Inspection on 16/10/08 for 7 Princes Crescent

This inspection was carried out on 16th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Princes Crescent 19/12/06

7 Princes Crescent 07/12/05

7 Princes Crescent 20/06/05

7 Princes Crescent 17/11/04

7 Princes Crescent 21/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 7 Princes Crescent 7 Princes Crescent Hove East Sussex BN3 4GS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 1 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 7 Princes Crescent 7 Princes Crescent Hove East Sussex BN3 4GS 01273733441 Telephone number: Fax number: Email address: Provider web address: princres@onetel.com Name of registered provider(s): Name of registered manager (if applicable) Mr Jon David Dimmer Type of registration: Number of places registered: Southdown Housing Association Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 4. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 7 Princes Crescent is part of the Southdown Housing Association and is registered to provide residence and care to four younger adults with a learning disability. The home provided long term placements only. The home is a detached three-storey converted domestic property, which is situated close to the seafront in Hove. The home is close to local amenities, including food shops, pubs restaurant and transport links. Communal space consists of a large through lounge and combined kitchen dining room. There is a rear-enclosed garden. Residents personal accommodation consists of Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 4 Brief description of the care home four single bedrooms with one providing ensuite facilities. Day care services are for all but one resident provided off site at local day care services. The homes literature states that it aims to maximise independence by involving service users in all aspect of running the home. The fees for residential care are currently £1,300 to £1,900 per week, depending on the services and facilities provided. Extra such as: hairdressing, chiropody, transport, toiletries are additional costs. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place over three and a half hours in October 2006. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Residents and their relatives spoken with as part of the inspection process expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to monitor care practices at the home. On the day of the inspection there were four residents living at the home. The inspection involved a tour of the premises, examination of the homes records and Care Homes for Adults (18-65 years) Page 6 of 30 discussion with the Registered Manager. Three members of staff, two residents and two relatives were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. Responses from a CSCI service users survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. What the care home does well: What has improved since the last inspection? What they could do better: The current state of the decor throughout the home is unsatisfactory and walls and paintwork in particular are looking neglected and in need of some attention. Where appropriate and practicable, individual care and support programmes should be routinely signed by the resident or their advocate, to acknowledge agreement with the content and any changes made. The recording format for residents reviews should also be amended to include details Care Homes for Adults (18-65 years) Page 8 of 30 of who was present. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The comprehensive admission policy and procedure ensure that residents are admitted only on the basis of a full assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs. Evidence: It was noted that there have been no admissions to the home since the previous inspection. However a thorough admission policy and procedure is in place and information about the service is available to prospective residents in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced with the use of pictures and symbols and are both comprehensive and informative. The Manager confirmed that, as part of the admission process, prior to moving into the home, prospective residents and their relatives are encouraged to visit the home and Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: have the opportunity to look around and meet with members of staff and existing residents. Having moved into the home, the manager confirmed that residents would undergo a flexible trial period, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive support plans enable staff to meet the assessed care needs of residents in a structured and consistent manner. Systems for consultation and participation are effective. Residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. Evidence: Individual person centred support plans that were examined contained comprehensive details of residents personal, psychological and emotional care and support needs and were found to be accurate, up to date and generally well maintained. Daily recording remains effective with a clear and full account of actions and events that had occurred, written in a style that is respectful and none judgemental. The manager confirmed that residents continue to benefit from the established key Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: worker system and this was evidenced through discussions with members of staff and from records examined. The manager confirmed that, in accordance with their wishes, residents and, where appropriate, a relative or advocate continue to be directly involved in regular support plan reviews. Also routinely involved in this process are the individuals key worker from the home and their respective day services. It was evident that these reviews are recorded and plans are amended appropriately to reflect changing needs or circumstances. Residents relatives spoken with as part of the inspection process confirmed that they are involved either directly or indirectly in reviews and are satisfied with the level of communication with the home: Contact with the home is very good. If we cant make it to a review, they will send us the minutes. Its been very important since we moved away. Jon is excellent. He consults me as necessary and keeps me in the loop. Following discussion with the manager, it is recommended that the recording format be amended to include details of who attended the review. It is also recommended, where appropriate and practicable that individual care programmes be routinely signed by the resident or their advocate, to acknowledge agreement with the content and any changes made. Independence and individuality is evidently encouraged and promoted within the home and is reflected in the personalising of residents rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Residents continue to be encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. Staff spoken to during the inspection confirmed that, despite the variable and limited verbal communication of some residents, effective and regular interaction and consultation takes place constantly throughout the home. This was clearly evident from direct observation of staff supporting residents in a professional, sensitive and respectful manner. Care Homes for Adults (18-65 years) Page 14 of 30 Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The manager confirmed that wherever possible and appropriate, links with friends and relatives are encouraged and supported, however not all residents have regular family contact. The recreational and leisure interests of residents are identified and recorded in their personal support plan and they continue to be encouraged and enabled to access Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: activities and facilities, reflecting their individual needs, preferences and abilities. This was evidenced from suport plans examined and through discussion with staff and residents and their relatives: Everybody is different and its good to see that they are all treated as individuals. He has a good social life. Hes out more than hes in! Of note was the impressive and individualised nature of day service provision, clearly and directly responding to residents personal choices. On the morning of the inspection this was demonstrated by each resident being supported separately to access different resources in the community. Following a review, one resident who had evidently been anxious and unhappy attending a local day centre was now enjoying daily walks, drives and outings with dedicated one to one support. Menus are varied and balanced and are based on residents; identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed. All care staff are expected to partake in cooking duties and residents evidently have the opportunity to be involved in meal preparation. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by improved, clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: The manager emphasised the importance of staff developing close working relationships with individual residents and being aware of changes in mood or behaviour. In accordance with their personal suport plan, residents are encouraged and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. As previously documented, during the inspection residents were observed being supported in a sensitive, professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: needs of residents continue to be met within the home. All residents are registered with local GPs and have access to other health care professionals, including district nurses, speech and language therapists and dentists, as required. All medical appointments with, or visits by, health care professionals are recorded. Recently revised policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training, as part of their comprehensive induction programme, and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no resident currently selfadministers their own medication. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes complaints procedure ensures that residents, staff and visitors feel able to express any concerns, confident that they will be listened to and acted upon. Residents are protected, through updated policies and procedures relating to abuse and safeguarding vulnerable adults. Evidence: A simple and accessible complaints procedure has been developed and implemented for the benefit of residents, staff and other visitors to the home. All complaints received are appropriately recorded, including details of any actions taken and outcomes achieved. Residents, relatives and members of staff, spoken with as part of the inspection process, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary. Each person was confident that they would be listened to: If I had any problem I would only have to speak to Jon or one of the staff and I know that it would be dealt with. It was noted that there have been no concerns or complaints recorded by the home Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: since the last inspection. The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents have evidently been reviewed and updated, in accordance with the recently implemented multi agency guidelines for safeguarding vulnerable adults. The manager confirmed that all care staff have undertaken appropriate training regarding abuse awareness and procedures relating to Safeguarding Adults. This was confirmed through discussions with members of staff and supported by training records examined. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. With the exception of the unsatisfactory decor throughout the home, residents benefit from accommodation that is generally comfortable, safe and clean and clearly suitable for its stated purpose. Evidence: During my guided tour of the premises it was clear that the basic decor and functional furniture and furnishings currently provide a safe, if somewhat stark environment for residents. The manager confirmed that individuality continues to be promoted within the home and this is evident from the personalising of residents rooms, reflecting individual taste, preference and interests. However although the minimalist appearance of many of the rooms may be out of necessity due to the challenging behaviour of certain residents, the poor condition of the walls, including the first floor landing, and much of the paintwork is unsatisfactory. As discussed with members of staff, it wouldnt take much to improve the currently neglected appearance of some areas of the home. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Residents, with key worker support as necessary, are evidently responsible for keeping bedrooms clean and tidy and on the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be generally satisfactory. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from there always being sufficient trained and competent staff on duty to meet their assessed needs. Robust staff recruitment policies, procedures and documentation help to ensure the protection of residents. Evidence: It is evident from examination of the rota and through discussions during the inspection that sufficient trained and competent staff are on duty at all times to meet the current care and support needs of residents. Two staff are on duty each morning and evening with a third mid shift person allowing for more flexibility and one to one support, as necessary. One sleep in person is on duty each night. The manager confirmed that staffing levels, within the home, are closely monitored to ensure that they reflect the changing needs and increasing dependency of certain residents. In addition to the comprehensive induction programme undertaken by all newly appointed staff, the manager confirmed that appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: There is always plenty of opportunity for training here. Its the best Ive ever known. It is evident, from discussions with members of staff that the manager is very hands on and approachable, with staff feeling confident and able to discuss any issues at anytime. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis and is appropriately recorded. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager He is a brilliant manager, very helpful and supportive. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of residents. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau ,CRB, and Protection of Vulnerable Adults, POVA, disclosures. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a competent management structure. They are protected by satisfactory health and safety procedures and their best interests are safeguarded by effective quality monitoring systems. Evidence: The experienced manager is clearly competent to run the home. He has worked at 7 Princes Crescent in his current post since 1999. He has successfully completed the Registered Managers Award. From direct observation and through discussions with residents and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. He is clearly motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including annual satisfaction questionnaires for residents, their relatives and Care Managers. Responses Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: from the most recent survey indicate a high level of satisfaction with the home and the care and support provided. The manager confirmed that the health, safety and welfare of residents and staff remain of paramount importance within the home. As previously documented, staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 24 It is required that all parts of 23/12/2008 the home, including residents rooms are kept well maintained and reasonably decorated. The poor condition of the walls, including the first floor landing, and much of the paintwork is unsatisfactory. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 6 6 It is recommended that the review recording format be amended to include details of who was present. It is recommended that, where appropriate and practicable, individual care and support programmes be routinely signed by the resident or their advocate, to acknowledge agreement with the content and any changes made. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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