Inspection on 29/11/06 for Greengates

This inspection was carried out on 29th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Greengates 02/11/05

Greengates 21/04/05

Greengates 22/11/04

Greengates 19/05/04

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

CARE HOME ADULTS 18-65 Greengates 697-699 Southmead Road Filton South Glos BS34 7QY Lead Inspector Melanie Edwards Key Unannounced Inspection 29th November 2006 09:30 Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Greengates DS0000020333.V316381.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. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greengates Address 697-699 Southmead Road Filton South Glos BS34 7QY 0117 9236067 NONE 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mrs Jennifer Alcock Care Home 11 Nursing Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 11 persons aged 18 years and over who have mental disorder and are receiving nursing care. Staffing Notice dated 20/05/1999 applies Manager must be a RN on parts 3 or 13 of the NMC register Date of last inspection 2nd November 2005 Brief Description of the Service: Aspects and Milestones Trust run Greengates Care Home, which is registered to provide nursing care to 11 adults with a mental disorder between 18 and 65 years old. The property is located in a busy residential area, close to some local shops and amenities. There are 11 single bedrooms of various sizes, all of which have sinks. There are parking spaces and grounds to the side and rear of the house. The fee charged for staying at the Home is £383 a week. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five of the eleven residents who live at the Home, and four members of staff including the registered manager were consulted about roles and responsibilities, training needs, and how they are supporting the residents. Staff were observed supporting residents with their needs. A selection of records relating to the running and management of the Home were inspected. A sample of care records and care plans were also reviewed. The majority of the environment was seen with the only area not viewed being several bedrooms. The Home was operating within the required conditions of registration. The conditions of registration detail the type of care and the needs of residents that the Home can provide personal care for. What the service does well: 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. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 6 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 Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 7 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): 1,2,3. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service Residents’ needs are assessed and are well met by the Home. Residents are provided with the necessary information to help them to understand the service provided. . EVIDENCE: Each resident is given a copy of the guide when they move in. The guide includes information about the service provided, the complaints procedure, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The document includes pictures of the Home and surrounding community. This helps ensure the reader is well informed about the service and the community the Home is located in. To find out how effectively residents’ mental health needs are being assessed, two residents assessment records were inspected. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 8 The Home carries out assessments based on the principal of ‘person centred planning’ meaning the views and wishes of residents are at the centre of all care provided. There was detailed information about the resident’s range of care needs. The assessment records had been regularly reviewed and updated. Residents are involved in the assessment process, and sign care plans and assessment records in agreement with care that is provided. All the residents asked were positive in their views of the staff and the care they provide. Examples of comments made by residents included, ` the staff are good, they are doing well ’, `it’s very comfortable’, and, `they are alright’. These comments help to demonstrate residents feel satisfied with the service. The staff on duty were understanding and sensitive when observed assisting residents with their needs. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8. Quality in this outcome area is good. This judgments has been made using available evidence including a visit to the service Residents’ needs are assessed and care plans reflect how their needs are met. Residents are well supported to make decisions and to take risks in their daily lives. EVIDENCE: Care plans contained a commendable level of detailed, helpful information and set out very clearly how residents are supported with their mental health needs. Care plans addressed in detail resident’s psychological needs and how to respond to the person if distressed or agitated. There was also information written by residents demonstrating they had been involved in the drawing up care plans Care plans are written from the perspective of `person centred planning’ meaning residents help to identify what they feel their needs are, and how best Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 10 they think staff can help them. Care is individualised and based on residents’ involvement and participation. In discussion with staff it is clear that one of the main aims of the Home is to actively promote residents’ rights and independence in their daily lives. A good example of this is that residents now assist in the selection of new staff. Residents are encouraged to run the regular house meetings themselves, and to set their own agenda and discuss what they feel matters. There was good evidence that residents are actively involved in the choice of meals served in the Home. Another example of how residents have benefited from the philosophy and leadership style in the Home is that they have been involved in setting their own anti-racism policy. This is a good example that residents’ independence and rights are being actively promoted. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17. Quality in this outcome area is good. This judgments has been made using available evidence including a visit to the service Residents are well supported to take part in a range of appropriate activities. They are supported to be a part of the community and to have personal relationships. EVIDENCE: Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 12 Residents attend a range of activities both in and out of the Home. One resident said they regularly attend a range of activities including, line dancing and swimming, and also often played cards and bowls with staff. There was information recorded in residents’ records that confirmed regular attendance at a local drop in and activities centre. Residents were observed leaving the Home with staff support, for social and therapeutic activities. In discussion with staff it is evident that one of the aims of the Home is to support residents to be able to access community facilities as independently as possible. This is clearly stated in the statement of purpose and service user guide, and prospective residents are informed about what sort of care and service they can expect in the Home. Residents have recently been on a holiday to St Ives in Cornwall, and they have made a list of other trips that they wish to go on in the near future with staff. Residents also had a holiday in Lyme Regis in Dorset this summer, and the inspector, by chance bumped into residents there .It was evident residents were having a very enjoyable time. Residents were also observed receiving visits from family and friends during the inspection. One of the registered nurses on duty said that the Home operates a relaxed and flexible visitors policy, enabling residents to stay in touch with family and friends. A copy of the current menu was reviewed. There was a range of dishes recorded as being available for each day. The housekeeper talks to residents on a regular basis to find out what meals they like, and their preferences. There was evidence that residents likes and dislikes are included when menus are planned. There was a varied choice of meal options available for the residents, and residents on special diets have their needs well catered for. Meal options included a range of traditional, nutritional meals. Two residents kindly invited the inspector to lunch, and the choices were cheese or bacon rolls with a fresh salad. The meal was tasty and well cooked. All residents asked said that the food at the Home was very good. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgments has been made using available evidence including a visit to the service Residents are supported to meet their physical and emotional needs in the way preferred by them. The systems in place for the handling, administration, storage and disposal of residents’ medication are safe. EVIDENCE: A record is kept of residents’ physical health needs, and appointments. This is a record of the residents’ last optician, chiropody, dental and GP appointments. On the day of the inspection, three residents were taking part in care review meeting with a psychiatrist and staff from the Home. One resident said they were always invited to attend care review meetings, demonstrating residents are well involved in the planning of their care. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 14 A number of residents spoke positively of their `key worker ’ and the help they give them. This is an effective way for residents to have additional one to one quality support from staff. As also referred to in the report, there was written evidence in the two residents care records which showed the preferred day to day routine of the residents and their particular likes and dislikes. This helps to demonstrate residents are being involved in the planning of their care. Staff were observed assisting residents with their needs in a good humoured and sensitive manner. As has been previously referred to in the report, residents care plans include a range of detailed helpful information, stating how best to support residents to meet their physical, mental, social and spiritual needs. Residents were seen rising at different times during the morning, and this is a good example of how they are able to exercise choice in their daily lives. Staff were talking with residents in a relaxed manner and residents and staff looked as if they are building up close trusting relationships. The procedures for the administration, handling, storage, and disposal of medication were inspected. The medication administration charts of three residents were inspected in detail. There was a photograph of the resident kept with each record to ensure medication is dispensed to the correct person, as well as a medication administration profile, which details the preferred way that residents like to have their medication administered. The medication administration charts were legible, up to date, and contained the signature of the dispensing registered nurse, demonstrating resident’s medication is administered safely, the reasons for any omissions had also been written on the charts. Accurate and up to date records were also being kept of all medication being received into the Home, and medication being returned to the issuing pharmacy. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgments has been made using available evidence including a visit to the service Residents’ views are listened to, and acted on by Mrs Alcock and the staff team. There are systems and training in place to protect residents from the risk of abuse or harm. . EVIDENCE: The complaints book record was looked at to see how residents complaints are responded to .The complaints book showed that there had been three complaints recorded since the last inspection .The complaints were between residents. Mrs Alcock had addressed and investigated them. Each resident has a copy of the complaints procedure; this gives residents the information they need to complain about the service. The procedure includes the contact details for the owners and us. There are regular `residents meetings’ held in the Home, and residents are being encouraged and supported to set their own agenda for the meetings. This is also a good opportunity for residents to complain. There is a `protection of vulnerable adults’ procedure to protect residents and to guide and support staff in the event of an allegation of abuse. Staff were consulted about the actions they would take in the event of an allegation of abuse. Staff were knowledgeable and understood what actions they must take to protect residents in their care. The staff training records demonstrated all staff had been on training on issues related to abuse within the last twelve months. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. While residents live in a Home that is generally suitable for their needs and lifestyles and promotes their independence The standard of decoration is becoming tired and worn, and one kitchen fridge and several lounge lights need to be repaired. EVIDENCE: The Home is two houses that have been converted into one property, built over two floors, which can be accessed by stairs only. There are three ground floor bedrooms for people who may not be able to walk up stairs. The building is over one hundred years old. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 17 The majority of bedrooms and all the communal areas were viewed. The bedrooms were personalised with resident’s personal possessions, photographs, and pictures are displayed in some rooms that help to create a more personal feel to rooms. Furniture and fittings are provided; including a wardrobe a comfortable chair a bedside cabinet and a chest of drawers in each room. Several resident’s artworks are on display in their rooms and throughout the Home, and this makes the environment look more homely. Bedrooms do not have en-suite facilities however there are toilets, and a shower or bathroom located close to bedrooms on each floor. There is dining room situated on the ground floor, as well as a television lounge and a designated ‘smoking’ lounge, this is a popular room as a number of residents are smokers. Residents were observed sitting in the communal areas looking relaxed and settled in the environment. Whilst, facilities were adequately clean and tidy, the standard of decoration is generally becoming tired and worn in appearance. The lounge particularly, should be redecorated as the wallpaper has torn off one area of the wall. Also there are two lights that need to be repaired, as the lights flicker on and off and are distracting. Since the last inspection the kitchen has been re fitted with new units and a new cooker, and this has considerably enhanced the room. However the fridge door handle should be repaired, as it is broken. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35,36 Quality in this outcome area is good. This judgments has been made using available evidence including a visit to the service Residents are supported by a sufficient number of competent, qualified staff who are well supported and supervised in their work. EVIDENCE: Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 19 The staff duty record for shifts in November 2006 was inspected. There are a minimum of three staff on duty for a day shift, consisting of two care staff and one registered nurse. Two staff are on duty at night comprising one registered nurse and two care staff. The number of staff on duty for each shift met the minimum staffing numbers required by the Health Authority staffing notice issued under previous care homes legislation. Mrs Alcock works regular supernumerary management hours, as well as some shifts. There are also ancillary workers employed who work on a daily basis in the Home, specifically a domestic assistant and a housekeeper. Based on the evidence from the inspection the number of staff on duty at any time meet residents needs. All staff are receiving regular support and supervision of their work and practice. Based on the discussions with the staff on duty it was evident that the staff feel supported in their work. This benefits residents if staff are supported to be able to provide the care, and a have good understanding of residents and their needs. Mrs Alcock has put in place a model of supervision to best meet the needs of staff and the service as a whole. Mrs Alcock has devised a training plan for the team as a whole to collectively ensure staff are well trained and developed in their skills, to be able to meet residents needs. The training records demonstrated staff had attended training relevant to the needs of residents over the last twelve months. Staff demonstrated that they communicate and support residents in a sensitive manner, and are working well as a team. All of the residents who were consulted expressed positive views about the staff. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42. Quality in this outcome area is excellent. This judgments has been made using available evidence including a visit to the service Residents’ benefit from a well run home and commendable efforts are made for their views to be listened to and represented. Residents’ and staff health and safety is being protected. . EVIDENCE: Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 21 Mrs Alcock is the registered manager and has a number of years of experience working with residents who have complex mental health needs and she is a first level registered nurse. She has also worked in senior managerial positions before she become the manger of Greengates. Mrs Alcock was observed to communicate with residents with respect and courtesy. Three residents said that Mrs Alcock was a `good manager’, and one resident said of Mrs Alcock, “Jenny’s alright, she’s friendly and she’s good.’ Residents’ records are kept in a locked metal cabinet in the office. The residents care records, and the records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate residents confidentiality is being protected, and that Mrs Alcock ensures legal records required for the effective running of the Home are in order. There was a range of good evidence that demonstrated Mrs Alcock regularly consults residents about their views. One good example already referred to, is that residents are now on the interview panels for the recruitment of new staff at the Home. The Home has introduced a regular survey based on residents’ views of the service provided at the Home and this year this will be carried out by an external advocate. They will prepare a report for residents, who are each given their own individual copy, as well as a confidential report for the Home. These are commendable examples of how residents are involved in the running and development of the service. The monthly monitoring visits of the Home that must be carried out by a representative of Aspects Trust, under Regulation 26,are being undertaken, and being sent to the Commission. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with residents as well talking to staff. The environment looked safe and generally satisfactorily maintained in all areas viewed, with the exceptions commented upon in the environment section. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and well trained in health and safety principles and practices. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. There is a record of the monthly checks of the environment. These checks show that staff audit the health and safety of the environment on a regular basis. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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 3 2 3 3 3 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 4 X X 3 X Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA24 YA24 YA24 Good Practice Recommendations The two lights in the lounge should be repaired. The fridge door handle should be repaired or replaced. The lounge should be redecorated. Greengates DS0000020333.V316381.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Greengates DS0000020333.V316381.R01.S.doc Version 5.2 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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