CARE HOMES FOR OLDER PEOPLE
Rose Court Lodge Care Home 3 Sutton Road Mansfield Nottinghamshire NG18 5ET Lead Inspector
Stephen Benson Key Unannounced Inspection 10th May 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 Rose Court Lodge Care Home DS0000063714.V336653.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. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Rose Court Lodge Care Home Address 3 Sutton Road Mansfield Nottinghamshire NG18 5ET 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) 01623 400445 01623 400446 European Care (GB) Ltd Mrs Mavis McLaughlin Care Home 110 Category(ies) of Dementia - over 65 years of age (55), Old age, registration, with number not falling within any other category (110) of places Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. European Care (GB) Ltd is registered to provide accommodation and personal care for a maximum of 110 older people at Rose Lodge. Rose Lodge can accommodate a maximum of 55 older people over the age of 65 years (OP) and a maximum of 55 older people with dementia (DE(E). 22nd February 2007 Date of last inspection Brief Description of the Service: Rose Court Lodge is the registered name for 2 units on the same site, Rose Lodge and Rose Court, each providing personal care and accommodation for 55 older people, including those who have dementia. The home can provide short and long term care. The home is owned by European Healthcare. The home is located near Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in June 1998 and consists of two identical purpose built buildings. Each unit has fifty three single bedrooms and all of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and each unit has a passenger lift. The home has well appointed garden and patio areas that are well maintained and easily accessible. There is ample car parking available. The manager said on 11/05/07 that the fees for the service range from £290 £475 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available from the manager or the website: WWW.Europeancare.co.uk A copy of the latest inspection report is available in the entrance hall to both buildings. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 6 ½ hours and the main method of inspection used was called case tracking which involved selecting 4 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, the 2 deputy managers, staff on duty and care practices were observed. No visitors were spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection, and time was spent in both units. Survey forms sent to the home by The Commission for Social Care Inspection had been completed by five residents and twelve relatives were seen. The registration certificate was checked and the manager did not agree with one of the conditions listed. What the service does well:
Prospective new residents are assessed before coming to the home. This is to ensure the home is able to meet their needs. Staff use care plans to refer to so they are able to meet residents needs. The manager is improving the care planning system to take into account the needs of residents with dementia. This will ensure that all residents’ needs are planned for The home will contact healthcare professionals to see to the healthcare needs of residents. This ensures that the healthcare needs of residents are met. Staff are told how to respect residents’ privacy and dignity. This ensures that residents are cared for in a way that respects their privacy and dignity. Each unit has a designated activities lounge and there is an activities coordinator employed in each one who provide a variety of activities throughout the week. This ensures that residents have opportunities to do things they find meaningful and enjoyable. Visitors to the home are welcome and residents have opportunities to go on trips out of the home. This ensures that residents are able to maintain relationships with families and friends.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 6 Residents are able to choose how they spend their time and are supported by staff to make choices where they are able. This ensures that residents remain in control of their lives. The home has a 5 week menu and there is a choice of alternatives if something different is wanted. Residents can request a particular meal if they wish to. This ensures that residents enjoy a varied and wholesome diet. Staff knew how to respond to any complaint a resident made. This ensures that residents can have any complaints acted upon. The home is well laid out and kept to a high standard of repair and décor. This ensures that residents live in a comfortable environment. The home is kept clean and tidy and there are measures in place to prevent the spread of infection. This ensures that residents are not at risk of becoming infected. The majority of care staff have either completed or are working towards National Vocational Qualifications and regular training is provided. This ensures that residents are cared for by people trained to meet their needs. New staff can only start work when the required checks have been carried out, including a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check have been carried out. This ensures that residents are cared for by people who are suitable to look after them. There is a suitably qualified and experienced manager in post. This ensures that the home is properly run in the best interest of residents. There are survey forms on all the services provided within the home in the entrance to each unit. Appropriate action had been taken for comments that had been raised in these. This ensures that residents can have a say in how the home is run. Regular checks and tests are carried out on the building and equipment. This ensures that the health and safety of residents is protected. What has improved since the last inspection?
