Latest Inspection
This is the latest available inspection report for this service, carried out on 30th April 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 The Willows.
What the care home does well We spoke to a number of people who use the service, relatives and a district Nurse, all of whom were very complimentary about the service and provisions provided within the home. These were their comments: "Just to say I`m well cared for." "There are no problems regarding the care and the communication links are good." (District Nurse). "I am happy with the care, there is no where else I would like my mum to be." "Its alright living here, its nice, nobody bosses you about." "Staff are good, I have no complaints." "I have never regretted placing my mother here." What has improved since the last inspection? Information contained within the Annual Quality Assurance Assessment identified the following improvements: "We have improved our consultation with service users regarding activities, outings and entertainment." "The garden has been landscaped with raised plant beds to enable residents to undertake small garden tasks." "Ensured that all new staff have a Skills and Aptitude Test before commencing employment." What the care home could do better: The home continues to provide good outcomes for people living in the home, however, one out of three care plans that were examined identified that the information was out of date and failed reflect the individual`s current care needs, to ensure that this person received the appropriate level of care to promote their physical and mental health. The Registered Manager should ensure that this care plan is reviewed, so that staff are provided with the relevant information, to guarantee that this persons care needs are catered for appropriately. CARE HOMES FOR OLDER PEOPLE
The Willows 14 Wolverhampton Road Codsall Staffordshire WV8 1PP Lead Inspector
Dawn Dillion Key Unannounced Inspection 30th April 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 The Willows DS0000066269.V362595.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. The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Willows Address 14 Wolverhampton Road Codsall Staffordshire WV8 1PP 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) 01902 842273 www.mimosahealthcare.com Mimosa Healthcare Limited Helen Wilcox Care Home 28 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (6) The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th May 2006 Brief Description of the Service: The Willows is located in Codsall, Staffordshire, the two-storey property provides a service for twenty-eight older people. The homes registration category enables them to provide a service for people suffering with dementia and individuals who have a physical disability. The property consists of twenty-four single occupancy and two shared bedrooms, all but one are equipped with an en suite. Bathrooms and toilet areas are located on the ground and first floor level and are in close proximity to bedrooms and communal areas. The home also provides a lounge, a separate dining room, kitchen and laundry area. People living in the home have access to a well-maintained garden. Staffing is provided on a twenty-four hour basis, to ensure the total supervision and support of people living in the home. Information relating to the fees charged for the service provided at the home was not made available to us, the reader is advised to contact the home directly for this information. The Willows DS0000066269.V362595.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.
The unannounced key inspection of The Willows was undertaken within seven hours. The inspection methodologies that were used to establish the quality of care provided and the effectiveness of the management of the home, to promote equality, diversity and best practices, entailed the examination of the records relating to the homes policies and procedures. During the process of the inspection, four people that accessed the service, three staff members, two visiting relatives and a District Nurse were interviewed, as part of the inspection process. To gather an overview of the quality of the service provided by the home. Information contained within the homes Annual Quality Assurance Assessment, and questionnaires received from people who use the service, is incorporated within the contents of this report. A tour of the property was undertaken, to ensure that the environment and systems in operation were safe and conducive in meeting the needs of the people who use the service. The Registered Manager was present for the duration of the inspection. What the service does well:
We spoke to a number of people who use the service, relatives and a district Nurse, all of whom were very complimentary about the service and provisions provided within the home. These were their comments: “Just to say I’m well cared for.” “There are no problems regarding the care and the communication links are good.” (District Nurse). “I am happy with the care, there is no where else I would like my mum to be.” “Its alright living here, its nice, nobody bosses you about.” “Staff are good, I have no complaints.”
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 6 “I have never regretted placing my mother here.” What has improved since the last inspection? What they could do better: 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. The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 7 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 The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 8 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, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may wish to access the service are provided with relevant information, to enable them to establish whether the home would be suitable to meet their assessed needs to promote their health and welfare. EVIDENCE: The homes Statement of Purpose and Service User guide were incorporated within a welcome pack. The document provided detailed information relating to the service and provisions available within the home. The Service User Guide needs to be reviewed to ensure that the fees charged by the home are identified. The homes Annual Quality Assurance Assessment confirmed that information packs were given to people prior to admission, to enable them to make a choice of their preferred home.
