than first thought. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Resident’s health and safety are not always protected. EVIDENCE: As previously stated, the home has currently got builders working in the home. On the first inspection there were some areas that were of concern, on the second visit the home had resolved some of the issues. However there still remained the issue over the uncovered electrical fuse boxes and connections. Although these are near the ceiling, they are reachable by the residents and need to be secures as quickly as possible. There was also a bracket on the top landing over the stairs with a hook at the end; this is a risk to any resident who might be suicidal. This needs to be removed as a matter of urgency and any caballing that might be kept in the room nearby. Despite the home removing and locking away the majority of the building materials, those materials remaining need to be moved. Some arrangement with the builder to make sure that they cleared away and the home made safe is important. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 21 The issue over the hot water that was a requirement in the previous report has in part been resolved. There are notices on all taps and risk assessments on all the residents’ files, however the home does need to keep a check that the water temperatures are not too high and could be a risk to resident or staff. 4 - 6 Cavendish Road DS0000048200.V278205.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 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X X X X X 2 X 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 23 YES 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 YA6 Regulation 14(a) Timescale for action The assessed needs of residents 12/02/06 must be kept under review to ensure the placement is appropriate The registered manager must 12/02/06 ensure that the security of the building is maintained at all times. The registered manager must 12/04/06 ensure that the home is free from anything that is a risk to the residents in regard to the bracket on the top of the stairs. The registered manager must 12/04/06 ensure that the home is free from any building materials. The registered manager must 12/02/06 ensure that the home is free from anything that is a risk to resident, in regard to the electrical fuse boxes. Requirement 2. YA23 13(4)(a) 3. YA24 13(4)(b) 4. 5. YA24 YA24 13(4)(b) 13(4)(b) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 24 No. 1. 2. Refer to Standard YA6 YA6 Good Practice Recommendations The home must make sure that it can meet the changing needs of its residents. The home must make sure that it does not admit any service user that is on a mental health Section other than the Section 117. 4 - 6 Cavendish Road DS0000048200.V278205.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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