CARE HOMES FOR OLDER PEOPLE
Amonet Residential Care Home 76 Hendon Lane Finchley London N3 1SL Lead Inspector
Tony Brennan Key Unannounced Inspection 2nd November 2006 10:00 X10015.doc Version 1.40 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 Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 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 Older People. 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. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Amonet Residential Care Home Address 76 Hendon Lane Finchley London N3 1SL 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) 020 8343 4702 020 8502 6363 Dr Amos Alabi Akinola Mrs Janet Oyefunke Akinola Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Amonet is a private care home registered to provide care for 12 older people. The home is owned by Dr Amos Akinola and Mrs Janet Akinola. Mrs Akinola is also the registered manager. Amonet is a specialist service providing care for older Asian people. The staff speak the same languages as the service users and activities and food provided is for Asian people. There are eleven bedrooms: ten single and one double. The bedrooms are on all three floors of the building. There is a shaft lift serving all three floors. Amonet is in a pleasant residential area. The building is a three floored, attractive house with a large pleasant garden to the rear. The stated aims of the home are to provide comprehensive quality services, which protect and preserve the homely environment and lifestyle of every service user and to treat service users with respect and dignity, promoting their independence, guaranteeing their rights and ensuring their choice. The fees are £428.66 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken as part of the annual inspection programme. The inspection took place over one day. The registered manager, Janet Akinola, assisted the inspector. The inspector received comments from the service users and professionals who live, or are connected with Amonet Care Home. The inspector spoke with ten service users and two staff. The inspector was assisted by a Gujarati translator as this was the first language of all service users. The inspector observed care practice and staff interaction with service users. The inspector toured the building and examined a number of records relating to the care, health and safety and management of the home. The inspector would like to thank the registered provider and staff who assisted him by answering questions about the running of the home. The inspector would also like to thank people who live at the home and their representatives for commenting on the service. What the service does well:
The inspector found that Amonet Care Home provides generally good outcomes for the people who live there. A person who lives at Amonet said, “things are very good here, the staff are kind.” The inspector found that people who live at Amonet had initial assessments from the home and care management. These assessments identified the needs of those living at the home. This included the cultural and religious needs of people living at the home. For example, dietary needs and personal history. A person who lives at the home said, “staff are very understanding”. Comment cards received from those who live at Amonet confirmed that they felt that the care provided met their needs. A person case tracked who recently came to live at Amonet told the inspector that she had visited prior to coming to live there. Information on the home was available in Gujarati. Staff spoken to understood the needs of individual service users. Service users cultural and religious needs were identified. For example, there were details of their dietary needs and personal history. People who live at the home commented positively on the care and support provided. One person said, “staff are very caring.” The care plans were found to outline the care needs and detailed actions were given to meet the needs of those who live at the home. Care plans covered cultural and religious needs. People living at the home who were case tracked had records of medical support they needed. People living at the home confirmed they had received medical care when they needed it. The inspector observed staff administering medication and this was done safely. A person who lives at the home said, “I can see visitors when and where I like”. Another person who lives at the home said, “you can see people in
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 6 private, it’s your choice”. Comment cards received from people who live at the home showed that they knew who to speak to if they wished to make a complaint. People living at Amonet who were spoken to are happy with the design of the home. The inspector toured the home and found that all areas were accessible. Comment cards showed that people living at the home felt that sufficient staff are available to meet their needs. A person who lives at Amonet said, “Staff are always there, and are very caring”. People living at the home felt that staff understood how to meet their needs. One person case tracked commented, “staff join in and help when we pray in the afternoon, and sit and talk”. The inspector examined staff files and found that there had been training on skincare, nutrition awareness and administration of medication. A person living at the home said, “staff are trustworthy”. Two new staff had started working at the home since the last inspection. The records relating to their recruitment were complete. A person who lives at the home said, “the manager understands us and asks what we might need”. People living at Amonet confirmed that they had been asked about how the home could do things better. A person living at the home said, “staff have asked how things could be made better”. There are effective procedures and systems in place to ensure the health and safety of all those who live and work at Amonet Care Home. What has improved since the last inspection? What they could do better:
Two areas for improvement were identified at this inspection. Training records showed that staff had not received training on first aid. The registered manager agreed to provide this training so that service users safety is maintained. Since the last inspection two staff have nearly completed the National Vocational Qualification at level 2 in care. One member of staff has completed this qualification. The registered manager explained that staff were finding it difficult to complete the written work as English is their second language. The inspector advised that the registered manager should speak with the National Vocational Qualification Assessment Centre and ask if they can provide support for staff.
