Inspection on 09/11/05 for Butterley House

This inspection was carried out on 9th November 2005.

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

Butterley House 19/04/07

Butterley House 24/04/06

Butterley House 25/01/06

Butterley House 06/07/05

Butterley House 22/03/05

Butterley House 29/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Butterley House Old Coach Road Ripley Derbyshire DE5 3QU Lead Inspector Brian Marks Unannounced Inspection 9th November 2005 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 Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Butterley House Address Old Coach Road Ripley Derbyshire DE5 3QU 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) (01773) 745636 Mrs Patricia Diane Smith Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Plus Five (5) Day Care Places 1 PD Place. On a named person basis for the person named in the notice of proposal letter dated 9 August 2004. 6th July 2005 Date of last inspection Brief Description of the Service: Butterley House is a large detached building, which has been adapted and extended as a care home. The home is situated on the outskirts of Ripley, set back from the main road, bus route and local amenities, in a rural location. The home provides personal care for up to 37 people aged 65 years and over and is also approved for up to five-day places. All bedrooms are single rooms, the majority with en-suite facilities. The facilities are on two floors and access to the first floor is by stairs and a stair lift. The three lounge areas, conservatory and dining room are on the ground floor. On-site laundry services are provided. The home has well set out garden areas, which are accessible to service users. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a morning. Additionally, time was spent in preparation for the visit, looking at previous reports and other documents. At the home, apart from examining documents, care files and records, time was spent in a complete tour of the building and speaking to 9 of the residents and 2 visitors. The manager and some of the staff on duty were also spoken to, and they were observed throughout the visit, looking after and dealing with residents and visitors. An important activity of inspection is the careful examination of residents’ individual care records, and 2 were selected for this purpose. The aim of inspection activity during the current inspection year is to assess a service against the ‘key’ National Minimum Standards and these are identified at the beginning of each section of the report. A number of these keys standards were examined at the last inspection so, for a more complete picture of this service, this report should be read in conjunction with the report dated 6 July 2005. A standards not included in these 2 inspections will be looked at during the next visit in 2006. What the service does well: What has improved since the last inspection? Improvements have been continued with the home’s physical environment – the carpet in the conservatory has been replaced and suitable locks have been fitted to all doors that require them. The Fire Officer has again inspected the home and some of his recommendations have been followed, also improving resident safety. The manager has continued the programme of upgrading staff files so that the right information, particularly checks by the Criminal Records Bureau, is obtained about people employed at the home. The arrangement of staff have files have been improved so that they are all to the same standard and information can be more systematically monitored, making the recruitment system is more robust. The staff files containing training information have also Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 6 been improved so that achievements in this area can also bee monitored more easily. Staff have continued to receive good opportunities for 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. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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 Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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): 3 People do not come to live at the home without the care they need from the home, and its staff, being identified. However, this is not comprehensively written down and the care that is needed at the time they move in may not be properly provided. EVIDENCE: The service user files examined contained a range of information that had been prepared at the time of admission but these were not all complete enough to help staff care for the individual person properly. Areas of particular concern and risk had been completed (risk assessments) and some of these had been reviewed and evaluated at appropriate intervals so that the information was accurate. These included general assessments in relation to nutritional and moving and handling needs as well as specific assessments related to, for example, diabetes and skin breakdown. Whilst these assessments were linked to the daily care plan (see next section), the overall package of documents lacked clarity and details about how needs were to be met, and about how proper services were to be provided by staff. The home does not provide an intermediate care service so Standard 6 does not apply. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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 and 10 The care of all residents, including health care, is planned and given in ways that respect individuality and privacy. However, the care plan documents do not efficiently support care activities and resident welfare. EVIDENCE: As reported above all residents have their own file containing care records and care plans, and 2 files were looked at in detail during the inspection. As reported at the last inspection, the quality of the care plans produced at the home is varied and the managers of the home have been exploring a number of different formats for improving this; it was stated that the programme of introducing new care plans should be commenced within 2 months. A particular issue that has been discussed was the unnecessary length and repetitiveness of some of the care plans looked at, making them inefficient tools for staff to regularly refer to. It was agreed that the style of current care plans does not encourage a comprehensive service being designed for each resident and that they do not describe clearly how different needs are to be met. Some of care plans and care activities had been regularly reviewed since the last inspection as the law requires, but this is not a pattern for all of them. This could mean that service users are being placed at risk or that their welfare is not being properly maintained. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 10 The residents and relatives spoken to felt that their privacy and dignity was being respected by the care and sensitivity of staff and staff were observed during the inspection dealing with residents in appropriate ways; all bathroom and bedrooms now offer full privacy through the provision of suitable locks. A problem with a bedroom that is also a fire exit route from another, using an adjoining door, remains and the manager reported that she is continuing in discussions with the Fire Officer about solving this to ensure standards of care are maintained. