Latest Inspection
This is the latest available inspection report for this service, carried out on 27th November 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
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.
For extracts, read the latest CQC inspection for Aden View.
What the care home does well What has improved since the last inspection? People`s needs are assessed before coming to live at the home and signed by the person carrying out the assessment. This makes sure that the home is able to meet a person`s needs. The care plans are now reviewed at regular intervals and as the needs of the person change. Medication is stored safely, and appropriate records kept. The manager confirmed that there are sufficient numbers of staff on duty on each floor, and at any one time to meet the needs of people in their care. The hours people work are recorded on the duty rota, and satisfactory numbers of staff were on duty on the day of the inspection. The manager also confirmed that new staff undertake induction training in accordance with Skills for Care, the National Training Organisation for care staff. This helps ensure people are cared for by staff who have received the right information and training. What the care home could do better: In the interest of peoples and staff safety, and to ensure that the fire alarm system is working properly, the alarms should be tested weekly and recorded in accordance with the fire safety officers` guidance. To show peoples involvement and enjoyment of activities a better record should be made of activities undertaken. The supervision of staff should be written in more detail to show what has been discussed and any action taken in order to monitor staff competence and development. CARE HOMES FOR OLDER PEOPLE
Aden View Perseverance Street Primrose Hill Huddersfield West Yorkshire HD4 6AP Lead Inspector
Karen Summers Key Unannounced Inspection 27th November 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Aden View DS0000026262.V355399.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. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Aden View Address Perseverance Street Primrose Hill Huddersfield West Yorkshire HD4 6AP 01484 530821 01484 533985 no email Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Aden House Ltd Ms Denise Mckenna Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 46 One named person aged under 65 years of age 2. 3. Date of last inspection 12th January 2007 Brief Description of the Service: Aden View is registered with the Commission for Social Care Inspection (CSCI) to provide personal care and accommodation for up to 46 older people. The home does not provide nursing care. Aden View is a spacious purpose-built care home situated in Primrose Hill, a residential area of Huddersfield. The accommodation is on two floors, the first floor being accessed by a passenger lift. All bedrooms have en suite facilities, and there are communal toilets and bathrooms situated around the home. There are a number of lounge areas and a dining room. The gardens are well maintained and there is ample seating to accommodate service users who wish to sit out when the weather permits. Car parking is available at the home. CSCI were informed that as at 27.11.07 the current scale of charges were £368.12 to £398.00 per week. Additional charges are made for hairdressing, chiropody, toiletries and newspapers and magazines. Information about the home in the form of a Statement of Purpose, Service User’s Guide and the latest CSCI inspection report are available from the home. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report refers to an inspection, which included an unannounced visit to the home by an inspector on Tuesday the 22nd of November 2007, commencing at 9am, and the length of the inspection was 6.5 hours. There were 45 people living at the home on the day of this visit. Prior to the visit, the manager was asked to complete an annual quality assessment document. This she did, and the document provided the Commission for Social Care Inspection (CSCI) with a lot of information about the way the home is run, and what they hope to achieve in the future. During the visit the inspector spoke with members of staff and people who receive care, to obtain their views. The inspector also looked at a sample of care records, staff recruitment records, staff training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, ten surveys were sent out to people living at the home. One of these was returned. Ten were sent to their next of kin and three of these were returned. Surveys were sent to people’s doctors and health care workers (social workers, community nurses). None of these were returned at the time of writing the report. The feedback from those who returned surveys to the Commission was positive. Below are some examples of the feedback we received: • • ”I am always made welcome when visiting my relative, and can come at anytime.” “Staff are all very good, and if I want something all I have to do is ask.” The Commission would like to thank all the people who gave feedback about this home, and would like to thank the manager and staff for their cooperation throughout the inspection process. What the service does well:
People were asked if they liked the meals at the home, everyone said that they did. One person commented, “Oh I do.” Another person said that the food was very enjoyable. As a tribute the home has received a four stars, “Very Good” award in association with Kirklees Council’s Health Choice Award. “Scores on the doors” Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 6 Relatives were asked, “What do you feel the care home does well?” Comments include: • • “Provides a decent well staffed environment, rooms not too bad or too small, purpose built, and seems well cleaned.” “I find that Aden View looks after my mother to a very high. She likes the staff, her clothes are always clean and her room is in a good state. When I am not there I feel she is being well cared for.” What has improved since the last inspection? What they could do better:
In the interest of peoples and staff safety, and to ensure that the fire alarm system is working properly, the alarms should be tested weekly and recorded in accordance with the fire safety officers’ guidance. To show peoples involvement and enjoyment of activities a better record should be made of activities undertaken. The supervision of staff should be written in more detail to show what has been discussed and any action taken in order to monitor staff competence and development. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aden View DS0000026262.V355399.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 Aden View DS0000026262.V355399.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&5 Standard 6 - the home does not take people who require intermediate care. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are assessed prior to them moving into the home and are able to visit the home to establish whether or not it is the right place for them. EVIDENCE: The care records of three people who use the service were examined, all of which contained a pre-admission assessment carried out by the funding local authority. Each assessment contained detailed information about the person’s current needs, and in addition to this there was evidence that the home had also carried out an assessment of the person’s needs. The information provided by the home confirmed that all prospective people have a pre-admission assessment to ensure the home can meet any identified need and the placement will be appropriate. The manager also said that people were given information about the home and were encouraged to visit
