Inspection on 09/05/06 for East Bank Road

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

East Bank Road 22/11/05

East Bank Road 29/06/05

East Bank Road 08/09/04

East Bank Road 21/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 East Bank Road 458a East Bank Road Sheffield South Yorkshire S2 2AD Lead Inspector Jayne Barnett-Middleton Key Unannounced Inspection 8th May 2006 09:15 East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 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 East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service East Bank Road Address 458a East Bank Road Sheffield South Yorkshire S2 2AD 0114 265 7717 0114 253 1029 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) None South Yorkshire Housing Association Ms Sharon Prior Care Home 20 Category(ies) of Learning disability (20) registration, with number of places East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 20 beds include 3 places for a service user with an additional physical disability (PD). 22nd November 2005 Date of last inspection Brief Description of the Service: East Bank Road is a care home accommodating 20 younger adults with a learning disability. The service has three houses on East Bank Road. It is in a residential area of Sheffield with good access to public services and amenities that include bus services, shops, libraries and pubs. There is a private garden area, which is well maintained and safely accessible to all the service users. Each house is built over two floors; no lifts are on site therefore upstairs rooms have to be accessed by the stairways. All bedrooms are single and each house has suitable lounge and dining space. The home provides twenty-four hour support to the service users who have varying degrees of disability. The bed fees at this home are currently £292 per week. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the inspection the registered manager completed a pre-inspection questionnaire. A fieldwork visit took place over five and a half hours. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans, training records and to the manager, staff and service users. The inspector wishes to thank the manager and staff for their assistance and time throughout the inspection process. What the service does well: The manager and staff team have been employed at the home for many years promoting a consistent service. The staff felt that they had developed good working relationships with their colleagues and that there was good teamwork. Two staff was involved in a ‘essence of care’ project which involved meeting with staff from other homes within the organisation to look at standards that were in place and how they could be developed. As a result of this ‘mini care plans’ have been devised which would be sent with the service user should they require a hospital visit or admission, enabling hospital staff to gain some understanding of the service users abilities and needs. The staff said that they were currently looking at how they promoted service users privacy and dignity and that they were in the process of ensuring that service users have a key to their bedroom, promoting privacy. Service users were encouraged and supported to live meaningful lives. There was good access to day centres and community facilities. Activities were available within the home and there were plans to develop the range of activities provided. Three staff have recently formed an activities group the aim of which was to involve service users in planning outings and trips. The staff involved in this project were positive and enthusiastic about the range of ideas that service users were suggesting. Service users were supported to maintain positive relationships with their families and friends. The staff said that relatives were regularly invited to events held at the home. One service user spoke about flower arrangements that they had made as gifts for mothers day. All houses were well maintained, very clean and decorated in a homely manner. There is a central garden area that is frequently used by service users when the weather is warm. Several service users were involved in planting flowers, bulbs and watering the garden, which they enjoyed. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 6 There is a relaxed and friendly atmosphere within this home. Service users were observed to be following their preferred routines and the staff professional and motivated in their approach. What has improved since the last inspection? 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. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 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 East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 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): 2. A full needs assessment was carried out by professionals and introductory visits were also offered to service users, ensuring that their individual needs and aspirations were assessed prior to their admission to the home. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. Three care plans were checked and these demonstrated that service users care needs were assessed prior to their admission. There was an admission policy to ensure that prospective service users were able to visit the home before making a decision to move there. Introductory visits were offered which included an initial visit to the home to meet the staff and service users progressing to day visits and overnight stays. The staff confirmed that the full needs assessment and admission process ensured that they had a good insight of service users individual needs prior to their admission enabling them to formulate a personal plan of care. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 9 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. Care plans have been devised for all service users, which reflected their assessed and changing needs. Service users were supported and encouraged by the staff team to make decisions about their lives promoting independence and choice. Service users were supported to take risks as part of an independent lifestyle. The risk assessments in place required reviewing to ensure that they reflected the current needs of the service user. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 10 Care plans have been devised using a person centred approach. Three care plans were checked all of which were detailed and reflected the service users individual care needs. The format gave a good overview of the service users needs and included their preferred daily routines, emotional needs and their communication needs. The information was specific and easy to track providing staff with the information to provide the appropriate level of care. The plans had been reviewed on a regular basis demonstrating that the service users changing needs were reviewed and reflected in their plan of care. Service users were encouraged to make decisions about their lives within their capabilities. The staff demonstrated that they had a good knowledge of service users likes and dislikes and described, how through observation, they were able to encourage choice for example when the service user wished to get up or go to bed and if they wished to go out. Service user files contained risk assessments relating to all aspects of their lives both inside and outside the home. They were detailed and identified the individual risks that were presented to service users on a daily basis and the action required to reduce the risk, enabling service users to live an independent lifestyle. The staff were able to demonstrate that individual risks presented to service users were assessed and action was taken to reduce any potential accidents. For example one service user who had recently suffered a fractured hip had moved to a downstairs bedroom until their mobility was improved enabling them to safely use the stairs. However, risk assessments in two of the three files checked required reviewing to promote the safety of the service user. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 11 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): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. Service users were encouraged and supported to take part in activities inside the home and within the community enabling them to lead varied and meaningful lives. The staff were able to demonstrate that service users were supported to maintain positive relationships with their families and friends. Service users were offered a varied and balanced diet promoting their health and wellbeing. EVIDENCE: Service users have good access to activities both inside and outside the home. During the week service users have access to day centres and groups within the community. The care plans checked included a personal activity plan, East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 12 which detailed the activities and gave structure as to how the service user chose to spend their week. One checked identified that the service user attended a day centre during the week and that they visited their family at the weekend. Time was incorporated within the activity plan for the service user to choose what they wanted to do either accessing the local community or relaxing at home. A varied range of activities was provided within the home, which included karaoke, baking and ‘ takeaway’ nights. Party nights were organised which were very well attended by service users and their relatives. The staff and service users spoke positively about a recent valentines night and 70’s night, which they had thoroughly enjoyed. Three staff have recently formed an activities group and there were plans to further develop the range of activities available. One staff member involved explained that a service user meeting had been planned for the following week to discuss and give ideas as to what activities and outing they would like to do. The staff member was enthusiastic about the meeting and said that ideas such as boat trips, coffee mornings and a visit to the speedway have already been suggested. Service users were supported to maintain positive relationships with their families and friends. The manager said that relatives and friends were invited to attend planned activities and parties held within the home. One service user explained that their relative was in hospital and that their family and staff were supporting him to visit their relative at the hospital and keep them updated as to their progress. Discussions with staff and observations demonstrated that the routines within the home were flexible. Service users who had chosen to spend the day at the home were observed to be following their preferred routines. Several were relaxing in the lounges either watching television or talking to staff. After lunch a group of service users were sat outside enjoying the warm weather and playing football. Service users were offered and encouraged to eat a healthy diet. Menus were varied dependent on the service users likes, dislikes and dietary requirements. The staff had a good knowledge of service users individual needs and were able to describe their individual preferences. Menus, in a picture format, were available for service users with limited communication to assist them in choosing what they wished to eat. The lunchtime meal observed in one house was relaxed, unhurried and staff were assisting service users in a dignified manner. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 13 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. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. Service users have person centred plans, which identify in detail how personal support should be offered to each individual. Included in this information was how service users physical and emotional needs should be met. The medication systems in place were overall well managed promoting the safe administration of medication. However, records of some medication received into the home have not been maintained. EVIDENCE: Service users personal support needs and emotional needs were recorded in the individual plans checked and were very comprehensive. Records of healthcare appointments, the treatment offered and follow up action were maintained and demonstrated that service users have good access to a range of healthcare professionals. Throughout the inspection the staff team were observed to treat service users with respect and in a manner that respected their privacy and dignity. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 14 ‘Mini’ care plans have been devised for service users. The staff explained that the plans would be sent with the service user should they require a hospital visit or admission, enabling hospital staff to gain some understanding of the service users abilities and needs. The care plan gave a brief yet specific overview of the service users physical, emotional and healthcare needs. The staff involved in producing the care plans should be commended for their efforts in promoting consistency of care to service users. Policies and procedures were in place to promote the safe administration of medication to service users. The medication in two houses was checked. Overall the systems in place were well managed. Medication records in general were accurate, medication administered had been signed for and a good system was in place to monitor PRN (medicine to be given as and when required) medication administered. The team leader confirmed that the medication received in nomad cassettes was checked when received from the pharmacy. However, there were no records to evidence the amount of medication that had been received. The amount of medication received into the home must be recorded to ensure that accurate records can be maintained. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 15 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. The complaints procedure was clear and accessible ensuring that any complaints would be listened to and dealt with appropriately. There was an adult protection procedure in place at the home. Staff have received training and have a good understanding of the procedures to be followed should they suspect any abuse at the home. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. The manager confirmed that no complaints had been received at the home since the last inspection. Open and appropriate relationships were observed between the manager, staff and service users. The staff have a good awareness of service users individual needs and said that irrelevant of the service users communication abilities they would know, by observation, if a service user was unhappy. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Staff had received Adult Protection training. One member of staff said that the training was useful and informative enabling them to identify and report any allegations or incidents of abuse to service users. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 16 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 and 30. The home was clean, comfortable and well maintained providing service users with an environment that was safe, accessible and homely. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. The home consists of three houses with a central, private garden area. There was a relaxing and family atmosphere within the home. The layout is appropriate for the needs of the service users and promotes a community atmosphere. All houses were clean, well maintained and homely. Service users bedrooms were comfortable, individually furnished and personalised to meet their needs. It was evident that service users had been encouraged to personalise their bedrooms with photographs and ornaments, which encouraged service users to retain their own identity. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 17 A previous requirement to replace the bathroom floor covering in house one had been met presenting a clean and well maintained environment. The patios and garden area were very well maintained, safe and accessible to residents. One service user spoke about how they enjoyed gardening and how the staff supported them to plant bulbs and take responsibility for watering the plants. The staff commented that the garden was popular during the summer months and that barbeques were popular when the weather was warm. On the day service users were observed to be using the garden area either enjoying the warm weather or playing football. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 18 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): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. There is a stable staff team at the home who know the service users well and are able to offer a consistent level of care. Minimum staffing levels were being met ensuring that the appropriate level of support was could be offered to service users. The homes recruitment policy and procedure promoted the protection of service users. A good range of training was offered to staff, ensuring that staff were up to date with mandatory training required by the regulations. EVIDENCE: The majority of staff spoken to have worked at the home for several years and by observation it was evident they had developed positive and appropriate relationships with service users. The staff have a good knowledge of individual needs. A good example of this was one service user who after lunch liked to East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 19 have a drink and listen to their radio. The staff explained that by doing this the service user was able to relax and enjoy their afternoon. Staffing rotas, checked prior to the inspection, demonstrated that minimum staffing levels were being maintained. The staff confirmed that there were sufficient staff available enabling them to provide the appropriate level of support to service users. A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of service users. Records in place and staff confirmed that they received a good range of training that included Moving and Handling, First Aid and Health and Safety. The manager, via the pre-inspection questionnaire, commented that future training planned included basic life support training and dealing with challenging behaviour. A recruitment policy and procedure was in place. Two files checked contained a range of information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level to promote the protection of residents. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 20 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): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection including a visit to the service. Service users and the staff team benefited from the leadership and management approach of the home. Service users were encouraged to express their views and were involved in the day-to-day running of the home and organisation. The health, safety and welfare of service users was promoted. EVIDENCE: The registered manager has been in post for many years and has almost completed a NVQ level 4 qualification in care. The staff said that they found the management team to be supportive and approachable. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 21 House meetings were held on a regular basis enabling staff and service users to discuss the service and to suggest ideas for improvement. In addition to this a service user involvement coordinator from South Yorkshire Housing Association visits the home on a regular basis. Surveys are conducted encouraging service users to give their opinion of the organisation and ways in which they can be involved with the day to day management for example recruiting staff and consulting on policies and procedures. The home produces an excellent monthly newsletter for service users and their families, which give an update of the activities that have taken place and forthcoming events. All staff had received health and safety, moving and handling, food hygiene and fire training. Procedures were in place for the maintenance and servicing of appliances and equipment, promoting and protecting the health safety and welfare of staff and service users. East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 22 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 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 X 3 X X 3 X East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA9 Regulation 15 Requirement Risk assessments for service users must be reviewed on a regular basis. Records of medication in stock at the home must be maintained Timescale for action 30/07/06 2. YA20 13 30/07/06 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 East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 East Bank Road DS0000002957.V291856.R01.S.doc Version 5.1 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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