Latest Inspection
This is the latest available inspection report for this service, carried out on 11th March 2008. CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Greenacres.
What the care home does well People using the service were able to exercise choice and control in their day to day living. A programme of planned activities ensured that people had opportunities for their enjoyment, mental and physical stimulation. Personal support was offered in accordance with resident`s wishes, and promoted privacy, dignity and independence. Aids and adaptations met resident`s needs.Some training had been undertaken to ensure that care staff had the skills to care for people using the service. The attitude of the staff and management was to run the home around the needs and choices of the residents. Meals were varied and provided a social occasion on a daily basis. Residents and regular visitors to the home were consulted about the day-today running of the home. What has improved since the last inspection? The administration of medication is now accurately recorded. Evidence is now available to show that all residents are encouraged to maintain skills, and are helped to follow chosen leisure activities. CARE HOMES FOR OLDER PEOPLE
Greenacres Green Lane Standish Wigan Greater Manchester WN6 0TS Lead Inspector
Mrs Lynn Mitton Unannounced Inspection 11th March 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Greenacres DS0000005736.V360465.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. Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Greenacres Address Green Lane Standish Wigan Greater Manchester WN6 0TS 01257 421860 01257 472133 joy.hogarth@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited 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) Mrs Joy Louise Hogarth Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age (8) of places Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Within the maximum numbers registered there can be up to 40 OP, and up to 8 PD(E) The service should at all times employ a suitably qualified and experienced Manager who is registered by the CSCI. 15th June 2006 Date of last inspection Brief Description of the Service: Greenacres Care Home (part of the CLS Group) is registered to provide accommodation and personal care and support for up to 40 individuals over the age of 65. Within the total number of 40, up to 8 residents can be accommodated who have a physical disability. Bedrooms are located on the ground and first floors. All rooms are offered on a single occupancy basis four bedrooms have en suite facilities. Greenacres is situated in a residential area, close to Standish centre and the amenities of supermarket, shops, restaurants and community services. Car parking at Greenacres is limited, but street parking can be found close by. The current scale of fees for the home is from £312.42 to £380.00 per week. Greenacres DS0000005736.V360465.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 1 star. This means the people who use this service experience adequate quality outcomes.
This key inspection, which the home did not know was going to happen, included a site visit and took place on 11th March 2008. The purpose of the inspection was to assess quality of life for people using the service, and check that the home meets legal requirements. The annual quality assurance assessment (AQAA) provided by the service was clear and gave us information we asked for. We spoke to the senior member of staff on duty, registered manager, people in receipt of the service, visitors to the home and to the care staff on duty at the time of the inspection. Throughout the report there are references to the “case tracking process”, this is a method whereby the inspector focuses on a small representative group of people using the service. Records regarding these people were inspected. Three people using the service were case tracked, their files examined in detail and four care staff member’s files were also case tracked. The Commission had sent out resident’s and relative’s survey/questionnaire. However, these had been lost in the post, so comments and findings of these surveys are not able to be included in this report. The inspector conducted the inspection with the registered manager. During the inspection a number of records, policies and procedures were also viewed. What the service does well:
People using the service were able to exercise choice and control in their day to day living. A programme of planned activities ensured that people had opportunities for their enjoyment, mental and physical stimulation. Personal support was offered in accordance with resident’s wishes, and promoted privacy, dignity and independence. Aids and adaptations met resident’s needs. Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 6 Some training had been undertaken to ensure that care staff had the skills to care for people using the service. The attitude of the staff and management was to run the home around the needs and choices of the residents. Meals were varied and provided a social occasion on a daily basis. Residents and regular visitors to the home were consulted about the day-today running of the home. What has improved since the last inspection? What they could do better:
Information about Greenacres was not up to date. Contracts were not always signed by the people using the service. Assessment documentation was insufficient to ensure the needs of residents could be met upon admission. Resident’s care and health needs were not fully recorded, this would ensure that care staff knew how each persons needs were to be met. Abuse policies were now in place to protect residents from possible abuse. All care staff had undertaken prevention of abuse training. Staff training must be in place to ensure that vulnerable people are protected. Please contact the provider for advice of actions taken in response to this
Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 7 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. Greenacres DS0000005736.V360465.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 Greenacres DS0000005736.V360465.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): 1, 2, 3, & 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information about Greenacres was not up to date. Contracts were not always signed by the people using the service. The admission procedure for new residents did not always ensure that information about their care needs was obtained before they arrived. This would enable staff to have a clear understanding of what they needed to do for them. EVIDENCE: Information about Greenacres dated April 2005, which would ensure potential new users of the service were well informed, did not contain the most up to date information about the Commission. Three peoples files were examined during the case tracking process. All had been issued with a document explaining the terms and conditions of their stay at Greenacres, however none had been signed by people using the service. Assessment documentation was a standardised CLS format, and had been completed for those people case tracked prior to their admission. The
Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 10 assessment format gave 4 options of level of support required, for example, 1) Independent, Limited Assistance Required, 3) Extensive assistance needed, and 4) Total dependence. The relevant level of support for each person had been highlighted with a marker pen, however, this did not allow for personal comments to give more detail about the support needed, and may not contain sufficient information to develop a plan of care and meet the person’s needs. One person’s needs assessment had not been completed. Intermediate Care is not offered at Greenacres. Greenacres DS0000005736.V360465.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 adequate. This judgement has been made using available evidence including a visit to this service. Resident’s care and health needs were not always appropriately recorded, ensuring that care staff knew how their needs were to be met. The administration of medication was in order. Personal support was offered in accordance with resident’s wishes, and promoted privacy, dignity and independence. EVIDENCE: Three plans of care were examined and although the format for these plans was good, they lacked some detail, and did not always give staff the information they needed to look after each person. Information about people’s health needs, and how these should be met were not always in place. For example one persons mental health assessment had not been updated even though they had since been diagnosed with a mental illness. Also, in one person’s health records, there had been mention of a hospital appointment, but the outcome had not been recorded. Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 12 The care plan did not always show residents involvement and had not always been reviewed recently, particularly in one person’s case, who was on hourly observations. One care plan did not have a photograph of the resident. Daily records did not always contain up to date information. For example, one persons records described difficult behaviours and a deterioration in mobility, causing enough concerns for this person to have hourly observations recorded, however on examination of these records, there was insufficient detail. This was discussed with the registered manager at the time of the inspection. The medication administration system was a blister pack system. This was examined and found to be in good order. This meant that the administration of people’s medication was now much safer. Administration documentation was seen and in order, Controlled drugs were kept securely; the controlled drugs records seen were accurate and up to date. Patient information leaflets for people’s drugs were used in conjunction with the new administration system. Members of staff administering medication had undertaken training. A medication audit had been undertaken in February 2008. 1 people using the service self-administers Lactulose. A risk assessment was in place for this. Not all records had a photograph. People using the service told the inspector that some felt they were spoken to and treated with dignity and respect and gave examples of this. However, it was noted that a GP examined a resident in the office. This was discussed with the registered manager at the time of the inspection. Greenacres DS0000005736.V360465.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 were able to exercise choice and control in their day-to-day living. A programme of planned activities promoted their enjoyment, as well as mental and physical stimulation. Visitors are made welcome and can call or telephone at any time. Meals were varied and provided a social occasion on a daily basis. EVIDENCE: There are three members of staff at the home who have some responsibility for activities. The days activities are displayed in the main corridor between the two dining rooms, and the list the excursions that are planned is also displayed here. On the day of the inspection, a coffee morning was taking place. Other activities included a pat dog visiting the home, and a tuck shop was being introduced in the near future. We spoke to the activities coordinator on duty at the time of the inspection and discussed how the activities people took part in could be more clearly recorded. A barge trip and a karaoke were being planned. Residents spoken to told the inspector that they enjoyed participating in these activities. Members of the clergy visited the home on a monthly basis. The hairdresser was visiting the home at the time of the inspection. Resident’s bedrooms were seen furnished with personal belongings. A payphone was available in a quiet area for people using the
Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 14 service to make private calls. One resident was seen to go independently in a taxi to collect his prescription and medication. The inspector observed people exercising choice and control over day-to-day elements of their lives, for example, spending time in their room, and getting up at different times. Care staff were seen to respect these choices and opinions. Minutes of regular residents meetings were seen and these showed that they were consulted about activities and about meal choices. A number of visitors came to the home on the day of the inspection. The visitors’ book was being completed. It was noted that a 5 weekly menu was in place, and choices of meals were seen to be offered. Meals were enjoyed by residents at Greenacres. One said; “I’ve no complaints about the food – we are always served something good”. A second small dining room was along the corridor from the main dining room. Here, those residents who are more independent can enjoy meals together. Specialist diets were catered for, including low fat and diabetic. Food and fridge temperatures were being recorded daily. The day’s menus were written on the wipe board so that people would know what the day’s menu was. Greenacres DS0000005736.V360465.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 adequate. This judgement has been made using available evidence including a visit to this service. Complaints were dealt with in a satisfactory manner. Current complaints and prevention of abuse policies and procedures may not ensure the safety of the residents. EVIDENCE: There had been one complaint since the previous inspection. The homes “How to make a complaint” policy and procedures had been updated in August 2006. There was a system in place for recording complaints and demonstrating how they had been dealt with. The complaints procedure was on display. We noted there was a “Management of a violent incidents/physical intervention/physical restraint” policy, which was dated August 2004. There was also a “Recognising and reporting Abuse of Vulnerable Adults” policy dated January 2007. The AQAA told us that all care staff had completed prevention of abuse training. We were advised that 7 members of staff had not undertaken this training within the past year, and that another training date had yet to be arranged. We advised that this matter should be given high priority. Greenacres DS0000005736.V360465.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general layout and décor of the home provided comfortable surroundings, and was warm, tidy, and clean. Aids and adaptations met resident’s needs. EVIDENCE: We conducted a tour of the building and visited all communal areas and most bedrooms. The home was clean and homely. Since the previous inspection the outside had been repainted. We were told that a significant sum of money had been sent on new bedroom furniture. We noted that a window recently broken by vandals was waiting for a new frame to be made. The garden was unkempt and overgrown and had several bags of rubbish and broken glass and frame. A radiator panel in the hairdressing room needed replacing. Some carpet on the staircase was missing and carpeting in the communal areas (extension lounge, lounge with
Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 17 telephone, entrance corridor and main lounge) looked tired and was marked in some areas. Aids and adaptations were in place to meet the needs of people using the service. Greenacres DS0000005736.V360465.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, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty reflected the needs of the residents. Recruitment and selection procedures were in place. Some training and support ensured care staff had the skills to care for people living at Greenacres. EVIDENCE: The staffing rota was seen; this demonstrated that there were sufficient staff members on duty to care for the needs of people using the service. There were usually at least 3 care staff plus 1 care team leader on duty during the waking day and 2 care staff on waking duty overnight. There were additional domestic staff and cooks employed. The registered manager advised that she regularly worked out of office hours so that she could oversee all the shifts. Four care staff files were case tracked these were not able to fully demonstrate that staff were being recruited in a way that fully safeguarded people using the service. This was partly because no new care staff had been recruited for at least the past four years. Many staff person had transferred from another CLS home that had closed. Three of the four files case tracked did not have a photograph of the member of staff. Criminal Records Bureau checks had been made. No staff had undertaken induction training, because there had been no new staff recruited. Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 19 Staff were seen to be effectively employed, and did not appear to be task orientated. Staff spent time with residents and did not pass by without speaking. Residents were not rushed, but were given as much time as they needed or wanted. However, all care staff are female. As this does not reflect the make-up of the residents accommodated at Greenacres - of whom a good proportion are male - a recommendation is made for the Manager to bear this in mind at the time of any recruitment to vacant posts. It should be noted, however, that those male residents who expressed an opinion did not convey any dissatisfaction or discomfort about being cared for by female staff. We advised that a training matrix should be developed; this would show which staff had completed training, and also help identify training needs. A record of training undertaken by staff was provided to the Commission by the Manager with the pre-inspection material this showed that 21 out of 26 members of staff at the home had now been awarded the National Vocational Qualification level 2 or above in care. A further 2 were undertaking this training. Records of 1:1 supervisions were seen. These showed that not all staff had received recent supervision or appraisals. Greenacres DS0000005736.V360465.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 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management and staff run the home around the needs and choices of the residents. Residents and regular visitors to the home were consulted about the day-to-day running of the home. Residents and staff are not fully protected by the home’s policies and procedures, which ensure safe working practices. EVIDENCE: The registered manager completed her NVQ level 4 training in both care and management in January 2006. She has been in post for 5 years. We were advised that a quality assurance and monitoring systems were in place. This included monthly visits by a person from the CLS senior management team as a representative of the registered person. A residents
Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 21 and next of kin, survey had been completed dated December 2007. We advised that good practice would be to develop and implement a staff survey. We were advised that residents meetings took place every three months and minutes of these were recorded and seen. In the pre-inspection documents, the Manager had confirmed the dates when equipment and services had been checked. A sample of health and safety equipment and records were checked. We were advised that a health and safety audit took place four times each year by a senior care worker. As there was not a training matrix in place if was not possible for us to check that all staff had completed health and safety training as outlined in standard 38. On the staff files seen, it showed that some health and safety training was outstanding, for example fire safety and the registered manager confirmed that this was the case. We noted that wheelchair footplates were not being used for one person’s wheelchair. Risk assessments were in evidence on care plans and these demonstrated how, once the risk had been identified, the risk was to be managed and what action to be taken in order to minimise that risk. We advised that the resident consent form should also include reference to hourly night checks. Greenacres DS0000005736.V360465.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 2 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 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 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement Assessments outlining people’s needs must be completed for all residents and should demonstrate details outlining each person’s needs. Care plans must be consistently and accurately maintained. Care plans must contain better information to show that all residents’ needs are identified, and action planned to meet those needs. Staff training must be in place to ensure that vulnerable people are protected. Staff must be recruited to include proof of their identity including a recent photograph. Health and safety staff training must be in place for all staff. Timescale for action 31/10/08 2. 3. OP7 OP7 OP8 15 15 31/10/08 31/10/08 4 5 6 OP18 OP29 OP38 13 (6) 19 Schedule 2 13 (3) 31/10/08 31/10/08 31/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 24 No. 1. 2. 3. Refer to Standard OP1 OP2 OP7 Good Practice Recommendations The statement of purpose should contain the most up to date details of the Commission. Contracts should be signed by the person using the service. To demonstrate ‘person-centred care’, it would be better if records were written as if expressed by the resident. This includes reviews. It is good practice to audit care plans regularly in order to identify discrepancies, errors and omissions. Examination or treatment of people using the service should not take place in communal or office areas. Furnishings and garden areas should be maintained and kept in good order. At the time of any recruitment, consideration should be given to recruiting male carers in order that staffing reflects the make-up of the residents. 4. 5 6 7. OP7 OP10 OP19 OP29 Greenacres DS0000005736.V360465.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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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