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 10 and spend some time there before making a decision to move in. If a person is unable to visit, photographs are provided of the important areas such as bedrooms, so that the person can see what the home looks like. Once it has been decided that the home can meet the persons needs a letter is sent offering them a place there. People living at the home said that they received enough information about the home before deciding if it was the right place for them, and relatives also confirmed this. Aden View DS0000026262.V355399.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 –10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The level of care people need, which includes their health, personal and social care needs are clearly highlighted within their care plan. People are treated with respect. EVIDENCE: Three people’s care records were looked at in detail and the documentation clearly identified the care needs, and the level of support the person requires. Risk assessments had also been completed and included the risk of falls. There were also movement and handling assessments, nutritional assessment, skin integrity, social interests and people’s likes and dislikes recorded. There was evidence that care reviews had taken place, and that the care plans are updated monthly or as the needs of the person change. Information provided by the home confirmed that residents are consulted on their care plans and contribute as much as practical on a daily basis. Staff respect the residents privacy and dignity by knocking on doors and wait to
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 12 enter and call residents by their preferred name of address, which is documented. Two said that that relatives said that the home help their relative to keep in touch and one sometimes. A relative who was spoken with on the day of inspection said the home always kept them informed and kept in touch. One person said they visited daily so this did not apply. People also said that they receive the care and support that they need and one person said that the staff are, “Always there when they need them.” Everyone said that the staff listen and act on what they say. Staff were seen to talk to people by name and respect their wishes. One person said that they had decided to have a sleep in that morning, and that the staff had not disturbed her. There was also evidence in people’s care records that they are able to access health care services, such as the dentist, chiropodist, optician and everyone living at the home is registered with a doctor. People confirmed that they receive the medical support they need. The manager confirmed that all staff that gives medication to people have had training and the certificates of the training were seen in their files. A sample of medication and records were checked and the storage, administration and recording of the medication was done correctly. Aden View DS0000026262.V355399.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 – 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to maintain contact with their family and friends, and staff assist people in having a choice in most things they do. A variety of meals is offered that take into account the likes and dislikes of the people and their religious and medical needs. EVIDENCE: At the time of the visit people were sat chatting in the entrance of the home and generally passing the time of day. The routines of daily living were seen to be flexible and people said that they chose how they spent their day. The information provided by the home stated that the activities coordinator seeks the views of the residents in order to promote a variety of daily activities, these plans are regulary reviewed and can be changed to meet individual needs. The home has an open visiting policy where visitors are welcome at any time and facilities are available for them to have a drink or a meal with who they are visiting. The activities coordinator spoke enthusiastically about the type of activities people said that they would like and that she is introducing. The existing
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 14 record of activities in people’s care records were listed and a key used to show what activity people were involved in each day. This information needs to be recorded in greater detail to show the persons involvement and their enjoyment of the activity. The activities person had taken lots of photographs of events that she had organised and that individual people had taken part in. Activities include; celebrating events for example, making pumpkin faces and decorating the dining room for Halloween, making chocolate apples, baking, ball games, karaoke, painting, knitting, colouring, board games, puzzles, crosswords, etc., and an entertainer visits the home approximately monthly. People said that there were always activities arranged by the home that they could take part in. At the time of the visit there was an entertainer in one of the lounges and he was playing a keyboard. People had mixed thoughts as to whether they had enjoyed the experience. The hairdresser visits weekly, and church ministers visit monthly. The library also visits approximately every six weeks, and provides large print books and audiotapes are available for people who have sight impairment. Newspapers are also provided by the home, and people can purchase their own if they so wish. Information provided by the home stated that new menus had been introduced following a consultation process with people, and the menus offered a variety of food. When asked if people like the meals at the home everyone said that they did. One person commented, “Oh I do.” Another person said that the food was very enjoyable. As a tribute the home has received a four stars, “Very Good” award in association with Kirklees Council’s Health Choice Award. “Scores on the doors” Aden View DS0000026262.V355399.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 &18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The home’s complaints procedure is made available to all people living at the home and their visitors, and with an assurance that they will be responded to within a maximum of 28 days. However, the company was taken over earlier this year and the procedure has not been updated to show the changed. The manager confirmed that she would update the detail to reflect the changes. According to information provided by the home, there have been eight complaints within the last twelve months, and the information shown that they were responded to within the 28-day period and records are maintained. Most relatives said they know how to make a complaint and knew who they would go to if they were concerned about something. Also people who live at the home know how to complain and who they would speak with. One person said, “Oh I do.” And “Always tell the manager.” Staff who were spoken with said that they were aware of the procedure to follow if they suspected abuse of a person, and that they also were aware of the home’s Whistle blowing policy. Training records were seen and showed that staff have attended safeguarding training.
