Inspection on 26/09/08 for Salcasa

This inspection was carried out on 26th September 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Salcasa 27/09/06

Salcasa 09/08/05

Salcasa 01/04/05

Salcasa 25/10/04

Salcasa 20/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Salcasa Coltishall Road Buxton Norfolk NR10 5HB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debra Allen     Date: 2 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Salcasa Coltishall Road Buxton Norfolk NR10 5HB 01603278268 P/F01603278268 sal.jeesal@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nicola Sharon Atkin Type of registration: Number of places registered: Jeesal Residential Care Services Limited care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Salcasa is a detached five-bedroom bungalow in the village of Buxton, near to Norwich. The Home is owned and managed by Jeesal Residential Care Services Ltd. Salcasa is situated a few doors away from Ashwood House which is a larger Care Home owned by the same organisation. Over the last two years the registration has increased so that accommodation is now provided for up to five service users with a learning disability. An extension has recently been completed at the home, which provides an annexe with its own ensuite bedroom, kitchen and lounge. The other four bedrooms are within the main bungalow. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This inspection was carried out over a period of four hours, during which time discussions were held with the manager, staff and service users. A guided tour of the premises was also carried out, together with a service user and member of staff. Care Homes for Adults (18-65 years) Page 5 of 28 Care plans, staff files, health and safety information and other records required for regulation were also examined as part of the inspection process. One recommendation has been made as a result of this inspection. What the care home does well: What has improved since the last inspection? The terms and conditions in respect of accommodation, including the amount and method of payment of fees, has been provided for the most recently admitted service user and other peoples information is currently in the process of being updated. Following this inspection, the manager confirmed that, of eleven staff members, seven have completed National Vocational Qualifications (NVQ) of Level 2 or 3, two are currently in progress and two are about to be signed up. Care staff at Salcasa now receive regular support and supervision. Care plan information is better organised, which ensures each individual care plan is more accessible as a working guide for support workers to access and add to/update as necessary. A number of improvements have been made throughout Salcasa, including new flooring in one of the shower rooms and work was in progress with regard to a new patio being laid. Care Homes for Adults (18-65 years) Page 7 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with the information they need to decide if the home is right for them and a full needs assessment is completed before people move in. Evidence: Care plans were seen for three people and all contained good evidence that indepth pre-admission assessments had been carried out. Detailed pre-admission assessments were noted to have been compiled by the Behaviour Support Manager of Jeesal Residential Services, following meetings with the service user, social worker, Community Learning Disability Nurse, Consultant Psychiatrist and, where applicaple, Ward Nursing Staff. The pre-admission assessments were also seen to contain very good pen pictures and personal history, which have helped to create quality care plans and ensure the service is able to meet individual peoples needs. Service User Guides and Statements of Purpose were also looked at and work was Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: seen to be in progress for existing residents to have their contracts/terms & conditions reviewed and updated as necessary to reflect the correct level of fees and method of payment. However, the care plan for the person most recently admitted to Salcasa, was seen to contain this information, in line with a previous requirement. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Salcasa are involved in decisions about their lives and have opportunities to be actively involved in planning the care and support they receive. Evidence: Each of the three care plans looked at contained very comprehensive information about each individual, under headings such as: (1) Missing Persons Profile (2) Personal Pen Picture (3) Pre-admission Assessment (4) Personal Details (5) Likes and Dislikes. A good example of how someones assessed and changing needs are monitored and reflected in their personal care plan was noted in the Likes & Dislikes section, where it was stated: Since [name] moved to Salcasa, an observation has been made on what [name] likes/enjoys to eat and drink. Also noted are some activities [name] likes doing, together with some they are not keen on. This chart will be evaluated constantly. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: From this information, it was noted that one person likes 1:1 support with domestic activities such as hoovering, bed-making and laundry but they dislike polishing and cooking. It was also noted for another person that the list of likes/dislikes was constantly being added to and updated when preferences changed from like to dislike or vice versa. It was evident through observations and discussions with some of the people living at Salcasa that they are able to make genuine choices and are able to participate in all aspects of life in the home. Risk assessments were also looked at during the inspection and these were seen to be very clear, indepth and personal. The guidelines for staff to follow were also clear and concise and included the following addendum: (1) A tenants ability to be aware of danger may be limited, therefore the person may become at risk in assessed situations. (2) This assessment has taken place within our relatively protected environment, with constant staff presence maintaining that protection. Any new environment and group of carers will present different/new risks and must be assessed accordingly. The risk assessment folder was seen to cover areas under headings such as: (a) Summary of Risk Assessment Categories (b) Activities of Living (c) Inappropriate Sexual Behaviour (d) Absconding/Wandering (e) Substance/Alcohol Misuse (f) Self Injuries / Parasuicidal Behaviour (g) Interactions with Others (h) Aggresive/Violent Behaviour (i) Destructive Behaviour (j) Fire (k) Theft (l) Aspects of Mental Health (m) Aspects of Physical Health. All personal information and records relating to the people living at Salcasa were seen to be stored securely, thereby ensuring confidentiality is maintained. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Salcasa are able to make choices about their lifestyle and are supported to participate in various activities, which suit their individual needs, choices and aspirations. Evidence: Three people were at home on the day of inspection, while two others were either at their day placement or away with family. The care plans that were looked at confirmed that each person is supported to live the lifestyle they choose in respect of daily activities and, as mentioned previously, the likes and dislikes list is very comprehensive and includes a non-exhaustive list of activities (both social and domestic) which is constantly reviewed and updated as necessary. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Each of these lists is marked in sections under headings such as Likes A Lot Likes A Little or Dislikes and comparisons made between the care plans confirmed that each person was truly respected as an individual, with very different responses having been observed. Some of the activities noted included: (1) Domestic Activities - i.e. Hoovering, Ironing, Washing Up, Making Cakes/Cooking etc (2) Personal Appearance - i.e. Wearing a Suit, Casual Wear, Buying New Clothes, Wearing Jewellery/Make-up etc (3) Special Events i.e. Having/Attending a Party, Watching Videos/DVDs, Listening to Music, Walking, Dancing etc (4) Watching Sport - i.e. Football, Snooker/Pool, Tennis etc (5) Animals i.e. Cats, Dogs, Horses, Horse Riding, Other Farm Animals, Birds, Insects/Spiders etc (6) Other - Bus Rides, Train Rides, Sailing, Swimming, Aromotherapy, Keep Fit, Games, Drawing, Painting etc. From other information seen in the care plans and discussions held with two of the people living at Salcasa, some recent activities included: Room Maintenance, Foot Spa, Family Visit, Outing, Massage, Music, Aromatherapy, Cooking, Sailing and Art & Craft. During the tour of the premises, one person showed me their personal summer house, which they are extremely proud of and it was noted that plans are currently under way to provide a green-house, as requested by another person. It was quoted in the AQAA, and confirmed via discussions with the manager, that Salcasa has improved over the last twelve months by way of the fact that tenants are encouraged and supported to carry out independent living skills. Each tenant is encouraged to cook meals on a regular basis by taking it in turns to cook for each other. This includes preparation and cleaning up afterwards. Plans for improvement are to continue encouraging and supporting the people living at Salcasa with their independent living skills. Evidence of what Salcasa does well, as stated in the AQAA, was also confirmed via discussions, observations, care plans and other records seen during the inspection. Tenants meetings were noted to be held on a regular basis and monthly summaries are compiled to montior personal development. Lunchtime was observed on the day of inspection and the people at home were seen choosing what and where they wanted to eat. A brief discussion with two of the people living at Salcasa confirmed that they enjoyed their meals and were actively involved in choosing the menu and sometimes helped with the preparation and cooking. Care Homes for Adults (18-65 years) Page 15 of 28 Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people living at Salcasa receive, is based on their individual needs and the principles of respect, dignity and privacy are put into practice. Evidence: It was evident through information in the care plans and some observations, that personal care continues to be provided to the people living at Salcasa in such a way as to ensure their dignity and privacy is maintained. A good recording system was seen to be in place in peoples care plans, which helps enable staff to support people according to their individual needs and choices, such as: Activity - i.e. Shower / Washing / Hair Wash / Wet Shave / Dry Shave / Dressing / Continence Care etc. How Often & When - i.e. Daily after tea. Level of Assistance Required - i.e. Prompt From Staff or Can do Independently. Specific Products Used i.e. Shaving Balm. Strengths and Additional Comments - i.e. [name] has requested male staff for assistance/support. Other records seen confirmed that people have regular contact and input from other Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: healthcare professionals such as Doctor, Dentist, Optician and Community Nurse. a Health Event Log was also seen to be maintained within individuals care plans, together with weight charts, which proved easy to follow for auditing and monitoring purposes. Although nobody living at Salcasa is currently administering or looking after their own medication, everyone is protected by the homes policies and procedures and staff are well trained in this area. No errors or omissions were noted from the records that were looked at during the inspection. