Latest Inspection
This is the latest available inspection report for this service, carried out on 11th February 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.
For extracts, read the latest CQC inspection for Ashley House.
What the care home does well The home is very welcoming both to new residents and to visitors to the home and new residents are supported with the sometimes-difficult transition of moving in by a caring staff team. The health needs of residents are recognised and well managed. Residents are treated with respect and dignity and their individual choices and decisions are respected. The quality and choices of meals offered at the home is very good, and residents commented on how good the home cooked meals are.The home adjusts the number of staff according to the number of vacancies and the level of dependency of the residents, staff and residents say they receive the assistance they need when they need it. Staff are safely recruited and all the necessary checks are carried out before they start work at the home. The quality assurance systems of the home are robust and the home is run in the best interests of the residents, with appropriate regard for their equality and diversity. What has improved since the last inspection? The majority of care files now include information on residents` life histories which will benefit staff for care planning and the planning of activities. The refurbishment of the majority of the home has vastly improved the environment, and residents benefit from pleasant airy light communal areas as well as newly decorated, re-carpeted bedrooms. The garden has also been improved and now provides an attractive area for residents to enjoy. The staff are being supported to undertake NVQ training and whilst the numbers of those having completed their training is low the majority of staff are now studying. All staff now receive regular supervision. The homes fire risk assessment has been completed and the home has met the requirement of the fire service and environmental health department. What the care home could do better: The care plans are not sufficiently detailed and new staff or agency staff would find it difficult to provide the care residents need with using just the information the care plans provide. Residents or their relatives are not currently involved in drawing up their care plans and the care plans are not being regularly reviewed. Forthcoming activities and events could be better advertised for both the residents and their relatives benefit. Staff knowledge of adult protection and their responsibilities could be improved.Staff training is not up to date and this is being addressed, the core areas of training have been made a priority, additional training in other areas of interest should be arranged after this has been completed. CARE HOMES FOR OLDER PEOPLE
Ashley House 6 Julian Road Folkestone Kent CT19 5HP Lead Inspector
Justine Williams Unannounced Inspection 09:00 11 February 2008
th 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 Ashley House DS0000067828.V353150.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. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Ashley House Address 6 Julian Road Folkestone Kent CT19 5HP 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) 07956 203012 ysuleyman@purelakehealthcare.co.uk Purelake Healthcare Limited ****Post Vacant**** Care Home 17 Category(ies) of Dementia (17) registration, with number of places Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th December 2006 Brief Description of the Service: Ashley House is registered to provide 24-hour residential care for up to 17 people over the age of 65 with dementia. The house is a large, detached, Victorian style property situated in a residential area of Folkestone. It is near to a local park, and is within easy reach of the town centre, other local facilities, and the sea. Accommodation is provided over 3 floors, with access to the first and second floors via a passenger lift and stairs in between. There are 15 single and one shared room. None of these have en-suite facilities, though all have a washbasin. Communal space consists of a lounge at the front of the house and a lounge/diner, which overlooks the rear garden. A concrete ramp leads into the enclosed garden. The inspection report is freely available. The manager advised that weekly fees range from £375.00 to £475.00 with additional charges for chiropody and hairdressing. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes.
An unannounced inspection was carried out on 11th February 2008 between 09.00 am and 1.00pm by regulatory inspector Justine Williams. During that time residents, staff and the manager agreed to speak with the inspector both in public and privately. This report contains assessments made from observations, conversations and records, case tracking and a tour of the premises. Feedback was given during and at the end of the inspection. As part of the inspection process surveys were sent to service users, GP’s, health care professionals, care managers and relatives of residents. The surveys received indicate general satisfaction with the service. Some specific comments made included“The staff are magnificent” “Everyone seems to be well looked after” “It was very hard when my (relative) moved in to Ashley House, but I feel completely at ease that she is being well looked after, that she is safe and happy” “The staff are good people that make our family welcome” What the service does well:
The home is very welcoming both to new residents and to visitors to the home and new residents are supported with the sometimes-difficult transition of moving in by a caring staff team. The health needs of residents are recognised and well managed. Residents are treated with respect and dignity and their individual choices and decisions are respected. The quality and choices of meals offered at the home is very good, and residents commented on how good the home cooked meals are. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 6 The home adjusts the number of staff according to the number of vacancies and the level of dependency of the residents, staff and residents say they receive the assistance they need when they need it. Staff are safely recruited and all the necessary checks are carried out before they start work at the home. The quality assurance systems of the home are robust and the home is run in the best interests of the residents, with appropriate regard for their equality and diversity. What has improved since the last inspection? What they could do better:
The care plans are not sufficiently detailed and new staff or agency staff would find it difficult to provide the care residents need with using just the information the care plans provide. Residents or their relatives are not currently involved in drawing up their care plans and the care plans are not being regularly reviewed. Forthcoming activities and events could be better advertised for both the residents and their relatives benefit. Staff knowledge of adult protection and their responsibilities could be improved.