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 7 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. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users needs are assessed prior to admission to the home to ensure they receive the care and support they need. EVIDENCE: A service user said, “things are very good here, the staff are kind.” The inspector found that service users case tracked all had initial assessments from the home and care management. These assessments identified the personal and medical needs of service users. Service users cultural and religious needs were identified. For example, there were details of their dietary needs and personal history. A person who lives at the home said, “staff are very understanding”. Comment cards received from service users confirmed that they felt that the care provided met their needs. A service user case tracked who had come to live at the home told the inspector that she had visited prior to moving into the home. Information on the home was available in Gujarati. Staff spoken to understood the needs of individual service users. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users personal, social and medical care needs are fully planned for. Service users are fully protected by safe procedures for handling medication. Service users’ right to privacy is supported. EVIDENCE: Service users commented positively on the care and support provided. One service user said, “staff are very caring.” The care plans were found to outline the care needs of service users and detailed actions to meet their needs. Care plans covered service users cultural and religious needs. These also highlight the action to meet service users personal and medical needs. This was in line with their cultural and religious background. Service users spoken to commented that care is provided with respect and enhanced their privacy. A service user said, “the staff show respect when giving care.” Risk assessments had been carried out for nutrition, moving and handling, falls and pressure care. The inspector found that care plans and risk assessments were detailed and reviewed regularly. A case tracked service user’s weight had not been monitored since March 2006, however, the registered manager explained that her general practitioner had been consulted and other health professionals not concerned about this weight loss. The service user concerned cannot weight
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 11 bear. Other service users in the home had been weighed monthly. Service users had signed their care plans to confirm that they agreed with the way in which care is provided. Service users case tracked had records of medical support. Service users spoken to commented that they received medical care when they needed it. Service users case tracked also had records of medical support provided from dentists, chiropodists and opticians. Service users spoken to felt that staff supported them when medical professionals visit and explained what medical professionals are doing. The inspector observed staff administering medication to service users. This was done safely and in a way that ensured that service users understood what was happening. The inspector found that the medication policy was completed and contained all the necessary guidance to ensure that a safe system for the management of service users medication was in place. The inspector examined the medication record for medicines received, administered and returned and found these were complete. No service users are currently prescribed controlled medicines. The inspector found that one service user case tracked, who had recently come to live at the home, had a clear record of the medication that they had been prescribed. The General Practitioner had been consulted to ensure that medication was appropriate to the health needs of the service user. Staff spoken to confirmed that they had received training in how to administer medication safely. The inspector found there was a list of the names of those staff who are trained to administer medication. Certificates were available to confirm that staff had received the required training. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 14 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users need to be provided with varied activities to meet their needs. Service users are supported to maintain contact with relatives and other representatives of their choice. Service users are able to make choices about how they live in the home. The menu needs to reflect the preference of service users and offer a balanced diet, which reflects their cultural and religious beliefs. EVIDENCE: A service user said, “I think there are enough activities provided”. Comment cards completed by service users confirmed that activities were provided. Service users spoken to confirmed that they watch Indian films in the Gujarati language and have staff also play music that the service users enjoy. Service users spoken to said they participate in daily religious observance as is their custom and choice. Staff spoken to understood the significance of this for service users. Service users spoken to said that religious festivals were celebrated. All service users felt that the recent Diwali celebration had been well organised. Service users were especially pleased that their families had been included in these celebrations. The inspector observed that Hindu religious pictures and other items of importance to service users were available throughout the home. Service users had also attended a local Asian elders club.
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 13 A service user said, “I can see visitors when and where I like”. Another service user said, “you can see people in private, it’s your choice”. Service users confirmed that they saw their General Practitioner in private. Service users personal preferences as to how they wished to live in the home are recorded in their care plans. The inspector observed staff assisting service users and observed that time was taken to discuss how they wanted things to be done. Staff spoken to understood the need to support service users to make choices about how they wished to live. Service users spoken to confirmed that the food was good and that choices were offered to them. A service user said, “they make good meals here and do ask if it is what I like”. The cook explained that the menus were reviewed regularly. A service user who has recently come to live in the home told the inspector that she had seen the menu before coming to the home. The menu showed that Indian vegetarian food was provided, as all service users are Hindu. The inspector sat with service users at lunchtime and found that they were supported by staff who ensured that they had all the food and drink they wished. Service users enjoyed their meal in a relaxed atmosphere. The inspector observed that one service user who needed staff support to eat was supported in a way that maintained her dignity. Food was cut and the member of staff took time to feed the service user. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Comment cards received from service users showed that they knew who to speak to if they wished to make a complaint. The complaints policy, which is available in Gujarati, explains how to make a complaint and how it would be dealt with. This was displayed around the home. A service user said, “if something was wrong I know the manager and staff would listen to me.” The complaints record showed that there had been no complaints since the last inspection. Service users said that they felt safe and could approach staff if they had any concerns regarding how they are treated. There were comprehensive policies on handling abuse and protection. Staff spoken to were clear about the signs of abuse and how suspected abuse should be handled. Training records showed that staff had received training on adult protection. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a home that provides a safe and accessible environment. The home is clean and hygienic. EVIDENCE: Service users spoken to were happy with the design of the home. The inspector toured the home and found that all areas were accessible to service users. The environment was adapted to the needs of service users with raised toilet seats and a passenger lift in place. There were sufficient washing and showering facilities for service users. Service users bedrooms were personalised. The inspector saw that some areas of the home had been redecorated. The registered manager showed the inspector a plan for future ongoing redecoration and refurbishment. The registered manager explained that new bedding and towels were to be purchased soon as part of this. Comment cards received from service users confirmed that they felt the home was always fresh and clean. The inspector found that the home was clean and hygienic. Guidance and procedures were in place to prevent cross infection.