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Salcasa feel their views are listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. Evidence: The complaints procedure was seen to be available in the Service User Guide, in written and symbol format and, from discussions and previous information received, the people living at Salcasa appear to be comfortable making any concerns known by talking to the staff or the manager. The Complaints and Suggestion folder was looked at during the inspection and was seen to be divided into three sections: Tenants Complaints, Staff Complaints and Suggestions. No complaints have been made since the last inspection and the in-house forwarding system for suggestions was seen to be excellent - i.e. the suggestion of a hand-rail for one particulr person has been duly actioned. The staff spoken to, and records seen confirmed that staff are well trained in areas of adult protection and know the procedures for reporting allegations of abuse. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although Salcasa is currently undergoing a considerable amount of improvements, it still provides a homely, comfortable and safe environment, which is clean and hygienic. Peoples bedrooms, toilets and bathrooms are individual and private and shared spaces complement their individual rooms. Evidence: A tour of the premises was carried out as part of the inspection and a number of improvements were seen to have either been made since the last inspection or be actively work in progress. A new patio was in the process of being laid, in accordance with a previous requirement. One of the shower rooms/toilet was observed to have had a new floor laid, while the others were confirmed as due for refurbishment in the very near future. Despite the above, Salcasa was found to be clean and hygienic, with a very comfortable and homely atmosphere. The annexe, which provides self-contained living accommodation for one person, was particularly noted to have been decorated and maintained to a very high standard. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Meanwhile, although good progress has been made, and appears to be ongoing, a recommendation has been made for the improvement works to be completed as soon as possible, particularly in respect of the patio and shower rooms. Individual bedrooms looked at were seen to be extremely private and personal and reflected each persons character and individuality. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Salcasa has robust recruitment policies and procedures and staff are well supported and receive regular, good quality training, which helps to ensure service users are protected. Evidence: Three staff files were looked at during the inspection and these were found to be well structured with relevant information stored in sections such as: Introduction, Personal Details, Current Job Description, Induction Records, Educational Attendance Records and Certificates, Supervision Records and Annual Review Records. The personnel files also provided evidence that each member of staff had received clear, enhanced Criminal Records Bureau (CRB) disclosures, prior to starting work, therefore confirming that the home/organisation has robust recruitment procedures. It was evident from the records seen and discussions with the staff and manager that Jeesal continue to provide excellent training opportunities and training records showed evidence of courses attended such as induction, first aid, fire safety, health & safety, food hygiene, adult protection, moving & handling, epilepsy, medication, ASD, NAPPI, challenging behaviour and signalong. Some additional training that was noted for some Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff included minimum standards, equality & diversity, care planning and infection control. Following this inspection, the manager confirmed that, of eleven staff members, seven have completed National Vocational Qualifications (NVQ) of Level 2 or 3, two are currently in progress and two are about to be signed up. Evidence was also seen to show that staff received one-to-one support and supervision on a regular basis. Staff spoken to also confirmed this fact. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Salcasa is a well run home, in which the service users overall health, safety and welfare is promoted and protected. An effective quality assurance process is also in place, which helps ensure good practice is monitored and peoples views are listened to. Evidence: The current manager has settled in well since the last inspection and has a number of years experience in the care field. She has completed NVQ 3, together with an Access Course in Care and is currently in the process of completing her Registered Managers Award (RMA). During the inspection, staff and two of the people living at Salcasa commented on how much they liked the manager and observations showed her to be approachable, supportive and professional. The Quality Assurance process continues to be effective and is made up from Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: information gathered from service user meetings, staff meetings, care plan reviews and feedback from questionnaires which are sent to parents, social workers, Community Learning Disability team and GPs. This information also helps form the basis of Jeesals Annual Development Plan for Salcasa. Meanwhile, the regulated checks for fire, environmental health, water and electric were found to be satisfactory and cleaning materials/hazardous chemicals were seen to be stored appropriately. The Fire risk assessments, in particular, were seen to be excellent, with full details and assessments having been completed on an individual basis for each persons own room as well as the premises as a whole. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 It is recommended the improvement works to be completed as soon as possible, particularly in respect of the patio and shower rooms. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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