Inspection on 21/06/05 for Cornerways, Paignton

This inspection was carried out on 21st June 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 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

Cornerways, Paignton 20/06/07

Cornerways, Paignton 08/08/06

Cornerways, Paignton 09/11/05

Cornerways, Paignton 04/03/05

Cornerways, Paignton 30/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Cornerways Cornerways 14-16 Manor Road Paignton TQ3 2HS Lead Inspector Michelle Finniear Unannounced 21st June 2005 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 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. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cornerways Address Cornerways, 14-16 Manor Road, Paignton, Devon, TQ3 2HS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 551207 robinfrin@aol.com Peninsular Care Homes Ltd Vacancy Care Home 50 Category(ies) of Dementia - over 65 years of age (50), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (50), Old age, not falling within any other category (50), Physical disability over 65 years of age (50) Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4/3/05 Brief Description of the Service: Cornerways is a detatched property, situated close to the sea front at Paignton and on the level to local facilities. The home is registered to care for up to 50 service users who are older people with or without a physical or mental frailty or disability. At the time of this inspection, which was unannounced, the home is without a registered manager, but an application has been submitted for the current acting manager, who has been in post since February 2005. The home has three shared rooms, with the others being for single occupancy, and with the majority having ensuite facilities. At the time of the inspection a larger lift is being installed to the rear of the home which will service all areas. The home has stair lifts available for service users who do not like to use a shaft lift. There are several lounges and a large dining room where service users can choose to have individual tables. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in June 2005, totalling 9 hours in total. The first visit was unannounced, the second date by mutual agreement to review paperwork and training systems. To undertake the inspection, records and care plans were looked at, a tour was made of the premises, 16 service users and five members of staff were spoken to about the service the home provides, a medication round was observed, and time spent with the homes manager designate and administrator looking at staffing and administration systems. What the service does well: Cornerways provides a comfortable environment for service users, which will be enhanced by the new lift and more accessible office area currently being built. The home provides plentiful home cooked meals with a choice of four desserts daily. Evening meals also offer a choice of four options and can be taken in rooms or in the dining room. The homes location is close to the sea front and level to local shops, pubs and facilities, so that service users who are able could access those facilities independently. Bedrooms are varied in size and shape and mostly have en suite facilities of At least a toilet – many also have baths or showers. There are several lounge areas so service users have a choice of where and with whom to sit. The acting manager and staff team are enthusiastic and have good ideas for the future development of the home. Service users complimented the staff for their caring and patience. One service user commented that “It’s a beautiful place, we are treated so well.” Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Cornerways needs to improve the staff training provided, in particular in caring for people with memory loss, infection control, first aid, food hygiene and moving and handling practices. This is to ensure that staff can consistently meet service users needs in the best way. Some attention needs to be paid to Health and safety issues, such as risk assessments, keeping fire escapes clear, safety of cleaning materials, and the safety of some velux windows. This is to ensure service users are kept safe while living at the home. All medication must be kept securely locked away, to reduce risks to service users. Some policies need updating so that service users are for example aware of who to make a complaint to and receive care based on best practice. Some areas of décor need attention due to damage, especially some of the first floor corridor, so that service users can enjoy living in an attractive environment. The activities on offer should be re-examined to make sure they suit the people who live in the home, including people with memory loss and male Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 7 service users. This is so that service users can follow fulfilling activities of their choice. 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. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 5, 6. Cornerways has a statement of purpose, service user guide and admission process which provides service users and prospective service users with details about the services of the home provides, enabling an informed decision about admission to the home. EVIDENCE: The statement of purpose and service user guide were inspected and found to contain significant detail about the operation of the home. Minor amendments are necessary to record alterations that have occurred with the change of management and regulatory authority. Files relating to six service users were examined in detail. These included a range of service users, from those newly admitted to service users with higher care needs, to ensure a wider range of experience of the home. Discussion was held on the admission process undertaken for new service users, which was found to be satisfactory, evidencing involvement of service users in making a choice about the home, pre-admission visits where possible and the recording of service user involvement in planning their care. This means that service Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 10 users views have been respected throughout the process of coming into the home. Discussion with service users indicated that many had come to the home either through previous knowledge of the home, because of its convenient location, or following visits from their relatives/supporters who had thought the home would suit them. Care management assessments undertaken by social services were available for service users whose placements were arranged by the local authority. In other cases the home had completed their own assessment. This means that the home knows they can meet the potential service users needs prior to their admission, and that all parties are aware of the fees to be charged and what services are available for the fee paid. The home does not provide intermediate care, which means the home are not a specialist rehabilitation home. