Care Home: 117 to 119 Mollands Lane

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What the care home does well The manager gives people good up to date information on the service that he provides and can also supply the information in various forms such as cassette, large print, Braille or a specific language. The home has a thorough detailed assessment process that ensures that it can meet the needs of people who want to use the service. Care plans are written in a person centered way and people living in the home have their own life book that gives good information on a persons likes, dislikes, hopes, dreams and wishes. The life book includes photographs that cover all areas of the individual`s life including past holidays and outings, their family and their friends. The home supports people to take risks to enable them to live their lives as independently as possible. 117/119 Mollands Lane gives people excellent healthcare support and encourages them to live a healthy lifestyle. People take part in the running of the home and help in making important decisions. Members of staff are well trained and get good support from the manager who is very experienced in running a home. The manager makes sure that people`s views and opinions are included when planning improvements to the service and the home is run safely. What has improved since the last inspection? The manager now regularly looks at the Statement of Purpose and Service User Guide and updates it with any new information. Regular checks are carried out on the medication system to make sure it is correct. The manager has fitted a stair lift to help people that find it difficult to climb up the stairs and he now makes sure that all health and safety checks are carried out. What the care home could do better: The manager could make sure that all complaints are recorded including any minor ones; he will then be able to identify any issues that keep coming up and he could then look for ways to put them right. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 117 to 119 Mollands Lane 117/119 Mollands Lane South Ockendon Essex RM15 6DJ     The quality rating for this care home is:   three star excellent 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: Pauline Marshall     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: 117 to 119 Mollands Lane 117/119 Mollands Lane South Ockendon Essex RM15 6DJ 01708851963 Telephone number: Fax number: Email address: Provider web address: victor.finney@east-living.co.uk Name of registered provider(s): Name of registered manager (if applicable) Maurice Victor Finney Type of registration: Number of places registered: East Living Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Care to be provided to service users with a learning disability excluding mental disorder or dementia between the age of 18 - 65 years. Care to be provided to service users with a learning disability excluding mental disorder or dementia over the age of 65 years. Maximum number to be registered - 6 service users. Date of last inspection Brief description of the care home 117/119 Mollands Lane is registered to provide personal care and accommodation to six adults with a learning disability. The homes accommodation includes six single bedrooms, which are situated on the first floor with two dining rooms and separate lounges on the ground floor. There are also two kitchens and corridors on the ground and first floors, the two dwellings are linked. There is no shaft lift in the home. The home has its own vehicle, which is regularly used to convey residents to shops and other amenities within the local community. There are good bus and train links to the area but not near to the home. Residents within the home are involved in a range of Care Homes for Adults (18-65 years) Page 4 of 28 6 Over 65 6 Brief description of the care home leisure, work and college activities. The property has an attractive landscaped garden at the rear and parking facilities are available to the front of the property. The manager provides people interested in living at 117/119 Mollands Lane with a copy of his Statement of Purpose and Service User Guide. The cost of a bed space is £1094 per week and people pay a contribution towards this which varies between £63.95 and £94.45 per week depending on their financial assessment. There are additional charges for hairdressing, chiropody, toiletries, holidays and meals out. Care Homes for Adults (18-65 years) Page 5 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection and the site visit lasted for four hours and thirty minutes. The process included talks with the manager and staff; an inspection of a random sample of files (including those of staff and people living in the home) and some of the records that the home is required to keep. The inspection covered all of the key standards and included a tour of the home. The manager completed his annual quality assurance assessment (AQAA) and information from this has been reflected right through this report. The AQAA is a form required by law for the manager or provider to carry out a self-assessment of how well the outcomes of people using their services are being met. Care Homes for Adults (18-65 years) Page 6 of 28 Surveys were sent to the manager to distribute to six people who live at the home, six of their relatives, four health and social care professionals and ten care staff. At the time of writing this report all six surveys were returned from people living in the home; five of these were completed with the help of the persons carer. One survey was received from the relative of a person living in the home and seven surveys were returned from staff. The returned surveys contained positive comments about 117/119 Mollands Lane and they included the home gives excellent support to people living there and it does well at providing good activities and choice. Further comments on returned surveys were Mollands Lane provides the relevant training and they always listen and will give feedback and follow up any concerns or issues. One staff survey states, the home ensures that the people living in it are happy and content and receive the care that they need to enhance their everyday health, personal and social well-being. What the care home does well: What has improved since the last inspection? 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 will receive sufficient information about the home and they will know that the thorough assessment process will enable staff to meet their needs. Evidence: The Homes Statement of Purpose and Service User Guide were last reviewed in June 2008 and they contain detailed information about the service. Each person living in the home has been provided with a copy of the Statement of Purpose and Service User Guide, which is kept in their individual bedrooms. Both documents are available in cassette, large print, Braille or a specific language. The last person admitted to the home was in October 2006, a thorough detailed assessment of needs was available on the care file, it was person centered and involved the person using the service and their family. People spoken with confirmed that a thorough admission procedure, which includes visits to the home took place. The three care files examined contained license agreements setting out the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: individuals terms and conditions with the home. There was evidence that these were updated regularly and people living in the home had signed them. 