Inspection on 13/01/06 for Florence Grogan House

This inspection was carried out on 13th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Florence Grogan House 21/06/06

Florence Grogan House 26/05/05

Florence Grogan House 22/09/04

Florence Grogan House 14/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Florence Grogan House Shelley Road Blacon Chester Cheshire CH1 5XA Lead Inspector Mr Val Flannery Unannounced Inspection 09:00 13 and 19th January 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Florence Grogan House Address Shelley Road Blacon Chester Cheshire CH1 5XA 01244 390177 01244 380173 jenny.jobber@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited 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) Mrs Jennifer Jobber Care Home 40 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (40), Physical disability (1) Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include:* Up to 30 service users in the category OP (Old age, not falling within any other category) to be accommodated in the main unit * 1 named service user in the category PD (Physical disability under 65 years of age) may be accommodated within the overall number of registered places (in the main unit) * Up to 10 service users in the category DE(E) (Dementia over 65 years of age); can include up to 5 service users in the category DE (Dementia under 65 years of age) to be accommodated in the Eastgate Wing The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 26th May 2005 2. Date of last inspection Brief Description of the Service: Florence Grogan House cares for forty older people, ten of whom are cared for in Eastgate Wing which is a separate unit for residents with dementia. Located in a residential area of Chester the home is close to shops and other local amenities. There is a bus route to Chester city centre. The home is on two levels and there is a passenger lift to the first floor. Residents are accommodated on both floors. There are a variety of aids and adaptations around the home for residents with mobility problems. All the bedrooms are single. There are enough toilets and bathrooms for use by the residents. Staff are on duty twenty fours a day to care for residents Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours on the 13th January 2006. Feedback following the inspection was given to the registered manager on the 19th January 2006. The inspection was carried out by regulatory inspectors John Mills (who inspected Eastgate Wing) and Val Flannery (who inspected the main unit). One hour was spent reading the previous inspection report and reviewing the service history for the home. Main Unit Six residents, two relatives and five staff were spoken with. Three residents care files/plans of care were seen. A number of home records were also seen. A partial tour of the building took place. One service user comment card was returned following the inspection. Eastgate Unit Four residents, three relatives and three staff were spoken with. A number of residents’ records were seen. A partial tour of the unit was carried out What the service does well: The home has provided information on the service it will offer to residents. Copies of previous inspection reports are on display in the entrance area. Residents said they are kept informed of changes that may affect them. They also said regular resident meetings are held where they can talk about any concerns or worries. Resident care files showed that information and assessments of their needs is gathered before they come to live in the home. Residents said ‘things are much better now that fewer agency staff are used’. Staff are receiving training, supervision and guidance from the management team on delivering a service to meet resident’ care needs. Staff said they are ‘much happier’ with the support and guidance they receive. Residents said the food is’ good’ and that they are offered choices for each meal. Some residents said using an area upstairs as a dining area is better and makes the main dining area less crowded. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 6 The management team, which includes the registered manager, team leader for Eastgate Wing and the home service managers, are working together to ensure they are consistent in the way the home is run. Eastgate Wing Staff on the Dementia Care Unit (Eastgate) have worked with both service users and relatives to develop a comprehensive Picture Diary. This is used by staff to start and develop conversations with service users and also to provide staff with a positive image of the service users. 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. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1/2/3/4/5/ The Statement of Purpose and Service User Guide does not provide residents or their relatives with information required. Residents and their relatives are able to visit the home before making a decision about moving in. EVIDENCE: A copy of the combined Statement of Purpose and Service User Guide was on display in the entrance area. Included were copies of previous inspection reports. Residents are provided with a statement of the terms and conditions of residency, copies are also kept on file. Records were seen of three residents who have recently moved into the home. These showed that assessment of their care needs were carried out by the placing authority and by staff from the home. Residents said they were unable to visit the home before moving in. However, their relatives have visited on their behalf. Residents, and relatives, said the home provides a good standard of care and that they ‘feel well cared for’. EASTGATE UNIT Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 9 Conversations with three visiting relatives and examination of service user files, confirmed that they and their relatives had been given opportunities to visit the unit prior to admission being arranged. Pre-admission assessments were carried out by the home and copies of assessments carried out by the placing authority were also provided. Relatives stated that they had been provided with information that described the unit, its facilities and the range of services to be provided. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10/11 Information is available that shows residents’ care needs are set out in their plans of care. Staff who administer medication receive training and regular monitoring of their practice. EASTGATE UNIT Comprehensive assessments had been used to develop comprehensive care plans that identified both physical and social needs, each area of need also gave regard to the impact of deteriorating mental health for each resident. The location of medicines in each resident’s bedroom provided staff with a system of making the administration of medication more discreet and less institutional. Staff treat each resident as an individual and were active in protecting the privacy and dignity of each person living in this unit. EVIDENCE: Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 11 The residents’ plans of care seen showed that information on their health, personal and social care is available. However, the information in two of the files on the residents most recently admitted to the home was incomplete (See Recommendation Number 1) Residents said they are able to retain the service of their GP. They also said they receive visits from doctors, nurses and other healthcare professionals such as chiropodists and dentists. Letters were seen in residents care files that showed they attend local hospitals as outpatients. During the inspection the care team leader was seen administering medication to residents. A sample of the record of medication administered to residents was seen and was satisfactory. Residents said they are treated with respect by staff, a number said ‘things have improved now that fewer agency staff are used by the home’. They also said the more resident meetings are held: this also allows them to raise any concerns about staffing with the manager. CLS have provided policies and procedures on caring for residents who are ill or dying. Copies of these are kept in the home. Staff spoken with were aware that these policies are available and where they are kept. EASTGATE UNIT. Examination of the care plans and associated records showed that there was a range of health and social care professionals involved in the care and support of residents. These included; Consultant Psychiatrists, Community Psychiatric Nurses, Dieticians and GP’s. On the day of this inspection the unit leader had arranged for a GP to visit. This was due to the noted changes in a resident’s behaviour and concern that underlying physical conditions were contributing to these changes. Three care plans were examined at this inspection and demonstrated that assessments had been carried out against 12 identified areas of need. The subsequently developed care plans were based upon “The Activities of Daily Living” and made reference in each case to the mental health needs of each person. Conversations with staff and observation of the interaction between staff and service users showed that they have a knowledge of the needs and individual characteristics of each service user. Prescribed medication for each resident were now being stored in locked cupboards located in each person’s bedrooms. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/14/15 Residents are enabled to exercise choice and maintain control over their daily lives. They are able to maintain contact with friends and relatives whilst living in the home. EASTGATE UNIT Within the identified limitations and the need to provide a safe yet stimulating environment each service user is helped to maintain an active and positive routine both within the unit and the wider external community. Relatives have freedom to visit and spend time in private with the service user. Relatives also have the opportunity to take residents out from the unit either to the family home or to places of general interest. EVIDENCE: Residents said the provision of activities has improved since the appointment of the activities co-ordinator. A list of activities was on display in the entrance area to the home. This included forthcoming musical events, fundraising and a timetable of visits by the mobile library. Residents also commented on visits by representatives of local religious groups. They also said they went on a number of trips to places of local interest during the summer. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 13 Relatives said they are able to visit the home as they wish. They also said they are kept informed of accidents/incidents involving their relatives in the home. They commented on help and support offered by the management and staff but they also said staff ‘are kept very busy and work very hard. Extra staff on duty at the busy times would be better’. Residents said staff do help them to ‘do things for themselves’. However, because staff are kept very busy they do not always have time to help residents with day-today living tasks. Residents said they are able to choose where they spend their time, where they eat and whom they socialise with. They said the food is, on the whole, ‘very good’ and usually well presented. Residents said they are offered a daily choice and that hot and cold drinks are available throughout the day. EASTGATE UNIT Conversations with relatives confirmed their ability to freely visit the unit. One visiting Son-in Law stated that he and his wife visited alternative days and also took their father home each weekend. The creation of a pictorial life history, gave all staff information regarding the background, experiences and social preferences. Staff within this unit had a programme of activities that were engaged in each afternoon, these included, reminiscence programmes, games and creative activities. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 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 the following standard(s): 16/17/18 Satisfactory arrangements are in place to respond to complaints and adult protection issues. The procedure enables residents, relatives, staff and other visitors to raise concerns that are responded to by the home. EASTGATE UNIT Service users live within a unit that has a comprehensive and effective complaints system. EVIDENCE: The home has a complaints procedure which includes details on how to contact the Commission for Social Care Inspection. Residents, relatives and staff spoken with said they are able to raise worries and concerns with the manager. They also said that these are taken seriously and acted upon. CSCI have not received any complaints about the home. A box is located in the entrance area where people have the opportunity to put their written comments on the service offered. An adult protection procedure has been provided by CLS Care Services, this includes a copy of the government guidelines ‘ No Secrets’. A copy of the procedure is kept in the home. EASTGATE UNIT. Conversations with visiting relatives confirmed that they were aware of the service’s complaints procedure. Whist none had cause to make a complaint, Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 15 they stated that they would, if necessary, bring any concerns to the attention of the unit leader or home manager and were confident that any such concerns would be responded to in a positive manner. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): A safe and comfortable environment is provided for residents. Sufficient bathrooms and toilets are provided for residents. EASTGATE UNIT Residents live in a well maintained, comfortable and safe home. Each person has their own lockable bedroom in which a range of personal possessions has been placed. EVIDENCE: On the day of the visit the home was free from unpleasant smells. The residents and relatives spoken with said the ‘home is tidy and clean’. Communal lounges are provided on both floors. These are close to resident’s bedrooms and can be used by them at any time. A large dining room is located on the ground floor next to the kitchen. This is also used for group Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 17 activities such as bingo. One resident commented on the removal of the coldwater dispenser from the first floor and how they missed this facility. All the bedrooms are single, the rooms seen contained residents’ personal possessions, for example, pieces of furniture, televisions and family photographs. A number of residents confirmed that they were offered a key to their bedrooms. Bathrooms and toilets are located around the home and within reach of bedrooms and communal areas. A number of residents have been assessed as requiring staff help when using these areas. Hoists, bath-lifting aids, grab rails and wheelchairs are provided for residents with mobility problems. Care call points are located in bedrooms, bathrooms, toilets and communal areas. Residents have access to a secure garden area to the rear of the building. During the visit improvement were being made to the care team leaders office. The following maintenance issues were identified during the inspection: • The flooring in the bathrooms (near to bedrooms 1 and 9) were stained and badly marked. • The doors to bedrooms 7 and 8 were damaged and marked. • The carpet on the stairway (near to bedroom 32) was stained and marked. (See Requirement Number 1) EASTGATE UNIT A tour of this unit confirmed that each person has their own single bedroom, that were clean, well decorated and contained a range of personal possessions. There are en-suite facilities in each bedroom and two bathrooms that have shower facilities. A hoist is available with the bathroom to assist frailer residents. There was suitable equipment and procedures in place to support staff in the management of personal hygiene. The previously identified need to make the garden paths safe had been responded to and trip hazards removed. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27/28/ EASTGATE UNIT Residents living in this unit are supported by a knowledgeable, experienced and well-trained team of staff, who work in numbers appropriate to the needs of those residents. EVIDENCE: The rota shows that there is normally one care team leader and two care assistants on duty during the day/afternoon/evening. One care team leader and one care assistant provide nighttime cover. Staff can transfer between the main unit and Eastgate Unit as required. Support staff including domestic staff, cook, kitchen assistant, maintenance assistant and office staff are employed in sufficient numbers to meet the home’s needs. Residents spoken with said that the staffing situation is ‘much better’ and the home does not use as many agency staff. However, because of the current high level of staff illness some agency staff are required to maintain staffing levels. Relatives said that staff are’ very kind and caring and keep them informed if the resident is not well’. During the inspection staff were seen talking to, and caring for, residents. This was done in a caring and friendly manner. A number of residents said they’ wished staff had more time to spend talking to them’. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 19 EASTGATE UNIT Examination of the duty rota showed that there are three grades of staff working on this unit; A Senior Care Team Leader, five Care Team Leaders and nine Support Workers. During the day there is a minimum of one Care Team Leader and one Support Worker on duty, in addition to this the Senior Care Team Leader works from 9.00 to 17.00. At night there is either a Care Team Leader or a Support Worker on duty, supported by night staff from the main residential Unit. All staff undergoes an induction process that includes a specific Dementia Care element. Staff confirmed that ongoing training in Health & Safety and Care Practice together with NVQ training at Level 2 & 3 is available. Staff spoken with were knowledgeable about those in their care and how best to support them. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31/32/33/34/35/36/38 A person who is fit to discharge her responsibilities manages the home. Residents are consulted on how their care needs are to be met. EVIDENCE: The current registered manager has worked for CLS Care Services, in a management capacity, for a number of years. She has obtained qualifications and attends training required for the day-to-day running of the home. Residents, relatives and staff spoken with were positive about the management approach to running the home. They said the manager would make herself available to speak to them about any concerns or worries. They also said they are confident action will be taken to address these concerns and worries. Residents said the manager, and staff, consult with them on how their care needs are to be met. They also said they were told how they can Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 21 see the records held on them in the home. There is a notice on a board in the entrance area informing residents on how they can see their personal records. A notice was on display in the entrance area informing residents and relatives of the outcome of the recent resident/relative satisfaction survey. It is the policy of the organisation that residents and/or their representative manage their financial affairs. Staff spoken with said they receive supervision from senior staff and that their work performance is monitored. CLS have provided health and safety policies and procedures, copies of which are kept in the home. On the day of the inspection records were seen that showed that equipment, including lift, hoists and fire alarms, are serviced. Other safety records seen include gas safety certificate and record of service carried out on boilers and other equipment. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 X Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 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 OP19 Regulation 23(2)(b) Requirement That action is taken to address the maintenance issues identified during the inspection Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations That information in the care plans/residents care files is completed. Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Florence Grogan House DS0000006510.V270905.R01.S.doc Version 5.0 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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