Staff have been trained on safeguarding adults and the home has policies and procedures for staff to follow if they suspect anyone is not being properly treated. This ensures that residents are protected from any form of abuse. There is a system for the home to look after money on behalf of residents. This is kept in separate wallets. Each transaction is signed and witnessed. This ensures that residents’ financial interests are safeguarded.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 7 Regular checks and tests are carried out on the building and equipment, including the fire alarm and water storage system. This ensures that the health and safety of residents is protected. What they could do better: 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. Rose Court Lodge Care Home DS0000063714.V336653.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 Rose Court Lodge Care Home DS0000063714.V336653.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): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: The manager said that one of the deputy managers will go out to assess any prospective new resident using a prepared assessment form. Completed assessments were seen on residents’ files. Community Care assessments are obtained before admission and used to start preparing the care plans. Assessments included details of any specialist assistance a resident requires. Staff said they are told about new admissions to the home and they read assessments so they know about their history and the needs they have.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 10 A resident said, “I think someone came to see me before I came here”. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. The manager said that all residents are of white British origin and there has not been a resident from another culture at the home. There is no arrangement made for the home to provide an intermediate care service. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10 People who use the 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’ health, personal and social needs are set out in an individual plan of care and these are met by care practices in the home. EVIDENCE: Care plans have been developed to become more person centred so they give more information about the person. There is a personal plan of residents’ preferences and wishes, and includes a brief social history. The manager said that the current care planning system needs improving, particularly for residents with dementia, so that they are more positive and identify strengths. In order to do this the manager has obtained a new care planning system, which will be used for all new residents and over a period of time replace all the other care plans.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 12 Staff said that they found the care plans useful and they refer to them for such things as checking on allergies and medical histories. Staff said they found the social histories useful when getting to know residents. A resident said, “Staff are very good and willing to help, they always ask me how I want to be assisted”. There is a system to record all medical appointments residents have, although these were not always completed. Records show there are visits to the home from various healthcare professionals, including district nurses, speech therapists, physiotherapists and doctors. Staff said they pass on any health concerns to the senior on duty who will arrange for any required service. Staff said that district nurses visit the home three times a day and both the chiropodist and dentist visited the home yesterday. A resident said, “”I have a nurse come to me twice a week”. Medication was seen left with some residents at lunchtime, who staff said they thought were able to take it themselves, however this had not been risk assessed and does not follow the guidance on administration of medicines in care homes by the Royal Pharmaceutical Society. Staff said there have been occasions when tablets have been found on the floor when cleaning up after dinner. The manager said that she would review current practices for administering medication in light of this. A resident said “I get my tablets from whoever is dishing them out”. The manager said that new staff are inducted into their jobs and this includes being shown good practices in respecting residents’ privacy and dignity. The manager said that senior staff watch staff to ensure they are doing things properly. Staff described good practices in promoting privacy and dignity, such as drawing curtains and closing doors. Residents are asked if they have a preference for a male or female carer to assist them. A resident said, “They couldn’t be better, I feel very comfortable when staff are helping me”. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15 People who use the 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 have opportunities to satisfy their social, cultural, religious and recreational interests and needs through opportunities provided within the home, the local community and being able to maintain relationships. Residents are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: The home has a designated activities lounge in each unit and there is an activities coordinator employed in each one. There was a bingo session taking place in one activities lounge and a reminiscence baking session in the other. The home has purchased some activity packs designed for use with people with dementia, including a CD of old radio shows. There is a monthly church service held and entertainers visit the home. An activities coordinator said she asks residents for ideas of things to do.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 14 In addition to the organised activities residents were seen involved in a range of activities around both units, including playing dominoes, making a card, reading a newspaper, using a talking book and colouring. Staff were talking with residents and there were plenty of positive interactions seen, including with people with dementia. Staff said that both activities coordinators involve all residents in each unit. A resident said, “I can always find plenty to do, I often join in the activities”. The manager said that residents have trips out to a local pub, cinema, theatre and some attend a local church. One resident recently went missing and is now taken out for a walk by staff when she wants to go out. The resident said she enjoyed this. Staff said that visitors to the home are welcome at any time. Residents were seen being offered choices and asked questions about what they wanted or wanted to do. Some residents were seen having a late breakfast and staff said this was because they had wanted a lie in. There were choices of drinks on the tea trolley and residents were seen in various areas of the home, including their own rooms. Residents were seen eating biscuits, cakes and fruit during the morning. Staff said they are mindful when offering choices not to overwhelm any resident and some respond better with limited choices so they do not become confused. A resident said, “I do things I want to when I want”. Each unit has a similar five week menu that is changed each season. Some changes have been made due to preferences of residents. The menu includes casseroles, roast dinners and a different fish dish on Fridays. There were records made of things residents don’t like, but few references to meals they particularly like. Staff said they have recently got some coloured plates, which have really helped residents with dementia being able to see their food. Residents can request a different meal from a selection of alternatives and the cooks said if a resident asks for something they will provide it as soon as they can and one cook said a resident occasionally asked for a curry. There was a wide choice of drinks available with lunch, including fizzy pop. A number of residents spoke highly of the food and said they have plenty to eat. Positive comments were made about the food by relatives on survey forms.