Inspection on 06/07/06 for Abbey Lawns Limited

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Abbey Lawns Limited 22/08/07

Abbey Lawns Limited 24/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey Lawns Limited 3 Anfield Road Anfield Liverpool L4 0TD Lead Inspector Les Hill Unannounced Inspection 6th July 2006 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 Abbey Lawns Limited DS0000063109.V296185.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. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey Lawns Limited Address 3 Anfield Road Anfield Liverpool L4 0TD 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) 0151 263 5930 0151 263 5814 Abbey Lawns Ltd Luna Yvonne Skeete Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (10) of places Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 61 nursing care and 13 personal care within the overall total of 61 10 adults with a physical disability within the overall total of 61 Date of last inspection 24th November 2005 Brief Description of the Service: Abbey Lawns is a privately owned care home providing both nursing and personal care for 61 residents. The home is set in a residential area of the city close to both Everton and Liverpool football grounds. The home backs onto Stanley Park. The area is due for regeneration and many of the residential streets around the home are to be demolished or refurbished. The building is spacious and well maintained. The home is made up of two units, each with its own group of staff. Resident’s rooms are located on two floors and there are lounges and communal areas around the home. The home benefits from a large patio area and lawns to the rear. A car park with flowerbeds along the building is located at the front of the home. The area is well served by public transport and is fairly close to the city centre. The home has its own mini-bus. Fees are as agreed with the placing authorities from time to time. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Abbey Lawns was undertaken on Thursday 6th July 2006. It involved meeting with the homes manager, the examination of some records, discussions with trained nurses and two care staff, meeting with eight residents and a tour of the building. The homeowner and manager had completed a questionnaire giving information about the current status of the home, prior to the inspection. The inspection was carried out as part of the Commission’s responsibility to visit and report on each registered care home. Abbey Lawns is a well-established care home with nursing that provides support to older people and to younger residents who have significant health care support needs. Placements are made by private arrangement, by local authorities and by PCT’s. The home is currently providing support to a number of residents who are in receipt of continuing care funding. Pre-admission assessments and care plans are in place and are being maintained and reviewed. The home invests in a programme of activities and therapies for residents. The existing building is an adapted property that is beginning to show a need for some re-decoration in parts. The homeowners are developing plans for a purpose built extension that will cater for younger disabled residents. What the service does well: What has improved since the last inspection? Staff signatures and other information were recorded on the medicine record sheets. Hand-gel has been provided that is appropriate for sensitive skin conditions. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 6 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. Abbey Lawns Limited DS0000063109.V296185.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 Abbey Lawns Limited DS0000063109.V296185.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 Good information is provided for prospective and current residents. Detailed pre-admission assessments are in place. EVIDENCE: The home’s statement of purpose and its service user guide were examined at the CSCI inspection in November 2006. The documents contain all the information required in Schedule 4 of the National Minimum Standards, Care Homes for Older People and there have been no significant changes. Individual contracts are in place and wherever possible they are signed by the resident. An annual letter is sent out to advise of any uplift in fees or any changes to the contract information. The inspector sampled eight of the residents care files and chose those most recently admitted to the home. Each of them contained an assessment of need that had been completed prior to admission. The documents identified health and personal care needs as well as some family structure, previous employments and hobbies/interests. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 9 Abbey Lawns has provided care and support to older people for some time and with variations to the conditions of registration, it has also developed skills in supporting younger disabled people. Pre-admission assessment’s, care plans and the views of residents expressed to the inspector would confirm that Abbey Lawns is providing good standards of care to people living in the home. Prospective residents and their families are encouraged to visit the home and to spend time there before making a decision to move in. They are then supported through a trial period before taking the decision to stay. Plans are in progress to develop an extension to the facilities at Abbey Lawns that will provide care and support to younger disabled people. The home is contracted with Primary Care Trusts (PCT’s) to provide “Continuing Health Care” but is not contracted to provide Intermediate Care. Abbey Lawns Limited DS0000063109.V296185.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Comprehensive care plans are in place and are being maintained and reviewed. Some practice issues in respect of the management of medicines need to be addressed. EVIDENCE: Comprehensive care plans were in place on the eight care files examined during the inspection. They identified both the health and personal care needs of residents and the care procedures that should be followed to manage those needs safely. Evidence was also included to confirm that care plans are being reviewed. Two of the residents have pressure sores that had developed outside the home. Nurses monitor and record wound care and take photographs to confirm the progress of treatments. Improvements to the healing process of these pressure sores could be evidenced from the photographs made. Policies and procedures are in place to manage the treatment and containment of MRSA. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 11 A number of residents have risk assessments in place for the use of bedrails. Covers (“Bumpers”) were available and in the most part were being used. One of the residents is uncomfortable with the use of “bumpers” and so staff were advised to carry out a further risk assessment to explore the safety of the bedrails, in this particular instance, without the required covers. A second resident was using a long pillow in place of a “bumper”. This is not acceptable as pillows can easily be dislodged and therefore the risk of trapping a limb in the bedrails cannot be prevented. The home receives good support from local GP’s and other healthcare professional when appropriate. Two GP’s hold surgeries in the home during which time they review medicines and attend to any health care matters that are presented by their patients. Specialist advice is sought from the continence adviser and the tissue viability specialists when appropriate. There was evidence on two of the files seen that specialist nutritional advice has been requested. A chiropodist visits the home to provide foot care, for which there is a small charge. Specialist therapies, including Reiki, Indian Head Massage and Reflexology are provided to residents identified as needing them and funded by the PCT. Other residents can purchase complimentary therapies for a small charge. A speech and language therapist was in the home during this inspection carrying out an assessment of one of the residents. The home will fund assessments of speech and language needs where this is appropriate and will negotiate the provision of treatment. Medicines in the home are stored appropriately. The home uses a pharmacy based in St Helens for its prescribed medicines and receives a supportive service. Medicine records are generally well kept. The problem of missing signatures and non-dated eye drops, identified during the last CSCI inspection, has been addressed. However, sample auditing during this inspection identified that in the Goodison Unit there were two discrepancies in the number of tablets that should have been available. In one case there was one tablet less than the records showed and in the other there were two tablets more than the records showed. Both were identified to the nurse on duty. The home has a policy in place for the disposal of medicines and the destruction of “Controlled Drugs”. However there have been some initial delays in confirming a contract and the pharmacist is assisting the home until this is resolved. Throughout the inspection staff were observed to treat residents with dignity and respect. Personal care is provided in private and staff knock on bedroom doors before entering. Consultations with health care, or any other professionals are carried out in private. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Activities are given good priority and residents are supported as individuals. EVIDENCE: The home employs a full time and a part time activities organiser. In addition staff, ex students and the relatives of residents (including those no longer in the home) regularly volunteer to help with outings. The home has its own minibus. A monthly newsletter is produced that recognises resident’s birthdays and identifies all planned activities. In addition a number of one-to-one and individually organised activities/trips out are organised. The newsletter for July 2006 identifies activities on most days and includes Bingo and quizzes, bowling, pub lunch, barbeques, a barge trip and four birthdays. One of the residents told the inspector that a group of younger residents were going into Chinatown one evening for a meal and at the time of this inspection one of the staff had taken one of the residents to Southport. There was clear evidence around the home that residents have been involved in choosing the decoration and furniture for their room. Residents who spoke with the inspector were pleased with the care and support they receive from staff at Abbey Lawns. The home has arranged six-monthly residents meetings but none of the residents had chosen to attend one planned for May 2006. The Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 13 manager told the inspector that senior managers, care staff and the activities organiser are in regular discussion with residents about their likes and dislikes and any problems they are experiencing and try to resolve matters before they become an issue. She suggested that this might have contributed to the lack of attendance at the last resident’s meeting. The home provides a choice of cereals and/or cooked food at breakfast, a choice of cold or coked food at lunchtime and again at teatime. Sample menus were provided for the inspector. Special dietary needs were identified in care plans and were being provided. Choices outside the menu for the day are available for residents who do not wish to take any of the meals on offer. Residents who spoke with the inspector and expressed a view about the food were complimentary about what is provided. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Appropriate complaints policies and procedures are in place. Staff are being trained in adult protection matters. EVIDENCE: The home has appropriate complaints procedures in place. No complaints have been made to the home or to CSCI about the home since the inspection in November 2005. All of the residents are listed on the Electoral Register and those who wish to register a vote in local or national elections are assisted to do so. Polices and procedures are in place to advise staff on matter of adult protection. Staff receive training during induction, during NVQ study and in ongoing training and staff meetings. In December 2005 the home cooperated fully with Liverpool’s Adult Protection procedures when students had discussed their views about some practices in the home with their university tutors. The outcomes from the investigations were supportive of the home’s care practices though recommendations were made about the induction process for new students. In March 2006 a fire occurred at the home. It was confined to one resident’s bedroom but the resident died later in hospital. An inquest recorded a verdict of accidental death. Staff have been offered counselling and support and residents who were in adjoining rooms have been supported and re-assured that the home’s fire warning systems are safe. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 15 Abbey Lawns Limited DS0000063109.V296185.