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 9 Discussions with the Registered Manager and the examination of three records pertaining to people who accessed the service, confirmed that a pre admission assessment was undertaken prior to a placement being offered, to ensure that the home was suitably equipped to meet the individuals assessed needs. The homes Annual Quality Assurance Assessment confirmed that, “Prospective service users are encouraged and invited to visit the home at anytime.” The Willows does not provide intermediate care. The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In most cases the health and personal care that people receive is based on their individual needs, to promote their health and welfare. EVIDENCE: Information obtained during the process of the pre admission assessment provided the foundation for the development of the care plan. People who use the service were actively encouraged to participate in their plan of care. We looked a three care plans, which were randomly selected with regards to a varied spectrum of care needs. Discussions with the Registered Manager and a relative, evidenced that one care plan did not reflect the current needs of this person, to demonstrate that they were receiving the level of care to ensure their general health and welfare. For example one part of the care plan stated that the person had good communication skills, however, another section said,
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 11 “Unable to communicate clearly.” With reference to assistance required with toileting, the care plan stated, “X will go to the toilet.” The Registered Manager informed us that this person was no longer able to this. The two other care plans that were examined did provide relevant up to date information, relating to the individuals assessed care needs. Information contained within the care plans, evidenced the intervention of other healthcare professionals, to promote the physical and mental health of people living in the home. Records identified links with a Tissue Viability Nurse and the General Practitioner. The Annual Quality Assurance Assessment stated that, “Care plans have a specific format to include risk assessments, e.g. moving and handling, nutrition, diet, mental health, medication etc.” “These assessments highlight any outside agencies support that may be required for the individual needs of the residents.” Information obtained from a service user survey stated, “Just to say I’m well cared for.” The home also provided a service for people who suffer with dementia; discussions with the Registered Manager, confirmed that staff had not received training within this specialist area of care. However, she informed us that she had applied for Dementia Awareness training, to enable her to incorporate dementia care mapping within the care plan, to guarantee that people suffering with this disease are provided with the appropriate level of support and assistance. We spoke to a District Nurse who was visiting the home on the day of the inspection, she informed us that, “There are no problems regarding the care and the communication links are good.” Discussions with a relative informed us that, “I am happy with the care, there is no where else I would like my mum to be.” With reference to the homes medication system, the Nomad Monitored Dosage method was in use, the Registered Manager informed us that they were currently in the process of introducing the blister pack system and that staff had received training from the prospective dispensing pharmacist. We looked at a number of medication administration records and the storage of medicines, all of which were satisfactory, in ensuring that people received their medicines as directed by the General Practitioner to promote the individuals general health. With regards to privacy and dignity, staff were observed during the process of the inspection, to interact with people who lived in the home in a professional
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 12 manner. Locking devices were fitted to bedroom doors to promote the privacy of the individual and privacy screening was provided in the shared bedrooms. The Willows DS0000066269.V362595.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes practices promotes peoples choice and rights to ensure that they continue to have valued life experiences and have a positive presence within their local community, meeting the individual’s social and religious needs to promote their wellbeing. EVIDENCE: The daily routine appeared relaxed with people having freedom of movement throughout their home. One person who lived in the home informed us that, “I get my newspaper as usual.” “I get my letters unopened. With regards to people be able to continue to practice their religious faith, he also informed us that, “I get weekly visits from the church and I have my holy communion.” Two relatives were interviewed during the process of the inspection; both confirmed that they were able to visit the home at anytime.
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 14 There was no one in residence from the ethnic minority group or with specific religious needs. Discussions with the Registered Manager confirmed that every effort would be made to meet any future needs, to accommodate people from these groups. On the day of the inspection we observed people being encouraged to engage in social activities, we participated in a game of hoops with a number of people who accessed the service, during this period one person told us that, “Its alright living here, its nice, nobody bosses you about.” Discussions with the Registered Manager and the examination of records evidenced that a variety of social activities were provided within the home, which consisted of dominoes, card games, skittles, music and movement and bible reading. Staff members confirmed that day trips were arranged in the warmer months. The homes practices promoted the individual’s choice, for example quarterly meetings were held with people who accessed the service, during this process people were able to share their views and opinions in relation to the running of the home. We looked at the minutes of one meeting which, evidenced discussions relating to staffing, garden improvements to ensure accessibility for wheelchair users and social activities. With reference to equality and diversity, the Annual Quality Assurance Assessment stated that, “We have policies and procedures that promote equality and diversity.” “Example of this is Residents Equal Opportunities which includes responsible risk taking, voting rights, consent to treatment, access to records.” With reference to meals and mealtimes the home had a four-week menu, which provided an alternative choice to reflect the likes and dislikes of people living in the home. Discussions with the Registered Manager confirmed that there were no special dietary requirements due to cultural or religious needs. Two people required a soft diet due to health problems, information of which was identified within their care plan. One person informed us that, “The food is quite good, we have a variety, I like a good breakfast, I’m not fussed about tea.” A relative told us that, “The food looks good and X never complains about it.” The Willows DS0000066269.V362595.