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9, 10. The home has a clear care planning system recently introduced which adequately provides staff with the information they need to satisfactorily meet service user needs. Some attention was required to medication storage to ensure medication is kept safely. EVIDENCE: Six service user files, and care plans were examined in detail. These were then related to the particular service users concerned to assess the accuracy of the plan. Each service user at the home has a comprehensive plan of care, which has been developed from the assessment process. This means that staff have all the information they need to meet service users needs written down in a consistent manner. The home has implemented a new system for the recording of service user plans since the previous inspection, and the new system is to be commended. However some service user records were not being maintained with enough privacy, and had been left out in communal areas. Some service users self administer medication, but for the majority of service users this task is completed for them. The home has good systems for recording incoming medication and medication being administered, and a Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 12 medication round was observed during the course of the inspection and found to be based on good practice, in that the system minimised the risks for service users of the wrong medication being given. During the course of the afternoon staff were receiving training in medication systems, and since the last inspection the home has moved to using a monitored dosage system. This means that medication comes pre-packaged from the pharmacist in a blister pack, making administration safer and making it easier for staff to see if errors have been made. The home has purchased new medication storage facilities in mobile trolleys, and has secure storage within the home. However some medication was left out in the office unsecured, and prescription dressings that had expired were kept in the first aid cupboard. Both were remedied during the course of the inspection, but could have created unnecessary risks for service users. The home should obtain a homely remedies policy, so that staff know which overthe-counter remedies, such as simple linctus, may safely be given to service users without a prescription. Some service user plans were seen in the corridors, which compromised standards on privacy. The policy on restraint needs to be expanded and the policy on death and dying needs updating to reflect current best practice. This will mean service users are better protected. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 Dietary needs of service users are well catered for with a balanced and varied selection of food available. EVIDENCE: The home has a dedicated chef and kitchen assistant. The chef is responsible for planning menus which are developed on a weekly basis. On the day of this unannounced inspection the main meal was Chicken Provencale, carrots, green beans and sauté potatoes, with a choice of four home-made desserts. The evening meal was a choice of soup, turkey sandwiches, beans on toast, cheese and biscuits, fruit and bread-and-butter. Service users confirmed food served was appetising and good both in quantity and quality. Comments such as “lovely and tasty” were typical. One service user commented that they had to “cut out biscuits and cakes” as they were putting on too much weight. Some service users had eating difficulties and were receiving supplementation and nutritional monitoring. Concerns were being expressed by the home over one service user and their nutritional intake, and discussions were being held with their GP. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Arrangements for the recording and management of complaints are satisfactory in ensuring service users concerns are acted upon, but outcomes for the complainant were not being recorded properly. EVIDENCE: The home has a corporate complaints procedure, to which minor attention is required to the name and address of the registration authority and responsible staff at the home to ensure that complainants know who is the right person to address their complaints to. One complaint had been received by the home since the preceding inspection and was fully and appropriately investigated and resolved, however this was not fully recorded by the home. This meant that it was difficult to tell if the complainant was happy with the final outcome. Six Service users spoken to confirmed they were clear as to who they would go to with issues of concern or worry to them, and be confident of a fair hearing and resolution. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19,20,24,25,26 The environment within Cornerways is generally good, offering service users and attractive and homely place to live. Plans are in hand to address areas of work identified with regard to décor/refurbishment. EVIDENCE: At the time of the inspection Cornerways was undergoing major building works to the rear of the building to provide a larger shaft lift to access all floors. Service users commented this work has been held up for a long time, however they had not been unduly inconvenienced but felt sorry for the staff who had an increased workload assisting service users on a stair lift. One service user commented they hoped the stair lift would remain as they did not like to use a passenger lift. Building works have led to several areas of the home having increased dust and noise in the short term. Two other service users commented they had enjoyed watching the building staff. On the first visit an immediate requirement was made to move some mattresses being stored in a fire exit corridor. This was remedied immediately. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 16 Service users commented that all areas of the home were kept very clean, and the home was free from significant odour. Some areas of odour problem were noted in a few bedrooms, but discussion indicated staff have strategies for addressing this wherever possible. Corridors have been recently carpeted, however it is noted some areas of wall paper are damaged and will need refurbishment. The reception area is to be remodelled to incorporate more storage. Lounges and the conservatory were being well used during the course of the inspection, and tables are set outside on balconies and on the ground floor garden for service users use during the day. There is limited car parking at the home, but parking is available on streets nearby. The home has a laundry and clean clothes storage to the rear of the building. Service users commented favourably upon the laundry service and ironing. Some cleaning chemicals were not being stored securely enough putting service users at risk. Service users bedrooms were individual and showed evidence of personal belongings and furnishings. Some rooms had access to a shared balcony and all rooms varied in size, shape and outlook. The majority were ensuite with at least a toilet, but many also had baths or showers. The manager has plans to upgrade and refurbish all rooms as they become vacant or they are able to do so without disrupting the service user concerned. Three service user rooms on the second floor have Velux windows, which did not have opening restriction fitted. This presents a risk for service users. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 Staffing levels at the home are satisfactory but staff need some additional training to meet the needs of all the service users. EVIDENCE: These staffing rota was examined, and found to reflect the staffing on duty. On the day of the first unannounced visit there were six care staff on duty in morning, three cleaners, one kitchen porter, one chef, one deputy, one administrator, and the acting manager. The home has night staff who are awake and on duty throughout the night. There were 48 service users at the home, with two others in hospital. These staffing levels met the varying levels of need of the service users, ensuring that service users did not have to wait long for attention and that all areas of the home were clean. Dedicated time is allocated during each afternoon for activities, and discussion was held on the second visit in relation to expanding these to better reflect changing service user wishes and interests. This included expanding activities of interest for male service users, and scheduling of activities at different times. One service user commented that “time flies”. Discussion was held on the homes recruitment process, which was then verified through examination of staff files selected at random, and found to include all required records for the samples chosen. Staff should not commence working prior to the required CRB checks being carried out. This means service users will be protected throughout the employment process. The home has a full induction pack for new staff, which although excellent in relation to working practices at the home does not include sufficient input on Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 18 induction and training in care practice. This is carried out as a process of shadowing senior staff to demonstrate and model appropriate care, however this part of the process is not recorded. This means there is no formal way of checking this area, putting service users at potential risk of poor practice. Staff records indicate major gaps in certificated core training, including training in Infection control, first aid, moving and handling, and food hygiene. This could potentially put service users and staff at risk. The home has recently employed a number of qualified nurses from The Philippines, which has clearly been a good development for the home. The nurses were praised by service users for their kindness and patience. Comments such as “very nice – very good with elderly people” were typical of the comments made of the staff group. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,38 Service users money handed to the home for safe-keeping is handled safely. Some Health and safety updating and training is required to ensure service users are well protected whilst living at the home. EVIDENCE: Evidence was seen of the way in which the home handles service user money handed over to them for safekeeping. This is generally where service users feel they do not wish to keep significant sums of money in their room, however may find it difficult to access the bank regularly, will have relatives who live in considerable distance away. Individual receipts were seen and for the two service user accounts samples, cash held balanced with a receipted account. It is acknowledged that additional training is required in several areas of health and safety working practice, including first aid, food hygiene, infection control, and moving and handling, and this was confirmed through examination of staff training plans. Fire safety training has been undertaken with care staff in the home. Risk assessments have not been undertaken in relation to safe working Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 20 practices, and data sheets were not available in relation to all chemicals and cleaning materials in use. The home has automatic temperature regulation two baths and hot surface protection has been provided through radiator covers to all service user accessible areas. Some additional window restriction is required to Velux windows. Other areas of health and safety will be seen at the next inspection. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x 3 x x 2 Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 22 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 9 Regulation 13 Requirement All medication must be kept securely in a lockable cupboard. Expired medication must be returned to the pharmacy. Prescription only dressings must only be used for the service user for whom they are prescribed. Prescription only dressings must not be kept in a first aid kit for general use. Fire exits must be kept clear of all obstruction. The three mattresses in the corridor on the first floor must be removed. COSHH Data sheets must be obtained for all chemicals and cleaning materials in use at the home. All chemicals must be kept securely in accordance with instructions (By 22/6/05). Full records must be kept of any complaints made to the home and of their resolution. Risk assessments must be completed for safe working practices. A training and development plan must be developed to address staff training in core issues such as First aid, food hygiene, infection control, moving and D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Timescale for action By 22/6/05 2. 19 23 By 22/6/05 3. 38 13 By 22/8/05 4. 5. 6. 16 38 38 13 13 18 By 22/6/05 By 22/9/05 By 22/8/05 Cornerways Version 1.30 Page 23 7. 38 13 handling and Dementia care. The induction programme must be amended to record the training of care practice tasks. Velux windows must be risk assessed and appropriate opening restriction be fitted, in accordance with the manufacturers instructions. By 22/7/05 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. 2. 3. 4. 5. 6. 7. Refer to Standard 10 13 7,8,11 23 23 17 12 Good Practice Recommendations The home should ensure that service users rights to privacy are not compromised through leaving care plans in corridors or in discussions in the lounge areas. The home should obtain a homely remedies policy. The homes policy on restraint and Care of the dying should be expanded and updated as discussed to reflect current best practice. Fire drills for new staff should take place twice during the period of Induction. Attention should be paid to the areas of damaged wallpaper on the first and second floors. Staff should not commence working without the CRB check having been returned. The home should consider the programme of activities provided, with particular reference to person centred planning, gender specific activities and activities for people with memory loss. Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Cornerways D54-D07 S49076 Cornerways V223108 210605 Stage 4.doc Version 1.30 Page 25 - 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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