CARE HOMES FOR OLDER PEOPLE
Kingsbury House 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX Lead Inspector
Key Unannounced Inspection 19 December 2006, 2 & 22 January 2007 09:30 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 Kingsbury House DS0000000371.V302792.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. Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Kingsbury House Address 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX 0191 2575121 F/P 0191 257 5121 No Email 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) Mrs Pamela Craig Dawson Mrs Lynne Partington Care Home 30 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (21) of places Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Kingsbury House provides residential care in a building adapted from three terraced houses near to the seafront at Tynemouth. The bedrooms are located on the first and second floors and all rooms provide single accommodation. There are en-suite facilities in two of the bedrooms. A range of communal space was available as follows: - a dining room, two lounge areas; three bathrooms and eight toilets. There is a pleasant patio area to the front and side of the building. Kingsbury House provides care and support for 30 people of whom up to nine may have dementia care needs. Nursing care is not provided. Kingsbury House is situated close to local transport links and street parking is available to the front of the building. The cost of the service ranges from £361 – £395 per week. Chiropody, hairdressing and newspapers are additional. Information, including inspection reports, is provided for service users to enable them to make a decision about moving to Kingsbury House. Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over three days on Tuesday 19 December 2006, Tuesday 2 January and Monday 22 January 2007 2007. The inspection took 10 hours. Time was spent in the main lounge with service users and talking to visitors and staff. A tour of the building took place with the manager Mrs Partington and the deputy manager Ms Airlie. Surveys were sent out to service users, visitors & family members, and health & social care professionals. Completed surveys were returned from 21 service users, three GP’s and a health care professional. Time was spent with four family members and three staff, the manager, deputy manager and 14 service users. What the service does well:
Kingsbury House provides a warm welcome to residents and visitors. The home is clean and pleasant with fresh flowers in the lounge and had pleasant Christmas decorations during the first and second inspection visit. The home is well managed with a caring group of staff, who demonstrate that they know and care about the needs of people in their care. The manager and many staff have been in post for some time, which ensures consistency of care and stability. Staff showed that they handled the needs of individuals with sensitivity. The laundry is clean and logically ordered. The laundry worker labels clothing and organises individually named baskets for service users. Kingsbury House provides freshly made home cooked food and thought has been given to providing a well-balanced nourishing menu plan for service users. Fresh fruit is available in the kitchen at service users request. Water dispensers are located in both lounges and the dining room to encourage hydration. Comments from service users and their relatives included the following “I am very happy here” “ I am happy living in Kingsbury House, I couldn’t wish for a better home” “I love the staff, all of them, you only have to ask and they are there to help you” “Great grub and I like my food, yes that’s important to me” Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 6 “There’s always activities but I don’t like to take part.” “The staff are always happy to help me” “Staff are always there and listen if needed” “Everyone is very helpful- if one has to wait it is because they are attending to someone else” “I am happy living at Kingsbury House and could not wish for a better home” “I am perfectly happy in all aspects, all of the time- I receive care and support I need” “Staff are always supportive of my needs” “I feel like Lynne and the staff have taken a weight off my shoulders, I know that they are looking after her (relative) so well and they really care about her. It’s the little things that make a difference and I am so pleased that she is here at Kingsbury House and she thinks of it as her home.” There is a commitment to training within Kingsbury House. All staff are NVQ 2 qualified & many are working toward level 3. The manager and deputy are fully qualified to NVQ level 4. The manager has her Registered Managers Award. Staff have had the opportunity to take part in dementia care training and staff spoken to said that they had really enjoyed it and got a lot from it. Training meetings take place where staff have the opportunity to discuss practice issues and to share skills & knowledge. What has improved since the last inspection? What they could do better:
The carpet in the first floor corridor is worn and frayed in places and should be replaced. Care plans and daily records are incomplete and should be amended. Accident records relating to a complaint were correctly recorded however information had not been updated to daily records and care plan information. Admission records in one case caused some confusion regarding medication levels. Medication records in one case were correctly updated and recorded but information had not been carried over to the care plan. The manager should ensure that all admissions to the home have a full assessment of need to enable care plans to be developed. A risk assessment should be carried out regarding window openers and the potential for falls.
Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 7 Some service users included negative comments in their surveys “The standard and quality and quantity of the meals is poor” “I get my prescribed medication later than I really want it” “They don’t spend enough time in the rooms with residents” “There are not enough activities” The window opener is broken in room 14 and should be replaced to allow for natural ventilation. The designated smoking area is located next to three bedrooms in the lower corridor to the left of the building. Ventilation to this area is provided by opening the front door, which represents a considerable risk. Access to the dining room is via three long shallow steps and a narrow passage. Wheelchair users must be elevated from step to step by staff and there are concerns that back care may be compromised. Health and safety risk assessments have been done by the manager for staff who assist residents in wheelchairs. Specific moving and handling training should be provided relating to the area in the home and an assessment should be made as to alternative access points i.e. a ramp between the dining room and the lounges. 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. The summary of this inspection report can be made available in other formats on request. Kingsbury House DS0000000371.V302792.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 Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are should be fully assessed before moving into Kingsbury House to ensure that identified needs are met by the service. EVIDENCE: Five case files were examined during the inspection and showed that some assessment information is included within each care file. Files were not well organised. Information in files is inadequate and discussion took place with the manager regarding care plans and needs assessment. Assessment documents are provided by care managers where placement is arranged by the local authority. In one care file information regarding medication was not included on transfer from another service resulting in missed medication. Assessment information does not include all relevant information regarding the needs of each individual prior to admission.
Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users needs should be fully set out in a plan of care so that all staff know what level of care and support each person requires. Health care needs are met . Kingsbury House has a satisfactory policy for dealing with medication. Residents are treated with respect and privacy is safeguarded. EVIDENCE: Five care files were looked at during this inspection. One care file contained very little information regarding the person and it was clear that relevant information was not available for staff. Discussion with the manager indicated that she was aware that the care file was inadequate and that she intended to undertake further work on the file. During the second visit to Kingsbury House the information in the file had been improved and further discussion took place regarding care plan information and the purpose of daily records.
Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 11 Daily records are in some cases poorly recorded and give little information as to what has happened, or how individuals are. Discussion took place as to how daily records could be made more relevant and useful to staff in monitoring the day-to-day lives of people in the home. Care files currently hold incomplete data on areas of care for service users. On the third visit to the care home care records were examined in relation to a complaint made. Records were accurately kept but not holistic and discussion took place with the deputy manager and subsequently the manager about linking medication and accident records into care plans. The manager analyses accident records monthly and uses the analysis to identify risk areas. Time was spent with service users to see how they spend their day and how staff support them. Staff showed that they had the skills to reassure service users and that they were caring in their approach toward people in Kingsbury House. There is a medication policy at Kingsbury House. Medication Administration Records were checked and an omission found in the transfer of medication information from another service; this omission has been amended and the service user involved is now receiving the correct dosage of medication. Controlled medication records are accurate and controlled medication kept appropriately. There is no information regarding medication included in care plans. Senior staff are trained to give out medication and the medication policy in the home is being followed. Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13,14 & 15 Quality in this outcome area is good. Kingsbury House provides a good standard of daily living activities and meets the needs and aspirations of service users. Links with families, friends and the community are encouraged. People are enabled to exercise choice in their lives. People are provided with a balanced diet and meal routines are provided flexibly wherever possible. EVIDENCE: People are encouraged to maintain links with families, friends and the community. During the two inspection visits a number of visitors called in to see people living in the home. Kingsbury House has links with churches in the area in order that people can fulfil their spiritual needs. Residents are encouraged to take part in activities and outings within the home and in the run up to Christmas shopping expeditions were been arranged and parties and gatherings have taken place within the home including a festive buffet.
Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 13 There is a diversionary therapist who visits Kingsbury House on Saturdays and an activities plan is in place. In house activities including chair exercises, nail care, singing, films, music, games and quizzes, are provided in Kingsbury House. Independence is encouraged wherever possible and some people benefit from taking part in some light domestic tasks within the home. The manager encourages service users to take part in swimming sessions at Tynemouth Pool and plans to renew key identity cards for residents following the refurbishment and reopening of the pool in January 2007. There is a four-week menu provided at Kingsbury House, which includes seasonal variations. The manager develops the menu and service users are encouraged to put forward ideas. These can be included in the menu as all meals are prepared fresh on the premises. Residents spoken to say that the food is very good. On the day of inspection the lunch provided was roast chicken, stuffing, yorkshire pudding, mashed potatoes, cauliflower and brussels sprouts. Chocolate sponge and custard was provided for dessert. Hot options and homemade soups are provided at tea times to alternate with sandwich teas. Fresh fruit is available on request and drinks are available throughout the day. The dining room is well presented with clean tablecloths on tables and service users have access to napkins and condiments on the table as required. There is a whiteboard in the dining room, which shows the daily menu. Staff discuss menu options with service users in advance and there are choices and options available. Service users say that the food in Kingsbury House is very good. Food was well presented and served hot. Portion sizes are varied according to individual preference. Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints policy in place and service users complaints are dealt with appropriately. Service users are protected from abuse. EVIDENCE: One complaint has been received in the past 12 months which has been recorded and dealt with appropriately following the complaints policy within the home. In addition an anonymous complaint about the home was sent to CSCI and investigated as part of the inspection. The outcome of this complaint is that some standards were not met relating to the environment and requirements have been made to improve standards. Criminal Record Bureau checks and references are taken up for new appointments and there is a whistle blowing policy at Kingsbury House. Staff showed that they were aware of whistle-blowing and the potential vulnerability of people in their care. Service users and family members spoken to were aware of the complaints procedure and said that if they had a complaint they would speak to the manager. Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed to ensure the environment is safe and wellmaintained. Service users have limited access to communal areas which means that their quality of life is restricted. The home is clean, pleasant and hygienic. EVIDENCE: In some places the fabric of the building shows wear and tear and should be renewed. The carpet on the staircase to the left of the building is worn and could cause injury. The carpet on the first floor corridor is frayed and worn and is a trip hazard. The window handle in room 14 is broken and should be replaced.
Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 16 The radiator cover at the top of the main staircase is loose. The designated smoking area is located in a corridor to the left of the dining room and near to three service users bedrooms. To ventilate the smoking area staff prop open the door to the front of the building, which could cause a risk of unauthorised entry to the home and a potential risk to service users and staff. There are no service users who smoke in Kingsbury House. Access to the dining room is via a shallow set of three steps in a narrow passage way. It is a requirement of this inspection that an assessment is made to determine whether an alternative access may be created to the dining room. Risk assessments have been undertaken for specific service users with mobility difficulties to gain access to the dining room and advice given that staff should use wheelchairs. Observation of staff during inspection gives cause for concern as moving and handling procedures are compromised by load and location. All staff have had general training in moving and handling but there has been no training specific to assisting people to access the dining room via the steps. Kingsbury House provides a pleasant homely environment for service users and welcome to visitors. The home is clean and odour free and domestic staff ensure that the home is clean and hygienic. Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing numbers are appropriate to the assessed needs of the residents, size and layout and purpose of the home at all times. Service users are protected from potential harm as robust recruitment systems are in place. EVIDENCE: There are 21 care staff including the manager and deputy manager working at Kingsbury House and 5 ancillary staff. Staffing is organised on a rota basis and managers are on call over the weekend and out of hours. 8am-2pm Manager 4 care staff 2pm-6pm 3 care staff 6pm-10pm 3 care staff 10pm-8am 2 care staff Three staff files were looked at during the inspection and records show that recruitment policies and practices are in place to safeguard the interests of service users. Appropriate checks are made and references sought before an appointment is made. Criminal Record Bureau checks and written references are followed up and identity checks are made to safeguard service users.
Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 18 All of the care staff in the home are qualified to NVQ level 2. The manager and deputy manager both have NVQ level 4 and the manager has her Registered Managers Award and Assessors Award. There is a commitment to training within Kingsbury House and staff have taken part in mandatory training including Health and Safety, Safe Handling of Medication, Food Hygiene, First Aid, Fire training and Moving & Handling. Protection of Vulnerable Adults training is ongoing and specific training initiatives in Dementia Care and Pressure Sore Care have been provided. Training needs have been identified regarding location specific training in moving and handling. Kingsbury House DS0000000371.V302792.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35, 36, 37 & 38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a home which is run and managed by a person of good character, who is fit to be in charge and able to discharge her responsibilities fully. The home is run in the best interests of service users. Service users financial interests are safeguarded. Staff are appropriately supervised which means that staff are aware of their roles and responsibilities and training and development needs are identified . Service users rights and best interests could be better safeguarded by improving the homes record keeping, policies and procedures. The health, safety and welfare of service users and staff are compromised by the layout of the building. Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager, Lynn Partington is qualified to NVQ level 4 and has achieved her Registered Managers Award and Assessors Award. She has developed considerable skills in her role as manager and demonstrates clear leadership. She ensures that the home is well run. The best interests of service users are safeguarded and the staff team are aware of their roles and responsibilities. Activities and events are organised by staff and service users and families can contribute ideas and support fundraising projects. Residents and family members spoke positively during the inspection of the care they receive from staff. One person said “It’s a weight off my mind knowing that she is here and she is well cared for and the staff will do anything for her” Another family member said that he was satisfied with the level of care that his relative received and that he had no complaints. Personal money for residents is kept in the safe and receipts and records kept. Three staff files were looked at during the inspection and show that staff are provided with 1:1 supervision on a regular basis and with yearly appraisals. The manager is aware that care plan information needs to be improved and discussion took place during the inspection as to how this could be achieved. The location of the access passage to the dining room is unsatisfactory and a review of the step area has been requested. Risk assessments have been undertaken for staff and service users and this should be supported by updated moving and handling training in this area. Kingsbury House DS0000000371.V302792.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 2 Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 (1) Requirement Assessment information should be comprehensive covering all areas of care. A comprehensive care plan should be developed outlining all areas of care. An assessment should be made of the access between the dining room and lounge areas in the home and consideration given toward a ramp access. The smoking policy within the home should be reviewed and consideration given to changing the designated smoking area. Specific location based moving and handling training should be provided to all care staff. Records should be kept up to date and accurately maintained to safeguard service users. The registered manager should ensure the health safety & welfare of staff and service users Timescale for action 01/04/07 01/04/07 2. OP7 15 (1) 3. OP19 OP20 16(2)(g) (j) 01/04/07 6. OP19 23(2)(4) 01/04/07 7. 8 9. OP30 OP37 OP38 13 (5) 17 (1) a (3) a 12 (1) a 01/04/07 01/04/07 01/04/07 Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsbury House DS0000000371.V302792.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 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
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