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 care planning process will ensure that people live their lives in a way that they wish to. People will know that they are supported to take risks whilst remaining as independent as possible. Evidence: Three care files were examined and they all contained person centered information. People were involved in drawing up the care plans that were developed from their assessment documentation. Each person living in the home has their own life book entitled all about me, which provides detailed information including photographs covering all areas of the persons life. It was clear from the care plans examined and through discussions with people living in the home that regular meetings take place about the running of the home. The manager said in his annual quality assurance assessment all service users are able to decorate and furnish their bedrooms to their own tastes. One of the people living in Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: the home told me that they chose the colours for their bedroom walls and that they helped in deciding on the new furniture and curtains in the living rooms. Each of the three care files examined contained fully completed risk assessments together with management plans for all areas of identified risks. All risk assessments were regularly reviewed and updated to reflect any changes. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will know that they will be supported to live a full and active lifestyle and they will be offered a healthy balanced diet. Evidence: People spoken with and surveyed said that they are offered a good range of activities both inside the home and out in the local community. The manager said in his AQAA service users participate in a wide range of activities such as cinema trips, meals out, walks, cooking sessions, arts and crafts and music sessions. There was evidence on the three care files examined that people living in the home regularly attend church, the Salvation Army, play bingo and go dog racing at Romford dog track. People spoken with confirmed that in addition to these activities they also went on holidays every year and one person showed me their photographs of their recent holiday to Gran Canaria. The home has its own min-bus for people to use for outings. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: There was evidence on the three care files examined that people had regular contact with family and friends and people spoken with and surveyed said, I go home to my family at week ends and at Christmas and I always go to clubs where I meet all of my old friends and have fun. Members of staff were observed interacting with people living in the home throughout the day and it was clear that people were comfortable and relaxed in their company. People spoken with said the staff are good here, they will help you if you need it and they always listen to you. People living in the home decide on a weekly basis what they would like to eat and take it in turns to go food shopping. Pictures of meals are used to assist people to identify different foods and records are kept of the meals provided. People spoken with said the food is really good and I can choose what I want to eat, pie is my favourite and we have lots of different foods. Care Homes for Adults (18-65 years) Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that they will receive personal and healthcare support in a way they prefer. Evidence: The care files examined evidenced that people living in the home were provided with the level of support they required. One care plan identified that the person required minimal supervision and verbal prompts to carry out routine tasks and another showed that more staff assistance was required at times. People spoken with said they were able to decide on times to go to bed and get up and one person said, I have my own key and can come and go as I like. Since the last inspection a stair lift has been fitted to enable one of the people living in the home to access their bedroom, which is upstairs; this person said they found the stair lift really helpful and that staff assists them to use it. People spoken with and surveyed said that staff listens to them and that if they have any health issues the staff arranges for them to see either the doctor or the nurse. The Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: manager said in his AQAA we are good at recording healthcare interventions and have good relationships with healthcare professionals and outside agencies. There was evidence on the three care files examined that people living in the home have attended regular health appointments including chiropody, opticians and specialists clinics. The manager uses a monitored dosage medication system and one particular staff member is responsible for ordering medication every twenty-eight days. People living in the home each have a locked cabinet for storage of their medication in their bedrooms. One person self medicates and staff witness and sign to confirm that the medication has been taken. A medication audit is carried out at each shift change to ensure that medication is correct. There were protocols in place for all PRN (as and when prescribed) medication. The records contained a list of staff names their signatures and the initials they used when signing for medication. All staff that administers medication has received medication training. Care Homes for Adults (18-65 years) Page 17 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. People can be sure that their complaints will be listened to and acted upon and that they will be protected from abuse. Evidence: The manager uses the providers complaints procedure that is designed to meet the needs of all the services owned by the Organisation. The manager said that it was currently being reviewed and that he was waiting for the updated version that was due in April 2008. The procedure examined did not contain the contact details of the CSCI, however the Statement of Purpose and Service User Guide did include a summary of the complaints procedure that included the CSCI contact details but provided incorrect information about our role. The last recorded complaint was made on 30/10/06; the manager said that complaints are dealt with immediately and are not recorded but he will be addressing this issue at his next staff meeting and that he will be asking staff to record all complaints, including those of a minor nature. The manager said that the home has not had any safeguarding issues since the last inspection. There is a whistle blowing policy that was displayed on the office wall and staff spoken with was fully aware of how to use it. The three staff files examined contained evidence of regular annual training in safeguarding and the training matrix Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: identified when updates were due. Members of staff spoken with showed a good knowledge of adult safeguarding and were confident of using the homes safeguarding procedures. The manager has up to date policies and procedures for handling peoples cash and valuables. A random check was carried out of three peoples cash together with their transaction sheets and entries were clear, receipted and signed for and all were found to be correct. 