Inspection on 08/06/06 for Barton Grange

This inspection was carried out on 8th June 2006.

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

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

Other inspections for this house

Barton Grange 09/10/07

Barton Grange 23/04/07

Barton Grange 08/11/05

Barton Grange 25/07/05

Barton Grange 07/03/05

Barton Grange 05/10/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Barton Grange Barton Road Barton Winscombe North Somerset BS25 1DP Lead Inspector Catherine Hill Key Unannounced Inspection 8th June 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Barton Grange DS0000049161.V294506.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. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Barton Grange Address Barton Road Barton Winscombe North Somerset BS25 1DP 01934 842827 NONE 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) Scosa Ltd Ms Sarah Jane Matthews Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Barton Grange provides personal care for up to 20 elderly residents. The home is situated on the outskirts of the village of Winscombe. Mr and Mrs Scott, trading as Scosa Ltd bought the home in June 2003. They own two similar care homes in the south of England. Ms Sarah Matthews is the registered home manager. Accommodation is a Victorian country house with a modern extension. Seven of the bedrooms are on the ground floor. There is level access to these rooms. The remaining bedrooms are on the first floor. A chair lift is provided on both staircases. Additional steps to some of the rooms mean that residents with impaired mobility may not be able to access these areas. The rooms affected are clearly identified in the service user guide. None of the bedrooms have en suite facilities. There is a large garden with lawns at the front of the building and a patio area to the rear. The home can sometimes accommodate residents’ pets, subject to prior agreement. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over two days, the first of which was unannounced and the second of which was announced. The first day was on the 8th of June 2006, when the inspector spent several hours talking with residents and staff, and checked some of the care records. The second visit was on 14th of July 2006, and the inspector again spent time with residents and staff, and looked through some of the management records. During the course of the two visits the inspector spoke with 11 of the residents, several visitors and most of the staff on duty. Between these dates, the inspector contacted some of the relatives by phone to get their views about the home. Residents and visitors were overwhelmingly positive about the home. The general view was that it has a really happy atmosphere and a pleasant pace of life. Residents felt that they can follow their own routines: as one person said, I do what I like here. Relatives commented that staff are very welcoming… professional but not OTT and that they feel were all in a team. People described an individualised service, and effective communication. There is a good range of regular activities, and the food is very good with plenty of choice on offer. Residents care records provided good, clear information about each persons needs. What the service does well: What has improved since the last inspection? Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 6 Medications administration procedures have been tightened up and are now safer. Staff have also had training in safe medications handling. A new medication cupboard has been fitted. Work has begun towards improving the bathrooms, and towards fitting radiator guards and window restrictors. 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. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. Residents get a good level of information before choosing to move into the home, and the home ensures that it has enough information about the person to be confident that it can offer them a good service. EVIDENCE: A thorough assessment is carried out on each prospective resident, and this is redone at least yearly. A copy of the latest inspection report and the home’s Statement of Purpose is kept on the hall-stand with the visitors book. The home does not provide intermediate care. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 9 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): 7-10 Quality in this outcome area is good. Residents care needs and the ways they would prefer to receive support are well documented. Practice adheres well to this guidance. EVIDENCE: Succinct but informative care plans are in place for each resident, and these include a good level of detail on the persons preferences, not only their physical care needs. Care plans had been reviewed at least monthly or following any significant change, and daily notes highlighted any changes to the care plan to ensure that staff are fully aware of them. Residents and their representatives are invited to review meetings. Residents said that staff promptly reported to seniors if they have any problems that require attention, and that staff who come on duty later are always up-to-date with their needs. A healthcare professional told the inspector that staff always make sure everything is prepared for their visits, that they are really helpful, and that whoever is on duty is well-informed. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 10 There is an effective system in place for communicating information quickly to staff, and as long as staff are conscientious about reading the necessary documents before the start of each shift, this is working well. Risk assessments have been done where necessary. As with the care plans, these provide clear and succinct guidance. It was a requirement of the last inspection that drug administration procedures were reviewed. A new medication system has been introduced since the last inspection, and all staff have had training in its use. Staff no longer remove medicines from the supplying pharmacist’s containers until they are due to be administered to the resident. A new medicines cupboard has been installed so that medicines can be kept more safely. The inspector noted during the first day of this visit that not all staff knocked on residents doors and awaited an invitation before entering. In all other regards, their approach to residents was highly respectful, so it may be that their familiarity with some people has led to a relaxing of the normal standard. Residents bedrooms are their private space, and it is very important that staff remember to treat them as such. The manager intends to remind staff about this. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Quality in this outcome area is excellent. Residents benefit from very flexible routines and menus, and plenty of interesting activities on offer. EVIDENCE: Many residents were able to tell the inspector the name of their key worker and the sort of tasks their key worker does for them. They described very warm relationships with the staff. One person said theyre splendid ... I cant say enough about them. Another said the staff are all very nice - all friendly. A fairly new resident said that she had been given such a warm welcome that she already feels at home. Residents described very flexible routines: one person said I can do what I like. Residents said that they are given help promptly, and that staff always come quickly if they ring their call bells. Residents are encouraged to use the call bell system at any time of night or day. One person said that staff sometimes nag her for not ringing her call bell enough. Residents said that when they moved in they were asked about their preferred routines, and that staff now follow these. Residents said that their visitors are always made welcome, and the visitors the inspector spoke with confirmed this. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 12 Residents meetings are held, and the minutes of these included a number of suggestions by residents which are then acted on. The home has its own trolley shop, but many residents said that their key workers will also do bits of shopping for them. There is a really good schedule of activities on offer. The poster on the noticeboard in the hallway shows at least one activity every day, and residents described regular outings, weekly quizzes, reminiscence sessions, quoits, art and craft sessions, Beetle drives, musical afternoons, films, poetry reading and discussions, and talks by visiting entertainers. As one person said, theres always something to interest you. Everybody felt that the meals are good. The menus show a varied and interesting balance. The cook talks to each person about their meal preferences and any menu ideas, and regularly sees the residents to get more feedback. Although there is no choice on the main menu at lunchtime, residents said that alternatives are readily available and the cook knows their dislikes. The cook confirmed that there is a selection of vegetables and meats offered at lunchtime, although these are not necessarily shown on the menu. There is a good choice at suppertime. Most dishes are home-made from fresh ingredients. In addition to the usual cups of tea and coffee, a choice of cold drinks was regularly offered throughout the day. At the time of the inspectors first visit, one person was having puréed food. The inspector suggested that this might be more interesting if each ingredient is puréed separately. This gives of variety and of tastes, textures, and colour on the plate, which can stimulate appetite. By the time of the second visit, the cook had been providing increasingly solid food to this resident, who was now back on a normal diet. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 13 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, 18 Quality in this outcome area is good. Concerns are taken seriously and responded to promptly. Staff are alert to the potential for abuse. EVIDENCE: Residents said that the manager is very approachable, and that they would talk to her if they were worried about anything. Some people named their key workers as the person they would talk to if anything concerned them. The general consensus from the relatives that the inspector spoke with was that the home is very open to hearing their ideas and requests. The complaints procedure meets the standards but might be improved by including a prefacing statement that lets people know the home welcomes their comments. No complaints had been received by the home or by the CSCI. Conversation with staff showed that they are aware of the potential for abuse and of how any concerns should be reported. A flow chart of the abuse procedure is posted in the office, and in-house training is being arranged for the near future. At present, the home is using the guidance in North Somerset Social Services No Secrets guidance but plans to revise and update the homes own policy and procedure in the immediate future. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 Quality in this outcome area is poor due to some significant gaps in health and safety issues, and due to bathrooms not currently being well-suited to residents needs. However, the home has already begun taking action to address these issues. In many other respects, the environment is exceptionally pleasant. EVIDENCE: Many parts of the home are really welcoming and comfortable. The lounge is furnished with comfortable and suitable chairs, and ski chairs have been provided in the dining room. Some areas, such as some corridors and stairwells, are starting to look a bit tatty and will need redecoration in the near future. A development plan for the premises has already been drawn up, and many aspects of it are being addressed. There is a large, pleasant garden with lawns at the front of the building and a patio area to the rear. There is no passenger lift but stair lifts have been fitted on both sides of the home. Additional steps to some of the rooms mean that residents with Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 15 impaired mobility may not be able to access these areas. Seven bedrooms are on the ground floor. All bedrooms are single, and many are of a good size, although three are below 10 square metres. Existing residents get first refusal of any downstairs bedrooms that become vacant. None of the bedrooms have en suite facilities. The manager confirmed that some window restrictors have been fitted, in line with the recommendation of the last inspection report, but many others are yet to be done. The inspector suggested that consideration is given to fitting these to ground floor windows as well. It has been a requirement of the last two inspections that improvements are carried out to some of the bathrooms. Work had begun on this prior to the second day of this inspection. The home plans to create a wet room downstairs so that residents can take a shower if they would prefer. Residents said that any repairs are done promptly. In some areas of the home, it can take a long time for the hot water to come through. The inspector tested a number of hot water taps, and these ran hot within a few minutes. However, the hot water tap in the staff toilet was barely flowing and was cool. Staff reported that this tap runs better at different times of the day. It is vital that the hand wash facilities provided for staff are adequate in order to help reduce the risk of cross infection, so this needs to be attended to urgently. Most hot water outlets have been fitted with temperature regulators. Where these are causing a problem with the plumbing system, and it is taking a long time for the water to come through hot, the inspector suggested that risk assessments could be carried out to determine whether some hot water outlets could safely be unregulated. It may be particularly useful to do this in respect of the staff toilet. It was a requirement of the last inspection that guards must be fitted to radiators whose surface temperature may pose a risk to residents. Since then, many radiators in bathrooms and corridors have been covered. Many bedrooms still do not have low surface temperature radiators, however, and these areas are likely to be a higher risk than the communal areas, so these must now be made a priority. The inspector advised that hand towels should not be kept on the frame of the raised seat of toilets. This is too close to the toilet, and greatly increases the risk of cross-infection. Staff immediately moved these towels to a more suitable location. All areas of the home seen were very clean, and many of the residents told the inspector that this is the homes normal standard. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 16 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): 27-30 Quality in this outcome area is adequate but would be improved by evidence being kept on site that staff recruitment procedures are safe, and by better records of staff training. Staffing levels are satisfactory. EVIDENCE: The staff rota for four weeks ahead was posted on the office wall. Three care staff are on duty in the mornings, and two in the afternoons, supplemented by a junior who does some household chores for two hours in the early evening. The manager is on duty most weekdays, and sometimes works out of normal office hours. Either the manager or a member of senior staff is on call at weekends. At nights, the home is covered by one waking member of night staff and one person sleeping in. At present, no resident requires support from two staff at night, so this arrangement is satisfactory. Residents said that staff have busy periods but are regularly able to make time to stop and talk. Many residents commented on how good the teams attitude is. One person said they never get cross … its marvellous the patience theyve got with everybody. An immediate requirement was made at the last inspection that staff must not start work in the home until two satisfactory written references and a CRB disclosure or PoVA First check have been received by the home. The files of staff appointed since this requirement was made were checked at todays inspection. No PoVA First check was included with these, although copies of the CRBs were available. The manager said that the provider carries out the Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 17 PoVA First checks, but there was no evidence on site that this had been done. A system needs to be set up for keeping a record in the home that a satisfactory PoVA First check has been carried out on each prospective staff member. (This could be done by simply forwarding the e-mail confirmation to the manager, and putting a printout of this e-mail on file.) As there was insufficient evidence that this requirement has been met, it is being carried forward to the next inspection. New staff each have induction training before the start of their first shift, and are extra to the basic rota for the first two weeks. Two of the staff hope to begin NVQ 2 soon, and one person hopes to do an NVQ 3. There were a lot of gaps on the staff training records checked at this inspection. On further investigation, it appeared that this was at least partly because individual staff training records have not been regularly completed, although the master training record is kept reasonably up-to-date. In a home that relies heavily on very part-time staff, it may be helpful to provide plenty of informal training in addition to offering formal courses. For example, staff meetings currently include fire training, and could also include instruction on a variety of other subjects from a variety of people. Six of the staff have undertaken relatively recent manual handling training, but others have not had this training for three years. The manager was aware that some statutory training now needs to be redone, and is about to review the training schedule and set up a new training programme. The recently appointed Head of Care has a strong interest in training, and is also able to provide some training courses to staff, so the schedule of training on offer is likely to improve considerably in the immediate future. This issue will be looked at again at the next inspection. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-33, 36 Quality in this outcome area is good. Residents benefit from a well-run home. EVIDENCE: Ms Matthews holds NVQ 4 and has worked at the home in a variety of capacities for some years. Residents said that the manager regularly sees them on an individual basis, and that she really listens. One person said she has the patience of Job. Visitors to the home also commented on its open culture. The staff the inspector met said that they really enjoy their work, and that there is a good team spirit. They find the manager very approachable, and the team very supportive. An effective system is in place for formal staff supervision. Staff are asked to assess their own performance and to put forward any ideas for their further Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 19 development. Each supervision session considers the person’s strengths and weaknesses, their training record, their personal targets, and any problems they are experiencing. The manager also periodically supervises each staff member carrying out some personal care tasks, serving meals and refreshments, doing medications, and using equipment such as wheelchairs. In addition to this, each person has an annual appraisal. This level of input helps to ensure that practice remains consistently high. The manager holds the Appointed Person first aid certificate, and 10 other staff also hold current first aid certificates. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 3 3 3 1 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X X Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 21 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. 1. Standard OP21 Regulation 23.-(2)(n) Requirement The bathing facilities require refurbishment in order that they meet the needs of the current service users. Not met within the previously agreed timescale of 05/10/05. Guards must be fitted to radiators whose surface temperature poses a risk to residents. Timescale for action 14/08/06 2. OP25 13.-(4) 14/09/06 3. OP26 23.-(2)(c) 4. OP29 19.(1)Sched. 2 This requirement was first made at the inspection of 08/11/05 and has been partly met since then. The hot water tap in the staff 14/08/06 toilet was barely flowing and was cool. The hand wash facilities provided for staff must be adequate in order to help reduce the risk of cross infection. A CRB disclosure or PoVA First 21/07/06 check must be in place before new staff start work in the home. This requirement was first made at the inspection of 08/11/05. Action has been taken towards Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 22 meeting it but the evidence of this was not available on site. 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. Refer to Standard OP25 Good Practice Recommendations Opening restrictors should be fitted to first floor windows. Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Barton Grange DS0000049161.V294506.R01.S.doc Version 5.1 Page 24 - 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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