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 7 Staff training is not up to date and this is being addressed, the core areas of training have been made a priority, additional training in other areas of interest should be arranged after this has been completed. 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. Ashley House DS0000067828.V353150.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 Ashley House DS0000067828.V353150.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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have confidence that the home is right for them through good admission processes. EVIDENCE: The service user guide and statement of purpose are regularly updated and are made available to people interested in moving to the home. The manager plans to provide a service user guide in each bedroom in the near future, so that residents and their relatives may have easy access to them. One relative commented that they would like some specific comments about the home made by families, included in the information given to them, to help them make the decision to assist a relative to move into the home.
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 10 The manager said that trial visits are offered to prospective residents to help them make the decision to move in. New residents are assessed by the manager, or a manager form one of the companies sister homes prior to moving in. another assessment is done with the resident on moving in, and the care plan is written using this information. The assessments are thorough. A copy of the assessment conducted by social services is requested by the home for residents who have a care manager, as this provides the home with further information about the residents needs. Intermediate care is not offered at the home. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans do not demonstrate how well residents’ personal care needs are being met. Residents can be confident that their health needs are well managed and their privacy and dignity is respected. EVIDENCE: All residents have a care plan which staff have access to. This does not currently provide detailed information about how the residents needs are to be met or their specific likes and dislikes, or preferred routines. The care plans contain some basic information about the residents needs but more detail would better evidence that residents’ needs are being met. The reviews for some of the residents care plans are also overdue. The manager is aware of
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 12 these shortcomings and discussed her plans to make the care plans, assessment and documentation less repetitive and more detailed. The manager has been in post for less than 9 months and has been dealing with other priorities, but hope to achieve an improvement in the care plans within the next 3-4 months. There was also little evidence that residents or their relatives had been involved in the drawing up of the care plans. Staff spoken with had very good knowledge of residents specific needs and some evidence was seen in the daily records that resident needs are being managed well, better care plans will help evidence this and help new or agency staff care for residents appropriately. The care plans do contain good information as to how resident’s health care needs are to be met. There are detailed records of visits by health care professionals clearly recorded, and health need being identified and dealt with appropriately and quickly. The home carries out assessments for pressure sore risk, nutrition risk, risk of falls and other specific risks to individuals brought about by their conditions or lifestyles. The home accesses pressure relieving equipment through the district nursing service, and enjoy a good working relationship with the district nurses. The medication practices at the home are safe and comply with legislation and good practice guidelines. The home has a secure medication room and uses a medication trolley for dispensing medication. Controlled drugs are kept in correct storage in accordance with legislation. The homes medication policy is detailed and accessible to staff. All staff responsible for administering medication do so following competence based assessment from the manager and having completed training. The medication administration records were complete. Staff were observed chatting to residents and assisting them with various tasks and activities all the interactions seen showed staff to be caring and considerate of residents individual needs and preferences. Bathrooms and toilets were locked when in use and staff knocked on bedroom doors before entering. Comments made by a resident and relatives were that staff were warm and friendly, and that they were helped in a sensitive way. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a relaxed comfortable lifestyle with opportunities to occupy themselves with a range of interests. EVIDENCE: The manager and staff and residents spoken with confirmed that routines at the home are flexible and varied, and that residents may do as they wish. The home tries to get input from the residents into how the home is run, meals, activities etc and uses a variety of ways to do this, often due to residents level of dementia this is challenging and they rely on the resident known preferences and non- verbal queues. Residents’ interests are recorded and form part of the care plan, information on how resident spent their day is included in the daily records. The home does not employ an activities coordinator, and activities are run by the staff, most often in the afternoons. Better record keeping of planned events is needed and the activity plan should be on display. The manager organises external entertainers to visit the home
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 14 on a regular basis, and a minibus is shared with another home. Forthcoming trips should again be better advertised. Visiting is not restricted and visitors say they feel welcomed to the home. Residents are encouraged to bring personal possessions in to the home and may bring in items of furniture etc. Residents’ individual wishes are respected, and the home understands the need to promote the equality and diversity of residents. At the last inspection improvements to the garden were planned, these are now almost complete and the garden is attractive, with several areas to sit in the shade, a ramp down to the garden from the back door, paving and raised beds, ready for residents to plan and assist with planting. Residents enjoy a varied menu and they and their relatives commented that the food was always attractively presented, home cooked and very tasty. The kitchen has also been completely refurbished and whilst it is still compact, it now provides a pleasant clean and hygienic area in which to provide good quality meals. Detailed records are kept of what meals residents had and how much they ate. Residents may have a cooked breakfast if they wish, and at least 2 choices are available at each meal. Breakfast is served from 8.30, lunch at 12.30, tea at 5pm and supper at 8pm. The manager is in the process of putting all the care staff through food hygiene training, even though the cook prepares and cooks all the meals, as she wants to enable residents to have a cooked snack at any time they wish. Ashley House DS0000067828.V353150.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints policy in place. Residents’ welfare is protected through the policies and practices of the home. EVIDENCE: The manager has not received any complaints since taking over at the home. The home has a clear complaints policy, which is included in the service users guide, and kept on display. The home has a complaints folder with proformas for recording complaints whether they are verbal or written. Whilst staff demonstrated a reasonable understanding of their responsibilities regarding adult protection, including how to report this, adult protection training has not been provided for all staff. The manager since taking up her post is working through the training programme and is in the process of identifying outstanding training and booking staff onto training sessions. In the interim adult protection is being covered in induction and supervision. The home has an adult protection policy and relatives commented that they were