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Abbey Lawns is an adapted property that provides generous, homely and safe accommodation for residents. EVIDENCE: Abbey Lawns is an adapted property with Grade 2 Listing, which provides accommodation for residents in two groups (Anfield and Goodison), and on two floors. A passenger lift and staircases access the upper floors. The construction and layout of the home provides a non-institutionalised feel. All of the bedrooms are used for single occupancy, though some are large enough to accommodate a married couple or friends who choose to share. There are three lounges, a dining room and an activities room. The grounds are well maintained with a large patio and lawns to the rear and flowerbeds to the front. There is an ongoing programme of redecoration in place. Lounge areas are fitted with carpets and comfortable chairs. Three of the armchairs in the Goodison Unit were frayed on the arms and should be replaced. The Goodison lounge is also used as a dining room and has a side kitchen were breakfasts are prepared and from where meals, cooked in the Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 17 main kitchen are served. Staff are also able to make hot and cold drinks from the side kitchen. Assisted bathing facilities are provided. The homeowner has plans to improve bathing facilities in Abbey Lawns as part of the new building programme. The general maintenance of the home is good but some areas are showing early signs of the need for redecoration. A resident’s call system is in place and was working at the time of this inspection. Calls have to be cancelled at source. Resident’s bedrooms vary in size but all meet national minimum standards for space. All of the bedrooms are personalised to greater or lesser degree by the residents and/or their family. Equipment to prevent the spread of any MRSA infection is in place. Staff carry their own hand gel but this is also available at source and on the corridors. At the time of this inspection the home was clean and well cared for. Any offensive odours were contained and were being managed. Contracts are in place for the removal of “sharps” and the disposal of clinical waste. Abbey Lawns Limited DS0000063109.V296185.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Above minimum staffing levels are being maintained. Staff training is provided to keep up with current trends and developments. EVIDENCE: The home’s rota identifies that one qualified nurse and seven care staff are on duty in each unit from 8:00am until 2:00pm and that one qualified nurse and five care staff are on duty each day from 2:00pm until 8:00pm when the night staff take over. Two qualified nurses and five care staff are on duty across the home at night but the manager has been using an additional member of the care staff on the night duty rota. Additionally the home has some trainee staff (under 18 years) that do not provide direct personal care and regularly has nurses in training from colleges and universities. The home’s manager is approved to provide “Adaptation” training for overseas nurses. The home’s recruitment and selection processes were inspected through the examination of four staff files. All were in order. POVA and CRB clearances are obtained for all staff. All newly recruited staff work with more experienced colleagues and follow a programmed process of induction. 28 of the home’s 47 care staff have an award at NVQ level 2 or above. A continuing programme of NVQ training is supported. The home provided the inspector with information to identify that training had been provided in adult protection, continence management (including catheter Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 19 care), Fire awareness, manual handling, wound care, tracheotomy care and some adult literacy support. Future training is planned in the areas of team management, manual handling, food hygiene and fire risk assessment. Abbey Lawns Limited DS0000063109.V296185.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 27 and 38. Residents are supported by strong managers, and are protected by the home’s policies and procedures. EVIDENCE: The home’s manager is a Registered General Nurse (RGN) and has a number of years experience in caring for older people in a care home setting. She has an award at NVQ level 4 in care and has a Certificate in Supervisory Management. She is a trained NVQ assessor and regularly updates her own knowledge through training and study days. During the course of this inspection interactions between managers and staff were observed to be open, friendly and professional. Residents who spoke with the inspector were positive about the ethos and management of the home. They said they were very happy in Abbey Lawns and the staff were very kind. Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 21 The managing director is on site most days and knows all of the residents. As a qualified nurse he carries out many of the pre-admission assessments particularly those that involve younger disabled people. He also prepares monthly Regulation 26 reports. Residents and their visitors are consulted about the performance of the home on a six-monthly basis. A supply of compliment/complaints forms is available in the entrance foyer to the home. The home’s administrator acts as appointee for four residents, two residents are subject to Power of Attorney arrangements and two residents manage their own financial affairs. Family or legal representation is in place for all other residents at the home. The accounts that refer to day-to-day personal money held on behalf on individual residents were examined and were detailed. Records of deposits and withdrawals were being made. Financial records relating to the management of Abbey Lawns were not examined but the Commission is not aware of any financial matters that would affect the ongoing operation of the home. Staff are supported through regular one-to-one supervision sessions that identify their ongoing development and training needs. All of the records seen during the inspection were well kept. Maintenance and associated records were examined during the CSCI inspection in November 2005. The homeowner provided information prior to this inspection to confirm that the records were being maintained and that all contracts for the maintenance of equipment were being monitored and implemented. The home’s fire alarm system and its hot water supplies are routinely tested and adjustments or repairs are undertaken immediately. COSHH assessments are in place and are updated when necessary. Abbey Lawns Limited DS0000063109.V296185.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The home’s manager must ensure that key staff support arrangements for the recording, handling, safekeeping and safe administration of medicines. Timescale for action 06/07/06 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 Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 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 Abbey Lawns Limited DS0000063109.V296185.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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