Inspection on 01/08/06 for Childwall Brook

This inspection was carried out on 1st August 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Childwall Brook 09/11/05

Childwall Brook 27/06/05

Childwall Brook 17/12/04

Childwall Brook 20/07/04

Childwall Brook 03/02/04

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

CARE HOME ADULTS 18-65 Childwall Brook 30 St Paschal Baylon Boulevard Childwall Liverpool Merseyside L16 3NY Lead Inspector Les Hill Unannounced Inspection 1st August 2006 09:15 Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Childwall Brook Address 30 St Paschal Baylon Boulevard Childwall Liverpool Merseyside L16 3NY 0151 738 0353 0151 738 0354 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) Alternative Futures Limited Miss Lear Elizabeth Cave Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20) of places Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents between ages of 16 - 64 years To accommodate one named gentleman over 64 years old Date of last inspection 9th November 2005 Brief Description of the Service: Childwall Brook is a care home registered with the CSCI to provide 24 hour nursing care support for 20 younger adults with enduring mental illness. It is owned and managed by Alternative Futures, A registered charity that offers a range of facilities throughout the North West of England. The home is located in the Childwall area of Liverpool and has easy access to bus routes, shops, pubs and other amenities. Childwall Brook is a single storey, purpose built establishment that was opened in 1993. It is set in its own grounds and there are gardens to all aspects. The accommodation is made up of 18 single bedrooms and two self-contained bed sits. 10 of the bedrooms and the two bed-sits have en-suite facilities. Communal space in the home consists of a rehabilitation kitchen, games room, activity room three conservatories and three lounge areas, one of which is designated as non-smoking. Weekly fees are identified as £762.31 but these may be varied where residents have particular needs that require additional support. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Childwall Brook was undertaken on Tuesday 1st August 2006 over a period of 3.5 hours. It involved the examination of records, a tour of the building, discussion with the manger and staff and meeting some of the residents. The home’s manager had completed and returned a pre-inspection questionnaire that gave important information about the day-today operation of Childwall Brook. The inspection was undertaken as part of the Commission’s responsibility to visit and report on all registered care homes. What the service does well: What has improved since the last inspection? What they could do better: A requirement has been made for the home to use approved documentation for recording the administration of “Controlled Drugs” and to ensure staff sign MAR sheets after each medicine has been given out. Please contact the provider for advice of actions taken in response to this Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Residents are provided with good sets of information about the home and the services provided. Well-presented assessments are in place. EVIDENCE: The home’s statement of purpose has been examined during previous inspections and found to be a well-put together and informative document. There have been only minor amendments to the list of staff. Comprehensive and thorough pre-admission assessments are carried out and details are kept on the residents file. The assessments include social history events, lifestyle, general and mental health conditions and contributions from other health and social care professionals. Referrals are usually made through Primary Care Trusts (PCT’s). The manager will visit prospective residents in their current placement to carry out an assessment of need and on the information gained will confirm whether or not Childwall Brook is able to provide the levels of care and support necessary. Introductory visits and short stays are then arranged as appropriate. Local PCT’s are anxious for the home to take in people, originally from Liverpool, who are currently in placements some distance away. The deputy manager told the inspector that the home is still able to carry out the appropriate assessments and to make decisions on their ability to provide appropriate care and support. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 9 Licence agreements/contracts are in place and are tailored to the needs of individual residents. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Comprehensive care plans and risk assessments are in place. EVIDENCE: The inspector sampled the care files for four residents. Each of them contained a comprehensive plan of care that covered all areas of need. There is evidence that wherever possible residents are involved in developing and reviewing there care plans. The home is testing out new arrangements with two residents who are drawing up their own plans of care. Identified as Recovery Action Plans (RAP’s) the residents are supported to identify the care and support arrangements that will keep them well, they identify how they see themselves, the support they will require, any dietary needs, any triggers that will affect their mental health, and they choose the staff they wish to support them if they do become unwell. The residents review the plans, with senior staff on a regular basis. Additionally the Psycho-Social Interventions (PSI) that had been introduced prior the CSCI inspection on November 2005 are ongoing with the residents identified for that programme. Staff are receiving additional training and support in all of the new care programmes that are being introduced. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 11 Childwall Brook is an “open” establishment and residents are able to come and go as they choose. However, risk assessments are in place to identify the safety of individual residents in the community and they are expected to discuss where they are going and what time they expect to return, with the staff on duty. Risk assessments are in place to support residents and staff in a range of activities. The need for clear risk assessments is evidenced in care planning documentation. There has been a gap of two months in the former monthly residents meetings due mainly to a vacancy in the post of Rehabilitation Coordinator. The post has now been filled and the deputy manager is confident that the meetings will resume. Alternative Futures also hosts a resident’s forum where representatives from each of their residential services can meet with senior managers to assist the overall development of the organisation. None of the residents from Childwall Brook have volunteered to attend. The home has polices in place to support the maintenance of confidentiality at all times. Employment contracts expect that staff will maintain the confidentiality of information kept in the home. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Residents are supported to develop and maintain their individual interests. EVIDENCE: Individual care plans take account of resident’s personal and social development. The home has a rehabilitation kitchen, games and activity rooms and has two bed sitting rooms for residents who it is likely can move on to a more independent lifestyle outside of the home. Alternative Futures also has its own Open learning Centre where residents from their homes can go on to follow a course of training in a range of skills. Residents from Childwall Brook have attended computer skills courses. Others have been able to gain NVQ awards in simple food preparation. However, for many of the residents the level of state benefits they receive is a disincentive to find work. The new Rehabilitation Coordinator has worked at the home for some time and is well used to the needs of individual residents. Supported by other staff she is developing a programme of personal skills training and social activity. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 13 At the time of this inspection a group of residents had gone to Chatsworth House. The deputy manager told the inspector that residents had been taken out on trips regularly through the more recent weeks. Additionally the home is equipped with snooker/pool table, table tennis, exercising equipment, board games, music, TV and video/DVD players. Most residents have their own TV and music facilities. Barbeques are organised and some residents access the local church social club and the local pubs. Annual holidays are arranged on an individual or small group basis. On resident had been to Blackpool and another to Ireland. Holidays in Scotland, the Cotswolds and Wales were in the process of organisation. Residents are able to visit family and friends subject to any restrictions identified in care plans. Additionally genuine visitors are welcomed at the home at any reasonable time. To ensure greater security electric foot and vehicular access gates have been installed at the outer perimeter of the drive. Access is gained through an intercom system. Residents are expected to keep their own rooms tidy though assistance from domestic staff is available. They are also expected to do their own laundry, though again assistance is available if required. The home has a four-week menu in place that can be amended to take account of the availability of particular foods or the needs and wishes of residents. A copy of the menu was supplied prior to the inspection. It identifies a good range of foods with details of what is included and a choice at very mealtime. The main meal of the day is served in the evening. Residents who commented about the food served in the home were complimentary about the range and quality of meals available. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 The personal and health care needs of residents are given appropriate priority. EVIDENCE: Most residents are able to manage their own personal care with guidance and prompting when necessary, but staff are supporting one resident who has significant personal care needs including “PEG” feed. Trained psychiatric nurses are available throughout the day and night to manage the mental health care needs of residents. Additionally the home receives good support from consultant psychiatrists and from visiting CPN’s. Residents are listed with local GP’s and on the whole receive good support. Some problems are being experienced with repeat prescriptions from one GP practice. The deputy manager was advised to discuss the problems with the pharmacist at the PCT if they persist. Links have been made with Mersey Eye Care and with a local dentist. A private chiropodist visits and residents who wish to use the service are expected to pay the fee of £20. Records of heath care interventions are maintained on individual resident’s files. Secure and appropriate facilities are provided for the receipt and storage of medicines. A sample check identified that there were a number of gaps where staff had not signed the MAR sheet. A check of individual medicines identified Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 15 that the medicine had probably been given but not signed for. Additionally the home is using separate, loose record sheets to record the administration of “Controlled Drugs”. Legislation expects a permanent record to be maintained of all medicines given out and particularly, in respect of controlled drugs, requires an approved hard-backed register or loose sheets, electronically paginated, to be kept for the required period of time. Arrangements for the disposal and destruction of medicines are in place. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Clear complaints policies and procedures are in place as are polices and procedures to protect residents from abuse. EVIDENCE: The home’s complaints procedures are outlined in the statement of purpose and are available in the entrance to the home. Minor matters are dealt with immediately, on a day-by-day basis but more serious, formal complaints are logged and the process of investigation recorded. There have been no formal complaints to the home or to CSCI since the CSCI inspection in November 2005. All of the residents are listed on the Electoral Register and are eligible to vote in local and national elections. Staff are provided with training in adult protection matters during their induction and this is updated from time to time. Leaflets are provided to remind staff of their responsibility to protect residents from abuse and to use the organisation’s “whistle blowing” procedures should they have concerns about any of the practices in the home. None of the staff have been referred for inclusion on the Protection of Vulnerable Adults (POVA) list. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Residents live in a comfortable and safe environment EVIDENCE: Childwall Brook was purpose built in 1993 and provides ground floor, single bedroom accommodation for up to 20 residents. There are a number of communal/recreational rooms and good outside space. Most of the residents’ smoke and some will unwittingly damage the environment through the careless management of cigarettes. The staff recognise the dangers this can present and are extra vigilant where particular residents are known to constitute a potential risk. Resident’s bedrooms are of a good size and are being maintained appropriately. Some have an en-suite shower room and there are two bed-sits. The Standard of personalisation in bedrooms is at the discretion of the resident. Communal areas offer a range of opportunity for quiet sitting, watching TV or engaging in activities. A pleasant dining room is located by the front entrance to the home and tables are laid with cloths and napkins and with matching crockery. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 18 Furniture and fittings are generally of a good standard and are replaced as necessary. Residents are able to hold a key to their bedroom and are provided with a lockable drawer and wardrobe. A nurse call system is due to be replaced. One of the residents has a special bed but no other adaptations or specialist items of equipment are required at this point in time. There were no offensive odours present throughout the home. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Residents are protected by the employment practices at the home and by appropriately trained staff. EVIDENCE: The home employs nine Registered Mental Nurses (RMN), thirteen care staff and nine ancillary staff. An RMN is always on duty and the home has only used 12 hours of agency nurse time during the eight-week period prior to the return of the pre-inspection questionnaire. The inspector was told that the home is managing to cover most of its trained nurse requirements and is becoming less dependent upon the use of agency staff. The inspector examined the files for four members of staff. All of them contained an application form and two references. There was also a photograph and evidence of health screening. The organisation notes details of CRB and POVA clearance. One of the files did not contain confirmation of identity documents though the deputy manager told the inspector it was likely that they were with the administrator who was absent during the inspection. All of the files contained a copy of the job description and contract of employment. Seven of the thirteen care staff have an award at NVQ level 2 or above in care. A further two care staff are awaiting the results of their training for the same award. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 20 The manager reported that updating training is being provided in Control and Restraint, Moving and Handling, fire awareness and first aid. Additional training is planned in understanding the mental health legislation and in the recovery model of care planning identified earlier in this report. One member of staff told the inspector that the organisation will support staff with training for any aspect of their work. Regular staff supervision arrangements are in place with cascading levels of responsibility. Staff confirmed that they received supervision on a regular basis and that it was helpful and supportive in their work. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43 Childwall Brook is well managed with the needs and best interests of residents at the forefront of all activity. EVIDENCE: The manager of the home has been in post for some time. She is a qualified RMN and has an NVQ level 4 in management. She also has a BSc Honours in Psycho-social Interventions. The manager is clear about the role and function of the home and on previous inspections was found to be fully aware of the needs of individual residents. During the course of this inspection the manager was on annual holiday. The deputy manager has also been in post for some time and is fully aware of the procedures and routines that support consistency and security for residents. During the course of the inspection staff were observed to get on with their work without constant reference to the deputy manager. A trained nurse assisted the inspector during the examination of medication procedures and was fully conversant with the home’s systems of operation. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 22 The home is to reintroduce the residents meetings and thereby ensure their views are taken on board. The manager form another of Alternative Futures homes visits Childwall Brook on a monthly basis to carry out Regulation 26 reviews. The inspector saw some of the reports and confirmed that the views of residents are sought during this process. Additionally the home has an annual programme of monthly checks that have to be carried out and a report forwarded to the organisation’s senior managers. The aim of this process is to ensure that the home is meeting National Minimum Standards. The organisation also has a number of working groups to develop standards of good practice in all of its homes. The pre-inspection questionnaire returned by the manager identified that polices and procedures are being reviewed on a regular basis. Records kept in the home showed that the fire alarm system is tested weekly and the temperatures of hot water delivered to resident’s rooms are also tested. The Electric wiring safety certificate was issued in April 2003 but did not identify a date when it should be rechecked. The gas safety certificate was issued in August 2005. The last recorded date of an inspection by Environmental Health Officers was March 2001, however, there are no concerns about the safety or cleanliness standards in the kitchens or laundry. Records examined during the inspection were well kept, appropriately completed and up to date. Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 3 3 3 Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 24 No 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 YA20 Regulation 13(2) Requirement The Registered manger must ensure that: (1) A record of the management of “Controlled Drugs” is maintained in a hardbacked “Controlled Drugs” Register or on electronically paginated sheets. Staff sign the appropriate MAR sheet each time a medicine is administered. Timescale for action 01/08/06 (2) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Childwall Brook DS0000025094.V296878.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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