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 16 Staff spoken to understood how to prevent cross infection. Protective clothing and hand washing facilities are available to staff throughout the home. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Sufficient staff are available at all times to meet service users’ needs. Staff do not have all the skills to meet all the assessed needs of service users. Service users are protected by the home’s recruitment practices. EVIDENCE: Comment cards from service users showed that they felt that sufficient staff were available to meet their needs. A service user said, “Staff are always there, and are very caring”. The inspector observed that there were sufficient staff available to ensure that service users in all parts of the home were supported. The rota showed that a consistent staffing level was maintained. The registered manager explained that there are always Gujarati speaking staff on duty to ensure that service users are able to communicate their needs. The majority of staff are Gujarati speakers. Service users spoken to felt that staff understood how to meet their needs. One service user commented, “staff join in and help when we pray in the afternoon, and sit and talk”. The inspector examined staff files and found that there had been training on all the required areas of statutory training with the exception of first aid. The registered manager agreed to provide this training so that service users safety is maintained. Also there had been training on skincare, nutrition awareness, fall prevention and administration of medication. Staff spoken to understood the religious and cultural needs of service users and how to support them in ways that were sensitive to this.
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 18 Since the last inspection two staff are near to completion of the National Vocational Qualification in care at level 2. The registered manager explained that the majority of staff are registered to do this award, but are finding it a challenge due to English not being their first language. The inspector advised that the registered manager should discuss this with the training provider to see if some form of support could be given to these staff to complete the qualification. The home still needs to achieve 50 of staff having the National Vocational Qualification in care at level 2. A service user said, “staff are trustworthy”. Two new staff had started working at the home since the last inspection. The records relating to their recruitment were complete. The inspector examined other staff records, which were also found to contain all the required information. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The registered manager does have the necessary qualifications to manage the home effectively and in the best interests of service users. Service users are consulted about the quality of the service provided and encouraged to make suggestions for improvement. Service users financial interests are protected by the home’s procedures. Service users and staff are protected by the home’s health and safety procedures. EVIDENCE: A service user said, “the manager understands us and talks to us about what we need”. The registered manager has a nursing background and has completed the Registered Managers Award. The inspector spoke with staff who confirmed that the registered manager provided support to them to meet the needs of service users. The registered manager demonstrated to the inspector that she understood the needs of service users. The registered manager is in the process of reviewing the policy and procedures to ensure
Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 20 that they support the work with service users. A deputy manager has been employed to support the registered manager with the day-to-day management of the home. Service users spoken to confirmed that they had been asked about how the home could do things better. A service user said, “staff have asked how things could be improved”. The home has a system in place to consult with service users and other stakeholders about the quality of the service provided. The registered manager explained that a survey of service users and other stake holders had been carried out recently. The registered manager explained that a report on this survey will be prepared and a copy will be sent to the Commission. The registered manager brought a copy of this report to the Commission after the inspection. Meetings with service users and relatives had been held to discuss issues. The inspector saw minutes of these minutes. The quality audit highlighted that service users and relatives had found these meetings to be positive. A system for service users and relatives to make comments and suggestions is available so that they are able to give feedback. The home also has an effective complaints system for service users and their representatives to raise issues. The registered manager explained that while the home has the necessary procedures to manage service users finances securely, the home does not hold any money for service users. Service users finances are managed by their families. Fire drills were taking place and the fire alarm was tested regularly. The system had been regularly checked and any maintenance needed had been carried out. The fire risk assessment includes an assessment of all the potential fire risks in the home. The inspector questioned staff on the fire safety procedures and found that they understood fire safety issues. All health and safety policies were available. Certificates for gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. The inspector discussed health and safety issues with staff and they demonstrated their understanding. The home has an effective system for monitoring accidents. The inspector found that the temperature of cooked food, fridges and freezer are recorded. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 22 No 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 OP30 Regulation 18(1) Requirement The registered persons should ensure that staff receive training on first aid. Timescale for action 01/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations The registered persons should ensure that 50 of staff are qualified to NVQ in care at level 2. Amonet Residential Care Home DS0000010394.V313252.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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