Inspection on 06/03/07 for Agape Lodge

This inspection was carried out on 6th March 2007.

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

Agape Lodge 16/02/09

Agape Lodge 30/01/06

Agape Lodge 02/09/05

Agape Lodge 07/01/05

Agape Lodge 29/04/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Agape Lodge 155 Kings Street Kettering Northants NN16 8QR Lead Inspector Judith Roan Key Unannounced Inspection 3.00 6th March 2007 Agape Lodge DS0000012680.V327082.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 Agape Lodge DS0000012680.V327082.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 and 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. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Agape Lodge Address 155 Kings Street Kettering Northants NN16 8QR 01536 510808 01536 390608 Telephone number Fax number Email address See Heaths 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) Mr Michael Hamilton Mrs Julia Rosemary Hamilton Vacant Care Home 3 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No person falling within the category Mental Disorder (MD) can be admitted where there are already 3 persons of category MD in the Home. No person under the age of 18 years or over the age of 65 years must be admitted to the home. The total number of service users in the Home must not exceed 3. No person falling within the category Learning Disability (LD) can be admitted where there is already 1 person of category LD in the Home. 30th January 2006 Date of last inspection Brief Description of the Service: This is a 3 bedded, privately owned home situated in Kettering, within walking distance of the town centre and 2 other small homes in the same group. Service users are actively involved in the wider community, and are under 65 years of age. Nursing care is not provided. Accommodation comprises of a lounge, kitchen/dining room, 3 bedrooms, bathroom with shower, and toilet. The Registered Providers are active participants in the day-to-day management of the home. The homes philosophy is that staff and families will support service users where necessary, so that the individuals achievable level of independence can be maintained. It is accepted that more support for service users may be required than in the 2 sister homes. The fee level per week is £494.00 Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. A pre-inspection questionnaire from the provider and comment cards from one service user and two Health & Social Care professionals were received. The inspection took place during the late afternoon and following morning, over a period of 6 hours and was carried out on an unannounced basis. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager must ensure that full consultation has been undertaken with the commissioners of service prior to new service users taking up residence and that contract are in place. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 6 Newly appointed staff must attend training to extend their knowledge and skills to meet the needs of service users. 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. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Practices within the home do not ensure that service users choices and needs are fully assessed and met. EVIDENCE: There was evidence on the file of a full assessment of need for one service user who had been resident at the home for several years. Two other service users who had moved from another home within the group had not been reassessed to demonstrate that the home could meet their needs. The two new service users that had moved in from the other home were not reassessed to confirm that the service provided at the home could meet their identified needs. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 9 On further investigation it became apparent that new contracts had not been received from the Commissioning department of the Local Authorities, as Care management had not been informed about the move for one service user. One service user was very happy with the move but another was finding that they were not compatible with one of the individuals at the home. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) 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. This judgement has been made using available evidence including a visit to this service. Care plans provide good information to support service users. EVIDENCE: Service users that were case tracked had detailed care plans that enabled carers to support them effectively. Care plans contained details about service users preferences. In speaking with service uses it was established that they had been fully involved with preparation of their care plans. The In discussion with service users and carers it was evident that there was support to enable them to make informed choices. One service user however would like to become more involved within the household activities, especially Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 11 cooking of meals and shopping for this activity. It was agreed that this would increased the service users independence skills. Service users care plans with were fully supported by comprehensive risk assessments. It was noted that in one file agreements had been made with the service user about going out alone and increasing their independence whilst maintaining safety. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) 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 good. This judgement has been made using available evidence including a visit to this service. Service users activities are varied outside of the home and meet their chosen lifestyles. Improvements could be made within the home to enable service users to be more involved within the day to day management and decision making. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users all had a detailed daily activity programme. All service users attended local day care activities in Kettering or Corby. In an evening there were several options that individuals would choose from. These included gateway, MIND, local pubic Houses or club as well as sporting activities. Service user were encouraged and supported to maintain contact with families and friends. A diary of planned events is kept at the home within the care plan folder. One service user attended church each week and was well supported within the church group. Finances was an issue for one service user who smoked which did impact on what personal items they could purchase. The homeowner however ensures that a yearly holiday is available for all service users and funded within the fees paid and that personal items are purchased. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be fully supported in meeting their health care needs. EVIDENCE: The care plans and records demonstrated that service uses health-care needs were being met and that that was full consultation with healthcare professionals. Regular health checks i.e. optician, dental and medical appointments were supported by carers. Records were fully maintained. Service users commented that carers supported them in the way they preferred and that they are were treated with respect. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 15 Records are maintained for all medical appointments and service users are supported appropriately as required. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Safe working and reporting practices within the service protect Service users. EVIDENCE: Service users understand the homes complaints procedure and were able to inform the inspector whom they would tell if they had a complaint or concern. Service users were mainly satisfied that any complaints that they had listened to. One service user was not completely satisfied and has requested that a review of their needs is undertaken. Service users felt safe living at the home and continue to develop confidence in their skills. Carers fully understand the safeguarding adults procedures and would be able to act positively in reporting any issues arising. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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. This judgement has been made using available evidence including a visit to this service. Service users personalised room are homely and well maintained. EVIDENCE: The home is presently being refurbished on the ground floor to bring the home up to date and to ensure that a high level of hygiene can be maintained. A wood veneer floor will be easier for the service users and carers to maintain. One service that showed the inspector their room was having difficulties in changing their bedding and had not sort support. In discussion with the deputy Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 18 manager assurances were given that carers would ensure that service users would be supported as per their care plan in this area. The lampshade in one bedroom was found to be tilted and near to the light source. The deputy manager was informed and agreed that immediate action would be taken to adjust the shade. The bedrooms of service users were found to contain the required furniture with evidence of personal equipment and accessories. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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 adequate. This judgement has been made using available evidence including a visit to this service. Service users are not at all times supported by carers that have a sound knowledge of service users specific needs. EVIDENCE: The carer supporting service users during the inspections was aware of their role in carrying out identified tasks, but had limited knowledge of the needs of people who have a learning disability and/or mental health needs. The staff records support this and in discussion with one of the owners it was agreed that this was a shortfall for the identified member of staff and that it would be addressed. A requirement is made for basic training. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 20 Staff records showed that potential normally carers completed an application form and that full checks were undertaken. However the inspector noted that there was no evidence to confirm that a new member of the staff team had home office clearance to work in the UK. In discussion with one of the owner it was agreed that confirmation would be documented. All new carers undertake induction training and evidence was found that a new carer had completed the programme. As part of the pre-inspection questionnaire information a workforce development plan had been submitted for a range of courses to be undertaken for individual staff to improve the quality of the service to the service users. These course cover required training to maintain safe working practices and skills development for individual team members. The staff team meet National Minimum Standards requirement for National Vocational Qualifications. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 good. This judgement has been made using available evidence including a visit to this service. Robust management systems ensure that service users are safe. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 22 EVIDENCE: Health & safety records are maintained and stored at the offices located behind one of the other homes within the group. Daily records are on the whole maintained for recording of food, fridge and freezer temperatures. An oversight was noted with fridge temperatures that are part of the daily routines within the home. Systems are in place to ensure that daily maintenance tasks are undertaken. Full records are kept for the checking of gas and electrical systems at the home and were found to be up to date. The staff team completes regular fire safety checks. Service users are consulted about the service as part of the annual review and quality assurance checks. Agape Lodge DS0000012680.V327082.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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 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 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Agape Lodge Score 3 3 3 X DS0000012680.V327082.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. Refer to Standard YA5 YA32 YA35 Good Practice Recommendations All service users need to have the appropriate contract for the service. Staff competences need to meet the needs of the service users. Appropriate staff training needs to be available to all newly appointed staff. Agape Lodge DS0000012680.V327082.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Agape Lodge DS0000012680.V327082.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. 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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