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 16 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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home offers people a homely, comfortable and clean environment. EVIDENCE: The inspector had a look around the home, which included communal areas, a number of people’s bedrooms and the laundry. The bedrooms contained memorabilia, and reflected the tastes of the people living there. The main corridor carpets were looking faded, and the manager said that they would be replaced in the near future. The standard of cleanliness in the home was good, and people said that the home was always clean. Information provided by the home states that the home offers a good selection of equipment; including specialist care beds and that all staff have had training
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 17 in their use. Regular maintenance audits are carried out and appropriate records are kept, and the environment is smoke free. The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 18 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 – 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. There are sufficient numbers of staff to meet people’s needs. Staff receive training to assist them to carry out their responsibilities and they have had all the necessary checks before working with people so that they are kept safe. EVIDENCE: The information in the annual quality assessment document states, that the home is staffed with people who have the appropriate training. This includes induction and mandatory training. The list of staff on duty showed that there were sufficient staff in number to meet the needs of the people in their care and the manager confirmed this. The home also has full time support staff for the maintenance of the home, and this includes Kitchen staff, domestics, laundry and maintenance. Everyone said that there are always staff available when you need them, and one person said that the staff are very good. Sixty percent of care staff have an NVQ (National Vocational Qualification) level two or above, and a further eight staff are working towards the qualification. It was evident from observation and discussion with people and staff that staff
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 19 have the skills necessary to support people. Staff were observed to approach people in a skilled and respectful manner. The recruitment files of three members of staff were looked at in detail and they contained the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. New staff undertake induction training in accordance with Skills for Care, the National Training Organisation for care staff, and the manager confirmed this. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 20 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 & 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People benefit from the management approach of the home and the manager ensures so far as is practicable that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. EVIDENCE: Denise McKenna is the manager and she has a number of year’s experience of working with older people. Denise also has a NVQ level 4 in Care and the Registered Managers Award. Staff spoke positively about the Denise saying she was supportive and approachable. For those people who wish, small amounts of personal money are held safely at the home. The financial records of three people were examined and
Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 21 satisfactory records were maintained. Receipts are kept of all transactions made. The manger said that meetings involving people who live at the home have recently re commenced, and that they plan to hold them every four weeks. The activities person is responsible for holding the meetings and the minutes were seen which they plan to display in the home and make them available to people who live there. The things that are discussed at the meetings include the activities, quality of care, the quality of food and the menus, choice, laundry etc. Comments made by people at the meeting include: • • “Very Happy with the state of cleanliness, and my room is nice and clean.” “”It is a little cold on an evening.” There was a record what people had said and that the heating would be turned up. The manager confirmed that the outcome of this would be followed up at the next meeting. Staff meetings, and managers meetings also take place every two months or more frequently if needed. The company have recently sent out satisfaction surveys to people, and the manger said that when she receives the feedback from the surveys she would display them in the home for people to see. Compliments were recorded in the form of letters and cards of appreciation from visitors and relatives, and included, “Thank you for your patience and kindness.” “We can’t thank you enough.” The Operations manager visits the home monthly and writes a report on her visit that is used to monitor the quality of the service. The manager also audits the bedrooms, medication, care plans, etc on a weekly basis, and the company monitors the results to ensure that standards are maintained. Staff said that they received regular supervision, and there were records to show what had taken place however, the information was vague and needs to be written in more detail. Records showed that the fire alarms were tested weekly up to the 10th September 2007, and then they have been tested on an ad hoc basis to date. In the interest of peoples and staff safety, and to ensure that the fire alarm is working properly, the alarm should be tested weekly and recorded. The week following the inspection the manager was contacted and she said that the alarm had been tested and that she would ensure that they would be tested weekly. Satisfactory checks were done on the emergency lighting. Fire drills are carried out at regular intervals and the manager said that this included the night staff taking part. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 22 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 1 Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 23 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 OP38 Regulation 23.-(4) Requirement To ensure that the fire alarm system is working properly the fire alarm system must be tested weekly and recorded. Timescale for action 28/12/07 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. 2. Refer to Standard OP12 OP32 Good Practice Recommendations To show peoples involvement and enjoyment of activities they should be written in more detail. The supervision of staff should be written in more detail to show what was discussed. Aden View DS0000026262.V355399.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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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