Inspection on 14/05/07 for Baba Sawan Lodge

This inspection was carried out on 14th May 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

Baba Sawan Lodge 29/06/06

Baba Sawan Lodge 19/12/05

Baba Sawan Lodge 25/08/05

Baba Sawan Lodge 19/10/04

Baba Sawan Lodge 07/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Baba Sawan Lodge 11 Bodnant Avenue Evington Leicester Leicestershire LE5 5RB Lead Inspector Thea Richards Key Unannounced Inspection 11th May 2007 10:30 Baba Sawan Lodge DS0000006336.V336760.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 Baba Sawan Lodge DS0000006336.V336760.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. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Baba Sawan Lodge Address 11 Bodnant Avenue Evington Leicester Leicestershire LE5 5RB 0116 2730008 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) Baba Sawan Lodge Limited Mrs Vanita Kantilal Solanki Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 29th June 2006 Brief Description of the Service: Baba Sawan Lodge opened in 1989 as a home for younger adults with learning disabilities. The home is registered to provide care and support for up to ten residents. The home is a converted, three storey detached house, which is situated in a residential area of Evington in Leicester. There is a good range of local amenities within walking distance of the home. There is a regular bus service into the City Centre, which is a ten-minute ride away. Baba Sawan Lodge has bedroom and bathroom facilities located on the ground, first, and second floors. There is a large lounge and a dining room on the ground floor. At the back of the home is a large garden with a patio, lawn, and seating areas, which is easily accessible for the residents. There is information available in the main office including the Statement of Purpose and Registration certificate together with copies of the Inspection reports from the Commission for Social Care Inspection. The current fee level is at the local authority rate of £337.00 per week. There are additional costs for individual expenses such as personal toiletries, optician, hairdressing and some recreational activities. The home can be contacted by telephone, or email. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for younger adults that ended with an unannounced visit to the service. Before the visit the inspector spent four hours looking at information received by the Commission for Social Care Inspection (CSCI) since the last inspection on 29 June 2006. The visit took place on the 14 May 2007 and lasted four hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to two of the residents. To achieve this, the residents were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records and menus and food records, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, the homes’ owner and two residents. Most of the residents are not in contact with their families and rarely have visitors. What the service does well: A dedicated staff support the residents by making sure that they have a good range of different activities and cultural experiences. The residents care plans are thorough and contain information, which reflects the care and activities that are being provided. ‘key workers’, who make sure that individual residents needs and wants are met, support this. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 6 The residents are very involved in the local community, which gives them a normal social life. The staff are experienced and trained to look after the residents and the percentage of those with a National Vocational Award is higher than the minimum required. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 7 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 Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 8 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 good This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before moving into the home by a preadmission assessment completed by Social Services and by visits to the service. This makes sure that the resident and their families know that this will be the right home for them. EVIDENCE: The inspector checked the care records of two of the residents, who were case tracked ( with their permission). Both of the residents had received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the information about the services offered and the Terms and Conditions in the home. Providing a thorough Statement of Purpose & Service Users’ Guide gives good information for the residents, making sure that they can get the most suitable care. This information can be provided in different formats such as large print or symbols. Completed assessments were present in the files, identifying the residents’ care needs, before they were admitted to the home. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 9 Care plans showed that they contained the needs of the resident which had been shown in the original assessment. All of the residents have all been in the home for more than ten years. The manager confirmed that for any new residents she would complete an assessment and make sure that she and the staff were aware of all their needs before anyone was admitted to the home. This would make sure that that the staff in the home have the the right information before the resident is admitted so that they get the best care. It makes sure that the home can meet the residents needs. The current registration certificate, the inspection reports from the Commission for Social Care Inspection (CSCI), and up to date details of insurance cover were displayed in the managers’ office. Baba Sawan Lodge DS0000006336.V336760.