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. People live in a safe, homely, clean and comfortable environment. Evidence: 117/119 Mollands Lane consists of two adjoining properties; each of them having three single bedrooms, a lounge area, a dining room, kitchen and bathroom. Fittings in both bathrooms are old but serviceable; a member of staff said that the manager intends to replace one of the bathrooms with a walk in shower. The manager identified the need for a walk in shower in his continuous improvement plan written in July 2008. There was a new three-piece suite in each of the lounge areas and people spoken with said that they had chosen the suite and the new curtains and that they were very happy with their choice. People spoken with said that they had chosen the colour schemes for their bedrooms and each of the rooms contained peoples individual choice of pictures, soft furnishings and small appliances. People also said that they had chosen new carpet and that it was due to be fitted soon. The manager confirmed that new carpet would be fitted two weeks after the inspection and that people had helped choose the colours. The homes communal areas were reasonably decorated though some areas needed attention; the manager said there were plans in place for this work to be carried out in the next Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: twelve months. The last monthly responsible individuals report confirmed that this work had been booked. The manager keeps a maintenance book for recording and monitoring repairs to the home and says that the organisation provides a good response to their requests for repairs; the entries in the maintenance book confirmed this. The home was clean, pleasant and hygienic and people spoken with said that they worked together with the staff to ensure that the home was kept clean. 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. Competent and well-trained staff will support people living at 117/119 Mollands Lane. Evidence: The staff duty roster showed that sufficient numbers of staff were employed to meet the needs of the people living in the home. The manager said in his AQAA rosters are prepared well in advance. The rosters inspected were fully completed, identified staff designation and clearly amended where necessary and were completed well in advance. Three staff files were examined and all contained copies of application forms, staff references and criminal records bureau checks (CRB). Staff spoken with said they had worked for the company for many years and that recruitment practices were different then but they felt that a thorough recruitment process now takes place. There was evidence on the staff files examined that a thorough induction takes place for all staff; the manager also ensures that bank and agency staff complete a first day induction programme and there was checklists on staff files to confirm that this has occurred. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: All staff have a personal development plan and the manager has compiled a training matrix that identifies when updates in training are required. Staff spoken with and surveyed said how good the training was and there were copies of certificates of recent training in adult abuse, first aid, epilepsy awareness, health and safety, diversity and cultural awareness, fire awareness, medication, food hygiene, moving and handling and needs risk assessment and support planning. The manager said in his AQAA and the records confirmed that 60 percentage of permanent staff working at 117/119 Mollands Lane have achieved their NVQ level 2 in care or above. The staff files examined contained evidence that regular supervision and appraisal takes place. Members of staff spoken with and surveyed said that they felt well supported by the manager and that he was approachable and would deal with issues as they arose. 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. People will live in a safe, well run home that safeguards their rights and best interests. Evidence: The manager is very experienced and has managed other homes for people with learning disabilities; he has completed the registered managers award and is enrolled on the NVQ4 in health and social care. Regular meetings are held for people living in the home and for the staff team; notes of these meetings are kept. People spoken with confirmed that meetings take place on a regular basis and that changes are made as a result of them. The manager attends monthly managers meetings and he said that he feels well supported by East Living. There was evidence that the responsible individual of East Living carries out regular monthly visits to the home, the last one being on 25/9/08. The manager gathered peoples views on what it was like to live at 117/119 Mollands Lane by carrying out a Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: survey in July 2008 and he prepared a report entitled Continuous Improvement Plan for 117/119 Mollands Lane. The plan addressed the CSCI requirements and recommendations that were made as a result of the homes last inspection and issues that had been identified on the responsible individuals monthly visit as well as issues raised by people living in the home and the homes staff. A member of staff together with a person living in the home carries out a monthly health and safety check and the last one on record was carried out on 25/8/08. The person who assisted staff confirmed that they always assist staff with the health and safety checks. There was evidence that fire drills take place every three months and that all staff and people living in the home have the opportunity to participate in them; the last fire drill took place on 20/7/08. All safety checks have been carried out and certificates were in place and up to date. 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 22 To ensure that complaints are fully investigated and to identify any trends it is recommended that the manager should record all complaints including those of a minor nature. 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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