Inspection on 12/07/07 for Flax Cottages 1-2

This inspection was carried out on 12th July 2007.

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

Flax Cottages 1-2 02/08/06

Flax Cottages 1-2 24/10/05

Flax Cottages 1-2 25/04/05

Flax Cottages 1-2 07/12/04

Flax Cottages 1-2 29/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Flax Cottages 1-2 1-2 Flax Cottages Scotland Gate Choppington Northumberland NE62 5SR Lead Inspector Anne Brown Unannounced Inspection 12 and 13th July 2007 10:00 th 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 Flax Cottages 1-2 DS0000000644.V344235.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. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Flax Cottages 1-2 Address 1-2 Flax Cottages Scotland Gate Choppington Northumberland NE62 5SR 01670 - 530247 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) ntawnt.flax@nhs.net Northumberland, Tyne & Wear NHS Trust Vacant Care Home 9 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (5) of places Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2006 Brief Description of the Service: Flax Cottages is a purpose built home for nine people with severe learning disabilities who have moved into the community from Northgate Hospital. The home is located in Choppington, approximately two miles from the town centre of Bedlington and is near to local shops, pub and community centre. The home comprises two connecting bungalows for nine residents in total. One bungalow contains five bedrooms and the second contains four bedrooms. All residents have their own bedroom. Both bungalows have their own lounge, dining room, kitchen and bathroom and toilet facilities. There are two large gardens to the rear of the premises that are fully accessible to the residents. The fees are £917.95p per week. Inspection reports and information about the home are readily available. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six hours. A second visit was made to the home to speak to the manager. A tour of the premises took place and a sample of records was inspected. These included care plans, fire log, accident book, complaints, minutes of meetings, finance and medication records. The manager, four staff members and six residents were spoken to during the inspection. Questionnaires were sent to the residents and their relatives. Two residents and four relatives returned questionnaires. What the service does well: The home is well decorated and furnished and provides a homely place for the residents to live. All residents have a bedroom of their own and these are well furnished and personalised. The staff team enjoy their work and make every effort to ensure the home is pleasant and comfortable. Privacy and dignity is respected and the staff deal with the individual needs of the residents in a competent and caring manner. The care plans contain detailed information to help ensure individual needs are met. The residents are encouraged and supported to take part in a wide range of activities and a vehicle is provided to transport them to places of their choice. The regime of the home is very relaxed and informal. The residents can make decisions about when they get up, what, when and where they eat and they are supported to make decisions which are responsible and in their best interests. The staff team are offered a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the residents’ needs. Comments in the questionnaires returned by two residents stated: ‘I like Flax Cottages’ ‘I like the staff’ ‘I love it here, I like the food’. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 6 ‘I would speak to the staff if I was not happy’ Comments in the questionnaires returned by four relatives stated:‘The home does everything very well’ ‘The staff treat the residents as individuals’ ‘The staff take my relative out to do things they know she will enjoy’ ‘Communication is good between staff and manager. Staff have positive relationships with the residents and therefore have the ability to identify needs’ 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. The summary of this inspection report can be made available in other formats on request. Flax Cottages 1-2 DS0000000644.V344235.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 Flax Cottages 1-2 DS0000000644.V344235.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for prospective residents to help them decide where to live. Residents have their individual needs assessed prior to admission. This ensures that the staff are aware of individual needs and helps them to meet these. Prospective residents have the opportunity to visit and stay in the home prior to moving in to help them decide if the service can meet their needs. EVIDENCE: Each resident has a copy of the Service User Guide. This is a written document and is not yet available in a style that is suitable for the people for whom the home is intended. Video and audio versions were discussed with the manager, as well as the possibility of residents being involved in producing these. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 9 The home conducts a pre-admission assessment. This includes obtaining the Care Management Assessment and, where applicable, information is sought from carers/relatives and relevant health care professionals. Copies were available on the individual case files so staff can refer to these to help ensure individual needs are met. Prospective residents are able to visit the home and spend time there prior to deciding whether to move in on a permanent basis. This helps to ensure the service will meet their needs. One resident who moved into the home recently confirmed that she had visited the home on a number of occasions for meals and overnight stays before she decided to move there. Flax Cottages 1-2 DS0000000644.V344235.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. 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 including a visit to this service. There are care plans that contain guidelines for dealing with needs, which explain what staff need to do. Residents are encouraged to make decisions. The care staff support the residents to take risks as part of their lifestyle. EVIDENCE: Residents are well supported by staff and the necessary levels of support are recorded in the detailed care plans that show the level of care and support the staff need to provide. The plans are evaluated each month and reviewed every six months or when necessary. The resident and all other relevant parties are invited to attend the review. One resident is able to sign their own care plan to indicate that they agree with it. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 11 Comprehensive guidelines, completed by relevant professionals, are in place to deal with the individual needs of the residents. The residents are encouraged and supported to make decisions and relevant information is provided. Risk assessments were available on the care plans to assist residents to lead fulfilling lives and to take calculated risks. These are reviewed on a regular basis. Flax Cottages 1-2 DS0000000644.V344235.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. 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 including a visit to this service. Links with the community and opportunities to participate in social and personal development activities are good. Residents are encouraged to keep in touch with family and friends. Residents’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. EVIDENCE: None of the residents are employed, however daytime activities are offered. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 13 Support for residents to go out of the home is part of the daily activity plan. A car is available. Two enablers are employed in the home to escort the residents to various activities and venues. Activities include shopping trips, meals out, line dancing, walking, aromatherapy, gardening, knitting, sewing, cookery and crafts. Each resident has an individual programme for activities. Holidays are arranged each year. One resident has recently enjoyed a holiday to Centre Parks and another had been to Edinburgh for the weekend. Two residents who are good friends have opted to go on holiday together with staff support. Two residents were able to describe the type of activities they enjoyed. One questionnaire returned by a relative said ‘they take her out to do things she enjoys, trips and holidays’. One resident recently had a 60th Birthday and the staff had arranged a ‘pamper day’ and a bouquet of flowers were delivered to her. House meetings are held on a monthly basis to discuss various aspects of the day-to-day running of the home, including activities to be provided. The residents are encouraged and supported to keep in touch with family and friends. Relatives and friends are encouraged to visit the home and staff support residents to visit them in the community. One resident does not have any relatives or visitors. The possibility of obtaining an advocate to act on her behalf was discussed with the manager. Routines were relaxed and the staff on duty were interacting with the residents. The residents are encouraged to become involved in household tasks according to their capabilities. Menus are varied and nutritious. Two residents were able to confirm they enjoyed their food and that alternatives are always available. They also enjoy meals out at local pubs and cafes. One questionnaire returned by a resident stated ‘I like the staff cooking’. The staff on duty were very aware of the residents’ individual likes and dislikes. They described ways that they encourage residents to eat a balanced and healthy diet. Each bungalow has a separate menu, which is displayed, in the kitchens. Flax Cottages 1-2 DS0000000644.V344235.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. 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 including a visit to this service. Residents are given the personal support they require and according to their preferences. Professional medical advice is sought, and reassessments are requested when necessary. An appropriate system is in place for dealing with medications, which protects the residents. EVIDENCE: One resident confirmed that their privacy and dignity was respected. They confirmed that they could get up and go to bed when they pleased. The two questionnaires confirmed they the residents were able to choose how they spend their time. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 15 The residents confirmed that they choose their own clothes and hairstyles. The two questionnaires completed by the residents stated they like getting their hair and nails done. One said they staff helped her to get nice clothes, shoes and jewellery. The records confirmed that support and guidance is provided for personal hygiene according to the residents’ capabilities. There was evidence within the care records that residents have access to external health care services. The residents are registered with local GP practices and referrals are made to specialist health care services if appropriate. ‘OK’ Health Checks are carried out on an annual basis and were available on the case files. The manager confirmed that medications are reviewed by the GP every six months. The ability of the residents to look after their medications themselves has been assessed. Staff at the home administer medication to residents. The home has a policy and procedure for staff to follow. A separate protocol has been produced for the giving of medications on an ‘as required’ basis. The staff keep records of medications as they receive them, administer them and dispose of them. These are properly maintained. The home has secure storage arrangements. The manager and staff on duty confirmed that they had received training for administering medications. Flax Cottages 1-2 DS0000000644.V344235.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know who to contact with their concerns and these would be taken seriously. Staff training and policies and procedures protect residents from abuse. EVIDENCE: The home has a complaints procedure and a complaints record. The home’s procedure includes the contact details of the Commission for Social Care Inspection (CSCI). One complaint about the service had been received by the home since the last inspection. The records showed that this was fully investigated. The Service User Guide contains a copy of the Complaints Procedure. The two residents who responded to the survey recorded that they knew who to speak to if they were unhappy with the service and were aware of the home’s complaints procedures. One resident said ‘if I was unhappy about something, the staff would know about it’. The home has staff guidance and procedures in place to protect vulnerable adults from abuse, (POVA). The manager said that all of the staff had received awareness training on this subject. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 17 The home has demonstrated in the past their understanding and responsibilities to report concerns to Local Authority. The staff on duty were aware of the whistle blowing policy in the home and confirmed they would not hesitate to use this if they observed any bad practice. The system for dealing with residents’ finances was examined. The Home maintains financial records on behalf of the residents. There was evidence of personal spending and receipts and signatures are kept. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely and comfortable environment for the residents to live. The residents’ bedrooms have been personalised to meet their individual needs and lifestyles. All areas of the home are clean and hygienic. EVIDENCE: The home is comfortable, well furnished and pleasantly decorated. Residents have their own bedrooms that are decorated and personalised according to their wishes and tastes. Bedrooms are equipped to ensure the comfort and safety of the individuals and specialist equipment is provided to promote independence. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 19 There is sufficient space for residents to enjoy internally and externally. Some residents enjoy sitting in the garden in the warm weather. Some like to help with the flowerbeds and one resident enjoys feeding the birds. There are two garden sheds to store garden equipment. The paintwork on both sheds is shabby. The carpet in bungalow 2 was badly stained. The seal on the freezer door was split in bungalow 1. However the temperatures recorded on a daily basis were within the recommended safety levels. The shelf in the fridge door was broken. Staff receive infection control training as part of their mandatory training. Protective clothing is readily available and liquid soap and paper towels are provided to prevent the spread of infection. On the day of the inspection the home was clean, hygienic and there were no unpleasant smells. Both questionnaires returned by the residents said the home was always clean and fresh. One said ‘my bed is always nice and tidy’. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the residents. Robust recruitment procedures are in place, which help to prevent risk of harm to the residents. Opportunities for training are good which enables the staff to learn new skills to support the residents in all aspects of their lives. The staff team are well supported and supervised, to help them do their jobs well. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 21 EVIDENCE: During the day there is two home support workers and one enabler on duty in each bungalow. The staff on duty said they felt that the staffing levels are adequate to meet the needs of the residents. Since the last inspection an assistant team leader and home support worker have been employed that helps to ensure the above staffing levels are maintained. The manager confirmed that appropriate checks and written references had been obtained for the new staff. Sixteen care staff are employed in the home. Three staff are currently undergoing training to National Vocational Qualification (NVQ) Level 2. The manager confirmed that the other staff have all completed NVQ Level 2 or above. Training programmes are in place for staff to receive up to date health and safety training. The staff also confirmed that they receive specialist training to meet the individual needs of the residents. A programme is in place to ensure all staff receive formal supervision at regular intervals. The staff on duty confirmed that these sessions had taken place and the supervision notes were examined. Good relationships were observed between the residents and the staff. Two residents said they thought the staff were very good and they looked after them well. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 22 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. 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 including a visit to this service. The manager has an open style and is clearly present in the home to give direction and support to staff. This helps to ensure the home is led by the needs and wishes of the residents. Good systems and practices are in place that helps to ensure residents and staff are safe from risk of harm. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager is in the process of applying to become registered with the Commission. She has lots of experience in working with people with learning disabilities. The staff on duty said she was very supportive, approachable and always available for advice. Meetings are held in the home on a regular basis. The minutes showed that residents are asked their opinion on the day-to-day running of the home. Maintenance contracts and test certificates are in place and fire safety equipment is tested at the appropriate intervals. This helps to ensure the service users’ safety. Daily checks are carried out to ensure water, fridge and freezer temperatures are safe. Cleaning rotas are also in place to ensure the premises are clean and hygienic. The staff confirmed that they had received up to date health and safety training. Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 X 4 3 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 2 25 3 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 3 3 X 3 X 3 X X 3 X Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 16(2)(g) Requirement Seal on freezer door and shelf in fridge door must be replaced in the interests of food safety. Timescale for action 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations The service users’ guide should be produced in a style that is easy to understand by people for whom the service is intended. The residents should, if they wish, be involved in producing this version. The hall carpet in bungalow 2 should be replaced. Both garden sheds should be repainted. 2. 3. YA24 YA24 Flax Cottages 1-2 DS0000000644.V344235.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 - 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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