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 15 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): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for residents to raise complaints and protect residents from abuse. EVIDENCE: The home has a complaints procedure and a book to record any complaints in. The manager said there have not been any complaints made since the last inspection other than minor matters, such as missing clothing, which have been resolved. Staff were aware of the complaints procedure, but said they had not taken any complaints. A resident said, “I’ve never had to complain about anything, I am treated too well!” There was a copy of the Adult Protection Procedures, which were up to date and the home has a whistleblowing policy. Some staff have received training on safeguarding adults and further courses are planned for the remainder.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 16 Staff said that external doors are alarmed so they know if a resident is trying to leave the building. The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. A resident said, “It’s the staff who get mistreated, some residents expect too much of them”. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 17 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): 19 and 26 People who use the 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 live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: The home consists of two purpose buildings on the same site. Each unit has 2 lounges, a dining room and activities lounge. The home has wide corridors and a shaft lift making mobility easier. The home was well maintained and appropriately furnished. The manager said that she is given the budgets she needs to keep the building in good condition and has designated staff to do this.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 18 Staff said that they thought the building was a very nice place for residents to live, which was also said by residents. One resident said, “You couldn’t ask for somewhere nicer”. All areas of the home seen were clean and tidy and there are appropriate systems for dealing with soiled linen and waste. Staff said that everywhere is kept clean and they have either had training in infection control or are due to do so shortly. A resident said, ”You wouldn’t think they could keep it as clean as this with so many of us here to make a mess, but they do, it’s always spotless”. In survey forms completed by residents 4 residents said that the home is always fresh and clean and 1 said it sometimes is. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 19 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): 27, 28, 29 and 30 People who use the 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 would like staff to spend more time with them. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The home has assessed their minimum staffing levels to be 7 care staff during the day and 4 care staff at night, with an additional person on at weekends. The home has a back up of ancillary staff including kitchen, maintenance, housekeeping and administration. There are also activities coordinators, unit deputies and a registered manager. The home employs male and female staff and they are of varying ages, all staff are of white British origin with the exception of one, who is from Eastern Europe. Staff said they just about manage with the current staffing levels, but this does not always allow for time to sit down to spend time with residents. A resident said, “They are fantastic, you just have to ask for help and they are there, I do like it when they have time to chat, but they are usually too busy”.
Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 20 When these points were discussed with the manager she said she would look into the staffing levels and how staff are deployed, to make sure that staff are able to spend time with residents. In survey forms completed by residents, 4 residents said that staff are available when you need them and 1 said they sometimes are. The manager stated in the pre inspection questionnaire that 29 staff have completed National Vocational Qualification level 2 or higher and a further 23 are working towards these. Some staff said they have completed National Vocational Qualification training and others said they are currently doing it. Staff files seen showed that the correct recruitment practices are followed. The home follows their equal opportunities policy in the recruitment of new staff. Staff have been provided with a variety of courses, including a course on working with people with dementia called “Yesterday, Today and Tomorrow.” The manager said that further training is planned and this will include further training on dementia Staff said they have done loads of training and there are regular opportunities for them to attend courses. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 21 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): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management systems in place for the smooth running of the home and to protect residents. Residents express their views on how the home is run. EVIDENCE: The manager said she had been the registered manager since June 1998 and has nearly finished National Vocational Qualification level 4. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 22 Much of the day to day running of each unit is delegated to the deputy managers. The manager showed a recent newsletter which kept residents and relatives informed of what is happening in the home. There are surveys placed in the entrance corridor about a number of services provided in the home. A selection of completed ones were seen and appropriate action had been taken where required. The home will hold money for residents to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction and signed and witnessed. Receipts are kept when available. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 23 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13(2) Requirement Timescale for action 11/05/07 2 OP27 18(1)(a) 01/07/07 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 OP15 Good Practice Recommendations Include details of residents likes as well as their dislikes. This will help plan for residents to be able to eat their favourite foods. Rose Court Lodge Care Home DS0000063714.V336653.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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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