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 This judgement has been made using available evidence including a visit to this service. The staff make sure that the residents maintain their independence and support them in making decisions in all areas of their daily living, which allows them to have a good quality of life. EVIDENCE: The care plans and records of two of the residents were looked at. One of the residents was in the home all day and one came in for a brief time to have lunch. The care plans all showed the individual needs of the residents for personal care, health care, daily routines and activities. This makes sure that the residents receive the care that they need and want. The care plans are written and agreed with the residents. Parts of them are in an easy to read and understandable form, which makes sure that the Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 11 residents, can understand the care that is being given. The residents are involved in the review of the care plans with their ‘key workers’. Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that hey have all that they need and that they have the activities and work or education needs met. With the home each resident is developing a ‘person centred’ plan of care, which they are very involved in and took great pride in showing the inspector. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. The daily records of the service users were looked at. These contained information, which confirmed that the residents were making their own decisions about daily activities. The residents spoken with indicated that they were able to do what they wished to in their lives. The residents have regular meetings to discuss choices in the home such as activities and menus. Baba Sawan Lodge DS0000006336.V336760.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 good. This judgement has been made using available evidence including a visit to this service. Service users enjoy different activities and interests and are supported in this by the staff, which makes sure that they keep their interests and are occupied. EVIDENCE: The residents all went out on a daily basis to day care activity or employment. On the day of the visit most of the residents were at a day care activity, one was in the home whilst one had been working and came in for lunch. There was an individual programme of activities in each care plan including activities in the evenings. The residents are part of the local community, visiting local pubs, restaurants, shops and parks. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 13 There are plans for visits to Skegness in the Summer and for other day trips out. Special outings to restaurants are arranged for birthdays and special occasions. The residents visit the local Mosques and Sikh Temples. The residents who are Christains no longer wish to go to the local church but it has been arranged in the past and would be again if they wanted it. The home is hoping to arrange a holiday for the residents to a European country and is talking to the resdients about the plans. The activities are recorded in the care plans which are regularly reviewed as the residents needs change. This was shown in one of the careplans that the inspector looked at as the residents needs had changed due to age. The choice of food is excellent and both Asian and English food is provided. The residents all eat from both menus and the home is very flexible in giving the residents what they want to eat. The manager was seen asking the residents what they wanted for their lunches. The residents spoken with said that they enjoyed the food and were happy with the choices. Meal times are flexible to suit the needs and the activities of the residents. The residents are encouraged to all eat together in the dining room, but may choose to have their meals where they wish to. The home has very few visitors and the staff try to make up for this taking the residents out in their own time. The manager has recently taken one of the residents to a wedding in his family so that he wouldn’t miss it. Baba Sawan Lodge DS0000006336.V336760.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. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans. They have good knowledge of their individual care needs, making sure that they are looked after in the right way. EVIDENCE: The care plans for two residents were ‘case tracked and found to contain good individual evidence of care, which reflects the care being given to the residents. This includes a regular assessments of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, showing that the residents are having thorough health care. The residents spoken with said that they could see a doctor whenever they needed to. They also said that they saw the other health professionals when they needed to. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 15 The daily record of care is up to date which makes sure that the residents get the right care and the staff know what has happened to them during the day or night. The home, with the resident is developing a profile of the residents life, their wishes and what they would like to do in life. The inspector was not able to speak with any of the families as there is very limited contact with any of them. Medication records for the case tracked residents were in order. Medicines are provided by the local chemist in ‘Nomad’ packs which means that the staff can give all the medicines for a particular time of day out of one section. Which gives a safe way of giving the medicines. The manager was knowledgeable about the medicines and where to obtain information. She was also aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. These practices make sure that the residents are kept safe when medicines are given. There are no residents looking after their own medicines. Baba Sawan Lodge DS0000006336.V336760.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 good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy which gives the details of how to complain and who to complain to if the residents or their families needed to. The complaints book was looked at and there are no records of any complaints having been received since the last inspection on the 25th September 2006. The residents spoken with were happy that they would speak to the manager if they had a problem and that it would be dealt with. The Commission for Social Care Inspection has received no complaints since the last inspection on 25th September 2006. The staff receive training in safeguarding adults from abuse and are given a copy of the General Social Care Council (GSCC) codes of practice, which tells them what their responsibilities are in making sure that the residents are kept safe. This was confirmed by the manager and by the records held in the staff files. Personal allowances for the residents are held in the home for incidental expenses and transactions are recorded and signed by two people. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 17 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, 25, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the policies and procedures in the home to provide a safe, clean and homely environment to live in. EVIDENCE: The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the managers’ office. The inspection reports from the CSCI are available in the office. Baba Sawan House is a converted house in a residential part of Leicester. There is an entrance hall, which leads to a lounge, kitchen and dining room with access to the patio and garden area. The home was a clean and pleasant place to live. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 18 The communal bathrooms are clean and free from any items, which could be dangerous for the residents. With their permission the case tracked residents’ bedrooms were looked at by the inspector. They provided good accommodation, which had been decorated to the residents’ choice. They were personalised with the resident’s belongings and the residents spoken with said that they could have their bedrooms how they wanted them. The bedrooms were clean and well maintained. There were no outstanding safety or maintenance issues noted on the tour of the premises. Baba Sawan Lodge DS0000006336.V336760.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, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited with a thorough recruitment process and given the appropriate training. This makes sure that the residents receive safe care given by properly trained staff. EVIDENCE: Two staff files were looked at by the inspector and the required information was complete in one of them. This included evidence of identification, adequately completed application forms, two written references and Criminal Records Bureau checks. One of the files for a member of staff who had worked at the home for several years had only one reference in the file. The manager and the provider said that they would get one for her immediately. This has now been obtained and seen by the inspector. There was evidence of staff training recorded in the file, which was confirmed by the manager. There was training provided in areas such as first aid, food hygiene, manual handling and includes particular training for the particular needs of the residents. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 20 Five out of the six members of staff have a National Vocational award at level 2 or above. This is well above the required percentage and is to be commended. The manager holds the registered managers award. The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for. There was evidence of some staff supervision taking place. The frequency needs to be increased to within the times that are required by the Commission for Social Care Inspection regulations. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Baba Sawan Lodge DS0000006336.V336760.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, 40, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gives personal and individual care, in a safe environment whilst making sure that all the residents have their views heard and put in place. This allows the residents to live their lives as they would wish to. EVIDENCE: The manager of the home is now registered with the Commission for Social Care Inspection. This process makes sure that the manager is a fit person to manage the service. She has completed the registered managers award and several courses for the specific needs of her residents. Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 22 The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for. The residents have monthly meetings with the manager when their views are discussed and areas such as meals and activities are discussed. The manager sees them all individually every day. The residents spoken with said that they could always talk to her if they had a problem and she would sort it out for them. The manager gives the residents and their families a quality questionnaire every year, which looks at all the areas of care and the general opinion of the home. The staff or the day centre staff helps the resident to complete them. The provider is about to start using the questionnaire produced by the East Midlands Care group, which he will use as well as his own. The inspector looked at the results of the audit of the questionnaires, which were positive for all areas of the home and the services given. The policies and procedures in the home need to be reviewed and updated to make sure that the staff have current information to care for the residents. Health and safety records were looked at and fire testing, drills and training were found to be complete and up to date. There were records in place showing that water temperatures had been tested. Baba Sawan Lodge DS0000006336.V336760.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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 2 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 2 X 3 X Baba Sawan Lodge DS0000006336.V336760.R01.S.doc Version 5.2 Page 24 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. 1 2 3 Refer to Standard YA36 YA39 YA40 Good Practice Recommendations That the staff have the opportunity of formal supervision as often as legislation requires it to give them individual time with the manager. That copies of the provider visit forms are kept in the home. That the policies and procedures in the home are regularly reviewed and updated to make sure that staff have current information. Baba Sawan Lodge DS0000006336.V336760.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 Baba Sawan Lodge DS0000006336.V336760.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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