Inspection on 25/10/07 for 2 Beacon Road

This inspection was carried out on 25th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

2 Beacon Road 27/07/06

2 Beacon Road 05/01/06

2 Beacon Road 22/07/05

2 Beacon Road 23/11/04

2 Beacon Road 11/06/04

2 Beacon Road 29/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 2 Beacon Road Herne Bay Kent CT6 6DH Lead Inspector Lois Tozer Unannounced Inspection 25th October 2007 10:10 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 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 2 Beacon Road DS0000023137.V351323.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 Adults 18-65. 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. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Beacon Road Address Herne Bay Kent CT6 6DH 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) 01227 360334 www.caremanagementgroup.com Care Management Group Ltd Mrs Audrey Emmett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2007 Brief Description of the Service: 2 Beacon Road is a detached house in Herne Bay, about 10 minutes walk from town and close to the sea front. The home provides care and support to three adults with learning disabilities, but part of the house is separately registered as an annexe for one person. The manager, bringing the whole home together as one registration, is reviewing this situation, and has applied for a change. This will reflect how the home actually operates. The home is owned and run by the Care Management Group. Accommodation is over two floors. Stairs access the first floor. All bedrooms are single with wash hand basins. There is a lounge, dining room, kitchen and a staff sleeping / office room. An easy maintenance garden surrounds the house. Bus stops and Herne Bay railway station are within walking distance. Information about the home, including the latest report from the Commission for Social Care Inspection (CSCI) and the homes quality monitoring records will be made available on request. The current fee range is £600 - £1400 per week. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key site visit took place on 25 October 2007 between 10.10am and 5.00pm. The manager, Audrey Emmett, people who live at the home and staff assisted with the process. Three people live at the home, and two gave face-to-face feedback. Comment cards were left for everyone to fill in and send back. Organised and spontaneous activities were taking place throughout the visit, and observations formed part of the evidence collected. The manager and a resident showed us around their home. The manager pointed out where changes are planned, and the service users agreed that the plans were really exciting. The inspection process consisted of information collected before and during the visit to the home. Some of the information seen were assessment and care plans, medication records, duty rota, communication packs, quality assurance systems, training information and the menu. What the service does well: The manager and her team are always looking for areas to improve. They involve people living at the home fully in the day-to-day running. They know that things can easily slip, and are careful to monitor everyone’s wellbeing. Staff were seen to be helpful and kind. People told us that they are always easy to talk to, and that everyone shares jobs. There are no really big rules, but it is important everyone does an equal share. People know that they will be listened to. They feel confident to speak their mind and know their key worker will help them achieve goals. People can change their mind, and know that this is not a problem. The quality assurance (QA) process really does work, and the people living at the home are central to it. They tell their key workers formally each month what they aspire to, and this feeds the QA process. The house meetings do too. Residents are no less involved in bigger QA stuff, like building development. It is because people have spoken up and been encouraged to do so that the environment will change to meet their needs. People know that this is their home, and they feel safe. They can use the complaints procedure, which is in a really easy to use format. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 6 Staff have the type of training they need to do their job well. They are committed and show great respect and sensitivity working in another persons home. The staff team is very stable – no turnover in 12 months. People have chosen, and altered, their activity schedule. Staff bring up new and interesting suggestions of activities that may like to be tried out. Residents have made big decisions about holidays, and the planning has been done carefully so everyone can be involved and understand the process. What has improved since the last inspection? What they could do better: As the home operates a clear and simple quality assurance process, most of the improvements needed occur as they arise. This is good news for people living in the home. The areas following were discussed with the manager, who agreed that tweaking some practices would produce even better results. These have not been made into requirements, as we are confident the manager will carry out this work in line with the strong person centred ethos already in place. Comments and recommendations that would improve the service further are to develop the way risk assessments and goals are constructed and monitored. They are nice and simple, which is user friendly, but don’t really say why the risk is there. Sometimes, this could be because the environment isn’t right, not because the individual has a support need. ‘Risks’ are often opportunities for development, and many of these seen were. Reviewing these needs to say 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 7 what development to decrease the risk has taken place, such as repeated success with a particular activity. The way that daily diaries are written could be improved, and this would help the reviewing process, bringing everything together. Some plans could give more detail for support, especially around communication. The home has infrequent staff turnover, and because of this, the outcomes are excellent. If there were to be a turnover, or emergency cover, the support plan has to be clear, so the resident carries on getting the type of support they expect. 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. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. People know that their needs and aspirations are thoroughly assessed before moving to the home and know what the home will offer them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People coming to live at the home have their needs and aspirations carefully assessed. Transitional work using picture reference books have been used, and have made sure the person is clear on what is planned so they can have a real say in their lives. Decisions made on the part of the prospective resident have been included in the assessment, and choices accommodated. Families and other significant people have had a say, to help give a really clear picture of what the individual can get from, and bring to, the home. The service users guide is clear and accessible, and the complaints process is expressed in a diagram and photo format, which people are able to use. The manager plans to use more diverse ways of helping people have a say in the future, using object referencing. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. People’s needs and goals are well supported; they have full say in the shape of their lives, with staff offering support as needed. The paperwork needs to improve so it shows these achievements and makes sure people will have the right support from any staff member supporting them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People know what is in their plan and the various goals and risk assessments that go into making up activities, as they have had full input. Key workers discuss hopes, dreams and aspirations regularly, and write these down. They are followed up each week to make sure action is taking place. The manager is keen to get the person centred plans (PCP’s) in to a format that the people living at the home can fully understand so they can track their own progress, and have an even greater say in reviewing. People said that they know their decisions will be listened to and respected, and they felt confident that staff were supporting them to make real progress with their skills development. An 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 11 individual approach to communication is used, helping people express themselves in every setting. The risk assessment, daily notes and goal-planning process that is on paper does not do justice to the actual work that is taking place. Discussion with the people living at the home, looking at the records, speaking to staff all confirmed that the management of risk enables people to develop. The records don’t reflect this, and don’t show the changing type of support that is needed. This would make continuity for support and accurate reviewing really difficult if there were a change of staff. The manager agreed to review the style of the paperwork so it will reflect the real achievements being made by service users and staff alike. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent Each person has an individual lifestyle planner which they have had a big say constructing. Staff offer opportunities to try out different things, and have listened to what people say they want from their lives. This means people are having the lifestyle they want and enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home made it clear that they have active, interesting lives. They are taking part in activities away from the home that interest them and which they have chosen. Holidays are planned well in advance, so people can get really involved in the process. Some enjoy further education, including certificated Food Hygiene courses they did recently. Others have dropped some college classes as they wished to pursue their own interests with staff support on that day of the week. This has been smoothly accommodated. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 13 Good communication packs are in place, and the small staff group are clear how these are used. To make sure the good work continues, if staff changes happen, a clearly documented statement saying how the person uses the communication aids, and what an individual’s particular gestures mean should be in place. The manager said this would happen. There were regular opportunities to have a social life, go to discos, meet people and potentially form relationships. During the visit people were helping with chores, doing college work, going in and out of the home from other activities. We discussed if they were always involved, and they said they were. One person told us how involved they had been in redeveloping their home, so it was better for them. All people knew what plans were in store for the building, and were excited at the changes. They said that they met with their key worker monthly, had residents meetings, spoke up if things needed saying and discussed what would go on the menu each week. Being involved with cooking and food preparation took place every day. Everyone was clear that they had to take responsibilities in their shared house 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow, and people are being supported to take control of their medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has a health action plan, and it is clear that, using pictures or symbols, they have had a real say in putting it together. There is educational material that the manager and senior staff use to support people to take personal responsibility for their physical and sexual health. Clear records are kept about appointments with doctors and other health care providers. Where people have refused routine medical support, clear records show that sensitive support and respect has been offered, and that the team have a clear understanding of the Mental Capacity Act. Personal support is documented, but could be clearer. A very small team currently support people, but to make sure they carry on enjoying a high 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 15 service quality, better-specified documented support would help, and would make reviewing progress or regress more effective. Residents were pleased to say that they have recently had medication cabinets fitted in their bedrooms, and told us why this was – that it was safer, they were learning to take on more responsibility and that the medicine belonged to them. The manager had organised an assessment with the community pharmacist and each individual will have a clear development plan written up in the next few weeks. Records were generally well kept and staff had received training and assessment to help them manage this system safely. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent. If people have concerns with their care they know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an exceptionally easy and effective complaints procedure available to people in the home. We discussed what they would do if they needed to complain, and they told us they would get staff involved. They said they would ‘Tell Audrey’ (the manager), if they had a problem with staff. The manager meets up with each individual very often. One person pointed out the complaints procedure, pointed at the photos of the manager and Quality Assurance person, and said they would phone them. The phone is really close to the procedure poster. During the visit, residents were having the key-worker 1:1 meetings, and this was done in a private place. The resident said that they had asked the staff to come in early to meet, so it didn’t get in the way of activity, and this happened. Staff were clear about reporting suspected abuse, and knew the process to follow. The whistle-blowing poster was clearly displayed, and training is given from external sources, through NVQ and the management team discuss such issues in 1:1 meetings, team time and handovers. There is a clear system for managing money held on behalf of people at the home. The management team hope to improve on POVA training for residents, put the 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 17 complaints procedure on DVD or tape and give the staff POVA refreshers in the next 12 months. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. People really enjoy living in this home and know that the development plans are because they said things need to change, and staff have listened. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This home is, at the moment, divided into two parts that are separately registered. There are plans to bring the two parts together as one service, which is how the people currently live and is more in line with their lifestyles. Everyone has their own bedroom and a hand-wash basin. There is one ensuite. The kitchen and dining room are open plan, leading into the lounge. All furnishings and decorations are in good condition. Everyone likes the home, but is looking forward to the changes. They said they had been involved in meetings about what they want to change, and one person was really looking forward to having a shower, rather than a bath. The staff support people at the home to keep it clean and tidy, and take a real pride in the environment. There are no environmental restrictions. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent. People are supported by qualified staff who they have had a say in employing and who understand their support needs thoroughly. Staff are given lots of opportunity to train and develop their skills, which is reflected in the excellent service being provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff (6) working at the home have a minimum NVQ 2 award in care, and have undertaken a thorough induction which meets National Minimum Standards. Staff said that they were introduced to work at the home with the service users full knowledge and got to know them quite well before being a sole staff member. They confirmed that residents were actively involved in the interview process – and that this was designed so they could dip in and out if they became restless. People living at the home said they had a say if they liked or disliked the staff, and had been able to ask new staff questions in the interview. Staff felt they had the right sort of training to do their job well, and the manager gave that regular revision type training quite frequently. The training records showed that people have good development plans and lots of training opportunities. The training given is based on the assessed needs of 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 20 the people living at the home. Senior staff felt empowered to work fully to their job description, and said the manager gave them confidence to critically analyse their work and each other. They said that there were frequent discussions about the best way to do things, and the manager welcomed debate. The recruitment processes follow the right systems for checking that staff are safe to work with people in their own homes. There is a very low staff turnover, with no change in the last 12 months. No agency cover has been used, and extra cover can be obtained through using staff residents are very familiar with from another home in the group. 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is excellent. People have confidence in the home because it is run and managed very well, and opinions of residents are central to development. The environment is safe for everyone because health and safety practices are carried out. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has set about improving the home from all angles with a clear 5year plan. This has centred on the outcomes for people living at the home first – staff training, retention, right attitudes, and competence. Staff say the manager has a ‘lead by example’ ethos, and this was observed during the visit. People living at the home are confident that staff will support them, they know the manager is there if they need more support, but know that the team work in a consistent way. There is a clear development plan for the environment, 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 22 which is set to change considerably. This has been in full consultation and because of service user needs. The quality assurance system in this home is fully functioning and draws out people’s opinions on a continual basis. Although it takes an annual look at satisfaction (using very simple, totally accessible, relevant questionnaires), which are summarised and acted upon, information gathered each month is acted upon and also builds up a bigger overview of service provision. Consequently, everyone – staff and residents – know what’s going on and know why things are delayed or prioritised. The manager, seeking reflective practice from herself and staff is able to see areas of ongoing improvement and deal with them proactively. Senior staff take a full and active role in quality assurance, and the visits by the registered provider also seek peoples views, opinions and prompt action. All health and safety checks and training are up to date. There is a keen commitment to fully involve people living at the home in this area of responsibility, such as attendance on certificated health and safety courses, and supported environmental checks taking place. 2 Beacon Road DS0000023137.V351323.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 Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 25 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 © 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 2 Beacon Road DS0000023137.V351323.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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