Inspection on 22/02/06 for Barnfield Manor Care Home

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Barnfield Manor Care Home 28/07/09

Barnfield Manor Care Home 07/05/09

Barnfield Manor Care Home 03/06/08

Barnfield Manor Care Home 14/11/07

Barnfield Manor Care Home 09/01/07

Barnfield Manor Care Home 06/09/06

Barnfield Manor Care Home 09/05/06

Barnfield Manor Care Home 05/10/05

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

CARE HOMES FOR OLDER PEOPLE Manor (DE), The Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH Lead Inspector Sue Richards Unannounced Inspection 6th February 2006 10:00 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 Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 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. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor (DE), The Address Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH 01246 855899 01246 852953 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) Hallmark Healthcare (Holmewood) Ltd Mrs Anne Marie Gaunt Care Home 39 Category(ies) of Dementia (39) registration, with number of places Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is to be phased – Units 1 and 2 (up to 26 service users) is currently agreed. Accommodation of service users in Unit 3 (14 service users) must be formerly agreed by the Commission prior to use subject to achievement of identified works/upgrading to that area of the building. Achievement of an identified and agreed schedule of upgrading, repair and renewal to the building, including fire officers requirements (within given timescale). Timescale: 6 months. Care staff must undertake recognized dementia care training within agreed timescale: 3 months. 5th October 2005 2. 3. Date of last inspection Brief Description of the Service: The Manor (DE) provides personal care and support for up to 40 older persons with dementia. It is located on the site of The Manor Care Complex, having a sister home with a separate registration on the same site (providing personal care only for older persons). Since the previous inspection of this service there has been a change of ownership to Hallmark Healthcare Limited (Holmewood), whose registration was approved by the Commission in May 2005. Since approval there has been a further change of responsible individual for the company from Mr Leslie Chaplin to Mr Ram Goyal. The home comprises three separate areas of accommodation for service users, each having its own dedicated facilities, including lounge/dining rooms, bathrooms and toilets. Adequate car parking is provided, together with accessible and secure dedicated garden areas. There is a separate single storey building located within the grounds, which provides a central laundry and staff facilities. The home is located in the village of Holmewood, close to shops, a post office and local amenities. It is on a direct bus route to Chesterfield and within a short distance of Junction 29 of the M1 motorway. The home requires a significant level of upgrading, repair and renewal, including adaptations to the environment to ensure it is sympathetic to the needs of persons with dementia. There is a passenger lift and emergency call system provided, together with handrails to corridors and grab rails to toilets. Bedrooms provide a majority of single room accommodation, many having en suite facility. There is an agreed programme of works, compliance with which is a condition of the home’s registration. An agreement has been made with the registered provider for an extension to the time period for the completion of this. Care staffing is organised by way of dedicated teams to each area of Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 5 the home, who are led by the manager. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Although the home has been registered under the Care Standards Act 2000, this is the second inspection with the current registered provider, Hallmark Healthcare Limited. The focus of this inspection, which was unannounced, was on the needs of residents, accommodated, particularly the organisation and delivery of care in respect of their personal and health care needs and support, including aspects of staff training. These areas were chosen due to the need to assess some areas and key standards, which were not inspected at the previous inspection for this service, previous requirements made during the inspection in October 2005, which required further monitoring and also a complaint raised with the provider in December 2005 concerned with aspects care provided to a named resident who is no longer accommodated in the home. Case tracking was undertaken during the inspection, this involved examination of the individual care records of a small number of resident, discussions with staff about their care and the overall care needs of residents accommodated and the examination of related records, where available. Due to residents’ limited capacities in terms of their dementias, the Inspector was unable to hold meaningful discussions with them about their care. Discussions have been held with a resident’s representative regarding their complaint. The Inspector met with some residents. What the service does well: What has improved since the last inspection? Considerable progress had been made in terms of the introduced changes in the format of individual care records. Good progress had been made in terms of completing these and needs assessment and care plan information recorded for those residents case tracked was more comprehensive and person centred as a result. The requirements of the Fire officer had been complied with and works were well underway in terms of the agreed programme of upgrading, repair and renewal, completion of which is a condition of the home’s registration. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 7 Some progress had been made in relation to areas of staff training and development 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. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 8 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 Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 9 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): 3 Staff was fully conversant with residents needs and their recorded needs assessment information was comprehensive and up to date. However, insufficient staffing levels and areas of deficit in terms of training provision for staff often prevented them from effectively meeting residents’ needs in terms of their safety, rights, dignity and individual lifestyle preferences and routines. EVIDENCE: At the previous inspection for this service undertaken in October 2005, a revised format for the recording of individual’s needs assessment and care plan information, together with associated care records had been introduced. However, care staff had not received any instruction or training in respect of its use and completion. This however, was now being rolled out to all staff responsible and completion of the new documentation was well underway. The Inspector examined in detail, the care records of two residents case tracked. Discussions were held with the staff regarding the completion of Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 10 these and the needs of residents. They were fully conversant with the needs of residents. Discussions were also held with staff regarding the arrangements for their ongoing training and development. There were planned dates for the delivery of dementia care training from an external training provider. The Inspector was advised that all staff were to access this over the coming weeks. Due to the given capacities of residents accommodated and their dementia, the Inspector was unable to engage in meaningful discussions about their care with them. Staffing levels in the home were insufficient. Duty rotas were examined and discussions held with staff about the arrangements for the staffing of the home, including staff deployment over the time period from December to date. (See staffing section of this report). Residents were being routinely assisted to get ready for bed – hygiene and nightclothes from 4 pm onwards in order for staff to be able to manage their needs within the given staffing resources. A small number of residents required two staff to assist, leaving only one carer in the lounge and caring for remaining residents, some of who wandered and were at risk of falls, some were disinhibited in their behaviours and frequently removed their clothing and some were incontinent. Many residents suffered from Sundown syndrome from late afternoon into the evening. A complaint had also been made to the registered provider regarding the alleged lack of care of a resident. (See complaints section of this report). Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 11 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 & 10. The health care needs of residents were clearly detailed in their care planning records, together with identified risks to their health and welfare. However, the health care needs of residents were not always being met. EVIDENCE: The written care plans of residents’ case tracked were examined and discussed with staff. These were up to date and formulated in accordance with their identified needs within a framework of risk management, including that relating to falls, pressure ulcers, nutrition, moving and handling and mental status. The health care needs of residents were also clearly recorded, as were the arrangements for their access to outside health care professionals, including for the purposes of routine health care screening. All residents were registered with a named GP and some had inputs from the consultant psycho-geriatrician. The Inspector met with a number of residents in the lounge area. One resident case tracked, who was identified as being at risk of falls, as documented in her risk assessment information, had a table in front of her chair to prevent her from attempting to get up, which was not in accordance Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 12 with her care plan. The resident concerned had previously done so a few days earlier and fallen, bruising her face. The home’s written policy on restraint was not available. The provision of moving and handling equipment was examined in relation to the needs of residents accommodated. There is one very old moveable hoist, which is frequently used, together with moving and handling belts and turning sheets. However, there was no other moving and handling equipment, such as a turn table or stand aid. At the previous inspection for this service the arrangements for the management and administration of medicines were examined. Requirements were identified during that inspection in relation to records kept in respect of the administration of medicines to individual residents. During this inspection, the medicines administration record (MAR) sheets were examined for those residents case tracked, together with two others, which were randomly sampled. There were frequent gaps, where staff responsible had not signed to indicate that a prescribed medicine had been administered or recorded the relevant code to indicate the reason why it had not been administered to a resident. The Inspector was advised of medicines training for all staff responsible, which was booked for 09/03/06 via Boots. Some of the omissions were in respect of vitamin and calcium supplements, pain relief and the treatment of infection. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were not fully assessed on this occasion. EVIDENCE: At the previous inspection for this service a requirement was identified in respect of the need to develop the provision of meaningful activities for residents. This standard was not fully assessed on this occasion, although the staff member in charge advised that an activities co-ordinator had recently been employed on a part-time basis. Progress will be assessed at the next inspection for this service. At the previous inspection a requirement was also made to ensure that menus were reviewed and provided variety and choice. Menus were examined on this occasion. This had not been achieved. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 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 Information is provided to enable residents/representatives to complain, however, one complaint made in December 2005 has not been fully responded to. EVIDENCE: There is complaints procedure identified for the home. Written details as to how to complain are displayed openly in the entrance and also provided within the statement of purpose and service user guide. Two complaints have been made since the previous inspection. Each was by a representative of the resident. One was a written complaint and one verbal. One of the complainants forwarded a copy of their complaint to the Commission in December 2005. A written response has been sent to the complainant (with a copy to the Commission) detailing investigations undertaken and also to be undertaken. The complainant has recently advised the Commission that this has not yet been concluded to their satisfaction. This was discussed with the staff in charge during this inspection. The recent verbal complaint is to be investigated by the provider. Issues raised relate to the care of named residents, including falls. A record of complaints was not available in the home for inspection. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 15 Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 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): The standards in this section were not assessed on this occasion. EVIDENCE: It is a condition of the home’s registration that an agreed comprehensive programme of upgrading, repair and renewal to the home is undertaken. The timescale for the achievement of this has recently been discussed with the responsible individual for the Company and an extension agreed. Work was well underway at the time of the inspection. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 17 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 Staffing levels and arrangements were not sufficient to meet the needs of residents accommodated and to effectively promote and protect their health and welfare. EVIDENCE: Comments made under the Choice of Home section apply here also. Staff duty rotas were examined and discussions held with the staff regarding the arrangements for the staffing of the home, including the deployment of staff – both care and hotel services. There were 17 residents accommodated (including one recently admitted to hospital) and 22 over the Christmas period. The needs and dependencies of residents were discussed with care staff and their records examined. There were a significant number of occasions where care staff who were on the rota to provide care and were doing so were expected to work in the kitchen cooking and preparing meals as there was no separate kitchen staff cover. Serious concerns were raised in writing with the provider during the inspection regarding the inadequate staffing arrangement in the home and written details provided as to the immediate action to be taken by them. At the previous inspection for this service requirements were identified in respect of staff training in relation to infection control, food hygiene and Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 18 handling and medicines training for staff. The staff member in charge advised that food hygiene and handling training had been provided, that medicines training had been organised, and that staff had not undertaken infection control training and there were no planned dates for them to access this. The Inspector was also advised of further dementia care training planned for staff. Training records were not available for inspection. At the previous inspection for this service, a requirement was made in relation to staff recruitment – records to be kept. These records were not available for inspection. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 19 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): 35, 37 There were satisfactory systems and arrangements in place for the management and handling of residents’ monies. Not all records were available for inspection, which are required to be kept in the home and which are to be made available at all times for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. EVIDENCE: Written notification has been provided to the Commission advising of management changes in the home. An acting manager had recently been appointed who is to undertake the fit persons process for registration with the Commission. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 20 The arrangements for the management and handling of residents’ monies were examined and discussed. A number of records were examined during the inspection. These were in respect of residents individual care records, which were well recorded and safely stored. However, a number of records were not available for inspection, including staff training and recruitment records and also some accident records, which were requested for inspection in relation to a complaint (see complaints section of this report). Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 21 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 X X 1 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 1 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X 2 X Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 18(1)(c) Requirement Care staff must undertake training in respect of the revised format and approaches to individual needs assessment and care planning for service users and the theories, which underpin these. Original timescale 30/11/05. Commenced – therefore timescale extended. (OP27 also applies here). The registered person shall, having regard to the size of the home, the statement of purpose and the number and needs of residents, ensure that at all times suitably qualified, competent and experiences persons are working at the care home in such numbers as are appropriate for the health and welfare of residents. (OP 8 also applies here). The registered person must ensure that the care home is conducted so as to promote and make proper provision for the care, health and welfare, treatment and supervision of residents. DS0000064197.V275271.R01.S.doc Timescale for action 30/04/06 2. OP4 18(1)(a) 01/03/06 3. OP4 12(1) &(4)(a) 31/03/06 Manor (DE), The Version 5.1 Page 23 4. OP9 13(2)& 17(1(a Sch3 Gaps must not be left in 30/11/05 medicines administration record (MAR) sheets. When a medication is not administered as prescribed to any service user, the coded reason for its non-administration must be recorded on the MAR sheet and the reason clearly recorded in the service users daily evaluation record sheet. A review of moving and handling equipment must be undertaken and it must be ensured that suitable equipment is provided in accordance with residents assessed needs. The registered persons must ensure that the organisation of activities for service users is considerably developed and that service users are able to engage in meaningful activities, both within and outside the home in accordance with their abilities. (NB This standard was not inspected on this occasion). The registered person must ensure that food is varied and that menus are revised accordingly. The home’s procedural guidance in respect of any allegation of abuse must be amended to ensure accuracy in terms of the required notification of other agencies/authorities. (NB Not assessed on this occasion). The registered person must provide the Commission with a summary of complaints made during the preceding twelve months and the action that was taken in response. The registered person must DS0000064197.V275271.R01.S.doc 5. OP8 23(n) 30/04/06 6. OP12 16(2) 31/01/06 7. OP15 16(2) 30/11/05 8. OP18 13(6) 30/11/05 9. OP16 22(8) 30/04/06 10. OP16 22(2) 30/04/06 Page 24 Manor (DE), The Version 5.1 10. OP19 23(1)& (2) ensure that any complaint made under the complaints procedure is fully investigated. (In this instance the complaint made to the provider in December 2005). Compliance must be achieved with the programme of upgrading, repair and renewal of the building in accordance with that stated - Condition 2 of the home’s registration & extended timescale agreed with provider). The core training plan for staff must be fully completed and include infection control, dementia care and medicines training for those staff responsible who require this. A central record must be kept of all training undertaken by staff and be available for inspection. In respect of each staff member employed, records must be kept in accordance with items detailed under Schedule 4 of the Care Homes Regulations 2001. (Not inspected on this occasion). The registered person must ensure that records specified under Schedules 3 & 4 of the care Homes Regulations 2001, must be kept up to date and are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the home. 31/07/06 11. OP30 13(2(3)& 4)&18 31/03/06 12. 13. OP30 OP37 18 17(2), Schedule 4 30/11/05 31/12/05 14 OP37 17(3) 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 25 No. 1. Refer to Standard OP7 Good Practice Recommendations The registered persons should consider staff training in relation to recognised practices for sensory care associated with dementia, such as sneozelen. Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Manor (DE), The DS0000064197.V275271.R01.S.doc Version 5.1 Page 27 - 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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