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns/complaints. Policies, procedures and practices ensure that people are protected from abuse to guarantee their general welfare. EVIDENCE: The home had a complaints procedure, information on how to make a complaint was also incorporated within the Service User Guide which, was accessible to people who lived in the home. We have not received any complaints or allegations within the last twelve months in relation to this service. The Registered Manager informed us that they had not received any complaints in recent months. One person informed us that, “If I had a complaint I would see the manager, she usually sorts things out.” Discussions with one person confirmed that they were able to pursue any political interests they may have. The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 16 The Registered Manager told us that the home was in receipt of a safeguarding policy; this was not seen by us. However, she did demonstrate a sound knowledge of the appropriate measures to take in the event or suspicion of abuse. The Annual Quality Assurance Assessment stated that, “Regular approachable contact with local social services ensure that service users are provided with necessary protection.” The Annual Quality Assurance Assessment also identified that two safeguarding referrals were made to Social Services within the last twelve months, relating to the conduct of three members of staff, subsequent to the homes internal investigation and a disciplinary hearing, these staff members are no longer employed within the home. We looked at three files pertaining to staff working in the home, all evidenced that appropriate safety checks were undertaken prior to them commencing employment, to ensure the safety of people living in the home. The Willows DS0000066269.V362595.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, 20, 21, 22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The design and layout of the home enables people to live in a safe and comfortable environment, promoting their independence and welfare. EVIDENCE: The Willows is located in Codsall, Staffordshire and is accessible via public transport. The two-storey property consisted of two shared and twenty-four single occupancy bedrooms; all but one were equipped with an en suite. Discussions with one person who lived at the home confirmed, “I am happy with my bedroom, it is just the right size for me.” The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 18 One person informed us of his concerns about the carpet in the bedroom of his relative which needed to be cleaned. The Registered Manager acknowledged this and confirmed that the appropriate measures would be taken to address the concern. Bathrooms and toilet areas were situated on both floors and were in close proximity to bedrooms and communal areas. Appropriate aids and adaptation were in place to assist people with limited mobility. For example assisted baths, grab rails and hoists. Passage lifts and a stair lift was in place to ensure that people had access to all facilities within the home. A separate lounge and dining area was provided on the ground floor, equipped with essential furnishings and equipment, to ensure the comfort and welfare of people living in the home. The Annual Quality Assurance Assessment stated that, “The Garden has been landscaped with raised plant beds to enable residents to undertake small gardening tasks.” The home also provided a laundry that was equipped with a washing machine with a sluice programme; appropriate systems were in place to promote infection control. The cleanliness and hygiene within the home was of a good standard. Information obtained from a service user survey with reference to the hygiene of the home stated, “Its beautiful.” The Willows DS0000066269.V362595.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service and to ensure that their assessed needs are catered for to guarantee the individuals health and welfare. EVIDENCE: The home was registered to provide a service for twenty-eight people; the Registered Manager informed us that they currently had one vacancy. The examination of staff working rotas and discussions with the Registered Manager confirmed that sufficient staffing levels were provided to meet the needs of people living in the home. The Registered Manager informed us that there were twenty-three staff members employed within the home, fourteen had obtained the National Vocational Qualification and six were currently undertaking the training. One person who lived at the home informed us that, “Staff are good, I have no complaints.”
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 20 A relative told us that, “I am very happy with the staff” As previously identified within the contents of this report, the homes recruitment procedure ensured that all staff were subject to the appropriately safety checks. Discussions with a number of staff confirmed that they were provided with periodical training with regards to their roles and responsibilities. Staff told us that they had received training in basic first aid, fire awareness and infection control within the last twelve months. The Annual Quality Assurance Assessment identified that, “All staff receive mandatory training, supervision and annual appraisals.” The Willows DS0000066269.V362595.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is open and transparent in promoting a quality service; to ensure that peoples care needs, rights and independence is promoted to guarantee their wellbeing. EVIDENCE: The Registered Manager was experienced in social care and had obtained the relevant qualification pertaining to her role. The Annual Quality Assurance Assessment stated that, “The Manager has National Vocational Qualification Level 2, 3, 4 and the Registered Managers Award.”
The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 22 With reference to the homes quality assurance system, records maintained in the home identified that a representative of Mimosa Healthcare undertook regular visits to the home, to monitor the quality of the service delivery. The Registered Manager informed us that annual questionnaires were distributed to people who access the service, to establish their views on the quality of the care. The Registered Manager told us that information collated from these questionnaires would be fed back to the individual. A relative who was visiting the home on the day of the inspection told us that, “I have never regretted placing my mother here.” The Annual Quality Assurance Assessment submitted by the home, contained clear, relevant information and also provided details about changes that had been made to improve the service. Discussions with the Registered Manager confirmed that where possible people who are able to manage their own financial affairs were offered the use of the homes safe to maintain their valuables. The home held a small amount of cash for some people. Two account records and funds were examined both of which were satisfactory. With reference to systems and practices that promote the health, safety and welfare of people accessing the service, records were maintained of safety checks of appliances and fire fighting equipment. The Willows DS0000066269.V362595.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 3 X 3 X X 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 3 3 3 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 X X 3 The Willows DS0000066269.V362595.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. Standard Regulation Requirement Timescale for action 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. 4. Refer to Standard OP1 Good Practice Recommendations To ensure that the Service User Guide is reviewed to identify the fees for the service and provisions provided by the home. To ensure that the identified persons care plan is reviewed to reflect their current care needs. Dementia awareness training should be provided to all staff. To ensure that the carpet in the identified bedroom is cleaned. OP7 OP8 OP19 The Willows DS0000066269.V362595.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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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