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 16 satisfied that the homes ethos promotes the well-being and safety of the residents. Staff are recruited safely. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a homely, well-maintained and comfortable environment in which to live. EVIDENCE: The internal refurbishment work has now been completed and the home is now comfortable light and airy and decorated and furnished to a good standard. All communal areas have been refurbished, as have all bedrooms, the laundry, kitchen and garden. One bathroom on the top floor is due to be refurbished in the near future. Residents said they really like the way the home looks now. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 18 Magnetic door guards have been fitted to all the bedroom doors enabling residents to have their doors open if they wish whilst protecting them in the event of fire. The requirements of the fire service and environmental health services have now been met. As stated previously the garden now provides a safe and attractive area for residents to enjoy. The home was clean hygienic and free from unpleasant odours. The newly refurbished laundry was clean and organised despite being very small. The home has recently had hand gel dispenser fitted to minimise the risk of infection and cross infection to residents. The laundry floor and wall finishes are now impermeable and easily cleaned. The staff are carrying out appropriate infection control practices. The home is in the fortunate position to have an automated sluicing disinfector however this was out of order on the day of the inspection; the manager said the handyman would repair this this week. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are cared for and supported by properly recruited staff. Some staff have not received the formal training they need, and once completed residents’ safety will be better provided for. EVIDENCE: The staffing numbers are adjusted according to the number of residents, for instance when the home is full three care staff are on duty in the morning, as the home had several vacancies on the day of inspection two care staff were on duty for the day, the numbers of staff at night do not alter and two staff are always on duty. The recorded rota clearly shows who is on duty and in what their role is, the manager also identifies who is in charge and who is responsible for medication on the rota. The numbers of staff having attained NVQ’s is around 20 , however all but one member of staff have already commenced NVQ or are waiting to start. The home has been using agency staff over the Christmas period due to recruitment problems and staff turnover, however four members of staff have now been recruited and sill start work once the relevant checks have been
Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 20 completed. All new staff are put on a planned induction which complies with guidance from “Skills for Care”. The home has clear and safe recruitment policies and the manager ensures these are adhered to, all staff are required by the home to provide references, and information to enable CRB and POVA checks, as well as proof of training and qualifications. Staff training is not up to date in all areas though there was good evidence that the manager has arranged training and is addressing some of the shortfalls through supervision in the interim. The majority of staff have received training in the “core” areas such as moving and handling, fire, adult protection etc, those that have not have been booked to attend forthcoming training. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well-managed home. EVIDENCE: The Manager was appointed in July 2007; prior to this she was Deputy Manager at another home. The Manager is in the process of applying to the Commission to become registered, and is about to commence the Registered Managers Award. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 22 The home has a range of quality monitoring systems in place such as regular audits of documentation, staff and residents meetings, and visits undertaken by the proprietor. The Manager also tracks accidents and incidents, and does a regular “walk round” the home looking at health and safety as well as using it as an opportunity to chat with residents and get feed back. The Manager is in the process of devising surveys to distribute to residents, relatives, and other professionals who visit the home. A discussion took place as to how the manager might produce an annual development plan. The home manages small amounts of money on resident’s behalves to pay for chiropody, toiletries; hairdressing etc. a spot check confirmed the home keeps accurate records. The manager ensures safe working practices in relation to moving and handling, fire safety, first aid etc, through induction and supervision, though as stated in a previous standard training is not up to date for all staff. The Annual Quality Assurance Assessment completed by the manager confirmed that the home ensure safe storage of hazardous substances, regular maintenance and servicing of equipment, etc. a sample checked confirmed this. The environmental risk assessment needs to be updated to include the newly fitted hand gel dispensers. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Timescale for action 30/04/08 2 OP38 18 (1) The registered person shall after consultation with the service user or a representative of his prepare a care plan as to how the service users needs are to be met. The registered person shall 30/04/08 ensure that staff receive training appropriate to the work they are to perform. 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 3 Refer to Standard OP12 OP28 OP38 Good Practice Recommendations The activity plan should be made available to residents and efforts should be made to raise the profile of forthcoming events and activities. Continued support is needed for staff undertaking NVQ training. The provision of alcohol hand gel must be included in the environmental risk assessment.
DS0000067828.V353150.R01.S.doc Version 5.2 Page 25 Ashley House 4 OP31 The manager should make application to the Commission to become registered as soon as possible. Ashley House DS0000067828.V353150.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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