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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): 15 The home provides a regular and satisfying diet to its residents but this aspects of the home’s service is let down by a severe lack of organisation within the kitchen. EVIDENCE: From a visit to the kitchen and discussion with the staff and the home’s manager it was evident that the catering service at the home lacked proper organisation, documentation and consistent supervisory control. One of the established cooks had left the employment of the home some weeks previously and the other was on sick leave, resulting in care staff being drafted in to cover the cooking shifts. The person on duty had previous experience of the home’s kitchen but was not able to locate the following important documents: Menus from previous weeks and written records of meals served at the main mealtimes. A schedule of cleaning arrangements for the kitchen. Copies of reports from previous inspections by the Environmental Health Officer. Documentation itemising individual resident preferences, allergies or other diet management related issues. Examination of the storage areas indicated good stocks of food but considerable amount of unnecessary clutter present. The latter might not only present a health and safety hazard but also restrict the ability to properly Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 12 monitor stock control. In the area where most of the freezers were situated there was an electrical cable trailing across the front from one appliance to another, which presented a potential safety hazard to staff gaining access to frozen foods. It was also noted that, although night staff were said to have cleaned it on a regular basis, the kitchen floor was sticky to walk over and stained in a number of areas. Despite these difficulties the observations of residents spoken to were positive about the quality and quantity of food served at the home. Preferences were catered for and most said that choices were available at the main mealtimes; however 2 said that they weren’t aware of any options being given. Staff are available to help at mealtimes for those that need it and softened and special diets – for example for people with diabetes – are made available. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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): 18 The home makes sure that all of its residents are protected from harm by having policies and procedures in place and by a programme of staff training and awareness raising. EVIDENCE: Standard 18 was reviewed in respect of the requirement from the last inspection that all staff receive training in respect of abuse and adult protection procedures. From discussion with the manager and examination of staff training records it was established that all staff, apart form those newly appointed, had either participated in a training session earlier in the year or viewed a training video at a team meeting. The revised induction programme for new staff will contain an element on this subject and a senior member of staff is completing a training course to become an approved trainer so that regular updates can be provided for staff and awareness raised. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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 and 26 The home is clean, hygienic and offers good standards of comfort to residents in the bedrooms, garden and communal areas. The poor quality of the carpets in the communal areas of the home gives a bad impression to residents and visitors. EVIDENCE: Observations made during a complete tour of the building and comments from residents indicated that the home is routinely maintained and decorated, a number of bedrooms benefiting from a very personalised style and colour schemes. The front garden and seating areas provide a pleasant aspect from the home and a number of bedrooms open directly on to them through double doors. All residents are accommodated in single rooms, the majority with ensuite facilities. The condition of the carpets throughout the communal areas was once again a source of comment and discussion with the manager although that in the conservatory has been replaced since the last inspection. However the carpets in the adjacent corridor and dining room are particularly badly stained and discoloured by sunshine and their replacement remains a source of dispute Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 15 with the supplier. This problem remains despite them being regularly cleaned, and they were observed being attended to during the inspection. The communal areas and bedrooms of the home were clean and tidy and free from odours at the time of this inspection. Residents spoken to had no complaints about the laundry service of the home and all residents observed in the home wore clean and well-presented clothing. . Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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, 28, 29 and 30 The home is staffed with experienced people who are receiving regular training to help them assist residents in more efficient and safe ways, although the numbers with a nationally recognised qualification have not yet met the required target. The home recruits new staff in a systematic way but not all the information required by law has been sought. EVIDENCE: Examination of the staffing rota for this month demonstrated satisfactory levels of staff being on duty at the home to cover the care of residents. This was supported by the residents spoken to, who stated that staff were always available to help them when required. The problems in regards to the catering arrangements at the home has been referred to above and remains in need of urgent management attention. Individual files are retained for all staff employed at the home and from examination of those of the 2 newest recruits, improvements in quality have been made since the last inspection. Most of the important pieces of information about staff, required by law, are obtained; details of all past employment and reasons for leaving are not. The law also requires a statement to be indicated about the applicant’s state of health. This information is required to make sure that the right people are employed at the home and that residents are not exposed to people who may cause them harm. Similarly, the files in relation to staff training have continued to be improved and achievements in induction, core safety skills and other areas were Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 17 examined with the manager. A number of staff have completed or are completing courses in the National Vocational Qualification (NVQ) but the target requires by law is not yet achieved. The manager indicated that this target of 50 of care staff passing will be met during the first part of 2006. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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 and 38 The home is well managed by 2 experienced people and safety has been improved following a visit by the Fire Officer. EVIDENCE: Since the last inspection one of the joint managers has left the home and the registered manager has more fully resumed the role supported by the proprietor. Between them they now cover the management of the home over the full 7 days per week. Whilst the latter has completed the Registered managers award (RMA) at NVQ level 4 the former has not; this is required by the law but further discussions will be made to agree a suitable outcome. Both managers have a wide range of experience in the management of care homes and residents will benefit from the application of that experience. From observation of the physical environment of the home it was hazard free on the day of the inspection although a complete audit of health and safety activities was not carried out; this will be done at the next inspection. The Fire Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 19 Officer had recently revisited and had discussed the ongoing problem created by the fire exit route upstairs through resident bedrooms. A further deadline was made by him for the completion of all required improvements, to make the home as safe as possible. Examination of training records indicated that the core skills in health and safety areas had been achieved and the manager indicated how they have planned a programme of regular updates in this area. The manager confirmed that a risk assessment had not been completed in respect of the use of footrests on wheelchairs, specifically where 1 resident still insists on not using them; this will sure that residents are not experiencing unnecessary hazards. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 X X X X X X X STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 2 Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 21 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 14 Requirement The registered person must ensure that all resident needs are appropriately assessed at the point of admission to the home. All essential information must be recorded. (Previous timescale of 30/09/05 not met). Care plans must clearly show how service users needs are being met, including identified risks. They must be kept updated and regularly reviewed and must show the involvement of service users/relatives. (Previous timescale of 30/09/05 not met). Records of the food provided for service users must be in retained in sufficient detail to determine whether the diet is satisfactory. (Previous timescale of 30/09/05 not met). The weekly menus must be improved and retained so that regular monitoring and revising can take place in order to reflect resident choices and preferences. A clear choice in the main meals DS0000019955.V264638.R01.S.doc Timescale for action 31/01/06 2. OP7 15(2) 31/01/06 3. OP15 17(2) Schedule 4 31/12/05 4. OP15 16(2) 31/12/05 5. OP15 16(2) 31/12/05 Page 22 Butterley House Version 5.0 6. OP15 16(2) 7. OP15 13(1), 16(2) 8. OP15 16(2) 9. OP18 13(6) 10. OP19 23(5) 11. OP19 16(2) 12. OP27 18(1) 13. OP29 18(1) 14. OP29 19 Sch 2 must be made available to residents and must be given to them in advance of those meals being prepared and must remain on display. A record of the dietary preferences and requirements must be clearly available to catering staff and updated with the nutritional assessments of newly admitted residents. The kitchen floor must be thoroughly cleaned and maintained in a condition that reflects proper standards of health and hygiene. The registered person must ensure that all areas of the kitchen are free from hazards and that the arrangement of all equipment does not present a risk to staff. All staff must receive training on prevention of abuse and adult protection procedures. (Previous timescale of 30/09/05 not met). The registered person must consult with the local Environmental Health Officer about the need for a further inspection of, primarily, the kitchen, food preparation and storage areas of the home. The registered person must replace the carpet in the dining room and the adjoining corridor. (Previous timescale of 30/09/05 not met). The registered person must resolve the staffing difficulties around the catering arrangements at the home. The registered person must ensure that 50 of care staff achieve a minimum of NVQ level 2 by the due date. The registered person must DS0000019955.V264638.R01.S.doc 31/12/05 31/12/05 31/12/05 31/01/05 31/12/05 28/02/05 31/12/05 31/12/05 31/12/05 Page 23 Butterley House Version 5.0 14. OP38 13(4) 15. OP38 23(4) obtain all information and documents listed in Schedule 2 of the Care Homes Regulations in respect of staff working in the home. Specifically this must include details of all past employment and reasons for leaving and a statement about the applicant’s state of health (Previous timescale of 30/09/05 not met). A written risk assessment relating to use of footrests on wheelchairs must be completed for service users. Where use of footrests are assessed unsuitable, the service users care plan must clearly state how they are to be transferred in a wheelchair. (Previous timescale of 30/09/05 not met). The registered person must comply with the requirements of the inspection carried out by the Fire Officer. (Previous timescale of 30/09/05 not met). 31/12/05 31/12/05 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 OP1 Good Practice Recommendations The registered person should combine the current documents entitled Statement of Purpose and Welcome to Butterley House as the new Statement of Purpose for the home. The registered person should continually review arrangements that ensure that service users needs relating to hearing and sight impairment are fully met. The registered person should review the format of care plan documentation and consider its replacement. Inexperienced staff should receive further training to DS0000019955.V264638.R01.S.doc Version 5.0 Page 24 2. 3. 4. OP4 OP7 OP4 Butterley House 5. 6. 7. 8. 9. 10. 11. 12. OP7 OP16 OP18 OP21 OP21 OP29 OP29 OP30 develop their skills. Put arrangements in place to ensure that relatives are consulted in regards to their family member’s care. Establish regular meetings with residents/relatives to obtain their views about the care and services. Include procedures relating to prevention of abuse and whistle blowing in the staff handbook. Provide a suitable thermometer in all bathrooms for checking the hot water temperature of the baths and showers. Create a domestic appearance in the toilets and bathrooms. Staff should be employed in accordance with the code of conduct and practice set out by the General Social Care Council, and receive a copy of the code. Personnel files should contain documentary evidence that staff have received written terms and conditions of employment. Develop a written annual development plan for the home. Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 Page 25 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 Butterley House DS0000019955.V264638.R01.S.doc Version 5.0 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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