Inspection on 03/10/06 for Halcyon Court Nursing Home

This inspection was carried out on 3rd October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Halcyon Court Nursing Home 28/08/08

Halcyon Court Nursing Home 20/09/07

Halcyon Court Nursing Home 07/12/05

Halcyon Court Nursing Home 06/09/05

Halcyon Court Nursing Home 12/11/04

Halcyon Court Nursing Home 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Halcyon Court Nursing Home 55 Cliff Road Leeds Yorkshire LS6 2EZ Lead Inspector Hebrew Rawlins Key Unannounced Inspection 3rd October 2006 09:30 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 Halcyon Court Nursing Home DS0000055003.V311031.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 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. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Halcyon Court Nursing Home Address 55 Cliff Road Leeds Yorkshire LS6 2EZ 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) 0113 2743006 0113 2307326 Sharon.blackwell@anchor.org Anchor Trust Ms Marie Hennigan Care Home 71 Category(ies) of Old age, not falling within any other category registration, with number (71), Physical disability (5) of places Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 5 places for PD are for the use of specific named service users only. 7th December 2005 Date of last inspection Brief Description of the Service: Halcyon Court is owned by Anchor Trust, a registered charity. Marie Hennigan manages the home on their behalf. Halcyon Court is situated in a residential area of Leeds. The home has a large parking area. It is within easy reach of the city centre. Public transport is readily available a short walk from the home. There is a wide range of local amenities. The gardens to the rear of the home are accessible to service users and provide a seating area. To the front there is a small garden with planted raised beds and pathway. Accommodation is situated on four floors and is split into different zones, all of which are named. A passenger lift is provided, in addition to the stairwells, which allow access to all floors. There are eighteen double bedrooms. However, these are used for single occupancy on the whole. There are a number of communal bathroom and toilet facilities. Sixteen bedrooms have en-suite facilities. There are three lounges, two large dining rooms and a smaller dining area available for residents and their visitors. The home is registered to accommodate up to seventy-one older people. There is a temporary contract to provide care for three people who have been discharged from hospital and are waiting for alternative accommodation in the community. (Referred to as intermediate beds). The home is staffed over twenty-four hours by a team of nurses, carers, domestics and catering staff. There is a senior on duty at all times with back up from the on call managers. The weekly fees range from £357.99 to £550.00. Additional charges are made for hairdressing, private chiropody and newspapers. This information was provided to the Commission for Social Care Inspection in August 2006. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This was an unannounced inspection that took place on the 3rd and 4th of October 2006 between 8.30am - 4.30pm and 11.00am – 2.30pm. The last inspection took place in December 2005. The purpose of this inspection was to check if the requirements identified at the last inspection were being dealt with and to assess the quality of care being provided to residents in the home. During the inspection I assessed all the key standards, these are identified in the main body of the report. I looked in detail at the care of six of the 60 residents in the home. I looked at their care records, I spoke to the residents about their care needs and to the staff about how they deliver care, I looked at the environment and observed care practices. I also spoke to other residents in the home, carried out a tour of the building and looked at other records, which included maintenance records, staff files and training records. Information was requested from the home prior to the visit, this was provided and was used during the inspection. I spoke to visitors in the home during the inspection. Comment cards for residents and relatives were left at the home; these provide people with an opportunity to share their views of the service with the CSCI. Information obtained in this way is discussed with the manager without identifying who has provided it. Eight comment cards from residents or relatives had been returned at the time of writing this report. Comment cards were also sent to a number of GP practices. At the time of writing this report there have been no response from any of the GP practices. Detailed feedback was given to the person in charged at the end of the visit. This report reflects the preference of people living at Halcyon Court to be collectively referred to as residents, rather than service users. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 6 A number of direct quotes from residents, staff and visitors have also been included in the report. The inspector would like to thank everyone who took the time to talk to him and express his or her views. What the service does well: What has improved since the last inspection? Fire safety equipment are now tested regularly to ensure the health and safety of residents is not compromised. At the time of the visit no fire door was propped open. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 7 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. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home makes every effort to ensure that residents have the information they need before coming into the home. The standard of written information is good and the home is very flexible about pre-admission visits, to fit in with the needs and preferences of the individual. The home is careful to obtain sufficient assessment information about prospective resident, so as to inform them of likely care needs. EVIDENCE: The manager of Halcyon Court said she is working on personalising the service user guide and statement of purpose for the home. Anchor as an organisation has a statement of purpose and they have sent the home a template that will be specific to Halcyon Court. This will be slightly amended from the original brochure of Anchor to outline what the home can provide and how it intends to achieve that. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 10 One resident recently admitted, said she felt reassured through the whole admission process, particularly as she felt the Anchor had a good reputation. She felt her care and support needs were being met very well. All residents or their representatives have been issued with written contracts. This document states the terms and conditions of occupancy and the charges made by the provider. The registered manager confirmed that an assessment is always undertaken prior to admission. In respect of the six resident case tracked there was evidence of comprehensive pre-admission assessments. The pre-admission assessment provides details about the prospective service user’s diagnosis, condition, health and gives details of their preferred routine. It gives details of other professionals who are involved with the individual. This ensures that services or equipment can be put in place ready for admission. A number of residents spoken to said that family members had ‘looked around’ prior to their admission. One recently admitted resident relative said the admission ‘went well’. He had been able to discuss his mother needs, wishes and expectations. He feels that the service is based on his mother’s and his stated preferences. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. Nutritional assessments are not always monitored and updated. This could lead to needs remaining unmet. The health care provision at the home is generally good. However there was no photograph of residents on the front of residents’ medication records, which is good practice and helps support staff administering medication. Residents feel that their right to privacy and respect are upheld. EVIDENCE: Six residents were case tracked. Care plans followed on from the initial assessment. Two individuals case tracked were able to state how they had been involved in the care planning. Individuals stated that they could make choices and staff Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 12 usually supported these. One visitor had been involved in care planning and reviews. The regulation to review care plans monthly was not being met in the documents case tracked. Some monthly reviews had not been recorded for two to three months. Whilst other reports seen were of a good quality and gave appropriate information about changes. These however need to be kept up to date. One risk assessment such as moving and handling had not been reviewed for over a year. These are essential so that the changing needs of residents are met. The manager was advised that nutritional assessments should be monitored in order to keep a check on any risks that could affect the health of residents. Health needs were being met and this was evident from discussions with staff and from the records. One intermediate worker from the community hospital was able to say that she visited the home on many occasions. She felt that the care and services provided are good and staff follow instructions and advice. The medication system was examined. Storage facilities are secure and the accompanying record sheets have been accurately completed. However there were no photographs available on the recording charts to check against the medication being given. Several individuals were able to comment about their privacy and how services are provided. It was evident that individuals could choose their own routine and how and when they are assisted. Individuals confirmed that they are afforded privacy and that staff always ensured that any personal care is undertaken in private. Individuals felt that their care needs are being met. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. There is a varied programme of organised activities that provide residents with opportunities to mix socially. The home encourages visitors, which enhances residents’ social opportunities. The meal times are well organised and are a social occasion. Individuals chat and have enough time to enjoy a meal that is wholesome and well prepared. EVIDENCE: The home employs an activities organiser. From observations during the day it was apparent that good interaction was ongoing between staff and residents. When residents became anxious they were reassured. Requests to accompany staff for personal care were made with regard to dignity and confidentiality. Several residents were spoken to in their own rooms, all of which were arranged differently, according to the individual’s taste and care needs. They spoke about how they had decided what personal possessions they needed to bring. When asked about daily life, they all expressed satisfaction with the home, particularly the “cheerfulness” of some staff. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 14 During the inspection residents were seen receiving visitors. They said they were comfortable in entering the home; visiting is flexible and they were offered refreshments during their stay. Residents spoken to confirmed that they enjoyed the meal provided and confirmed they had a say in what they had. The hot meal provided during the site visit looked appetising and well presented. The menus showed variety and the cook, although he is leaving, confirmed that dietary needs are fully considered. Any resident who needs a special diet is provided with one. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 15 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents feel safe and listened to. Formal processes are apparent and this ensures transparency and responsiveness. EVIDENCE: I checked the complaints records, procedures and talked to the registered person, staff and those who use the service. During discussions with residents nobody had any complaints. Although some of the residents who were case tracked had limited capacity they appeared to be able to relate to staff in a positive way and it was apparent that they were comfortable with them. Other individuals were able to confirm that staff act on any voiced concerns. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 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): 19, 24, 25 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the home. The environment at Halcyon Court is not at the quality standard Anchor is known for. The lack of natural ventilation in some areas causes a build up of unpleasant odours in corridors and bedrooms. Some areas of the home show signs of wear and tear and would benefit from redecoration. EVIDENCE: A full building inspection was undertaken during the site visit. The laundry is well equipped and orderly. A nametape-printing machine is used for the discrete identification of clothing. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 17 The kitchen extra fan needs attention and the cook is waiting for a part for the potatoes peeler for it to be repaired. Several wall tiles needs replacing and deep cleaning is required throughout. The lifting equipment identified to the manager in one of the bathroom was not working and one of the bathrooms is used as a storeroom. The third floor sluice door cannot lock and blown light bulbs need replacing. Stair carpets are deteriorating and have been repaired with tape and are therefore a potential trip hazard. Some bedrooms doors are difficult to close needing attention and one resident washbasin must be refitted. Several bedrooms and corridors are showing signs of wear and tear. There are a variety of pleasant communal rooms but the lack of natural ventilation in some corridor areas causes a build up of unpleasant odours. This was also found in some bedrooms. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 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, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. The staffing levels appear to be sufficient on the days visited. Because of the comments made by staff and residents it is recommended the manager review the staffing level to ensure that there are sufficient numbers of staff on duty at all times in meeting the increasing needs of residents EVIDENCE: The staff team includes nurses and trained care staff plus ancillary staff. They were observed carrying out their respective roles in a calm and professional manner. There were seen explaining things to the residents with dementia, reassuring them before interventions were carried out. Feedback from residents and relatives suggest that staffing levels need to be reviewed. Eight of the twenty comment cards returned by relatives said that they felt there wasn’t enough staff. Three relatives I spoke with during the visit expressed their concerns about the staffing levels. People said that the staffing levels seemed to be based solely on the numbers of residents rather than the dependency levels, which were felt to be high. Three residents described having to wait a long time for staff to attend to them. Staff said there was not always enough time to give more than the basic care. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 19 The home supplied information about training before this inspection visit and a computerised record of staff induction, mandatory and other training was seen. Staff spoke about the level of training on offer, which included medication training, infection control, moving and handling and dementia care. The percentage of care staff with NVQ level two in care was 42 . The home has a rolling programme for NVQ training (National Vocational Qualification) and a further eight care staff are undertaking this qualification. Three personal files were looked at. All included evidence that staff are vetted including two written references, criminal records check and employment history. The documentation showed that employees had received appropriate induction training. Refresher training is provided and this includes first aid, manual handling for example. Staff spoken to felt that they had sufficient training to do their job. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 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, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home is well organised and the manager provides effective leadership. Residents and relatives are encouraged to participate in all aspects of the home and there are good systems of communication in place. Health and safety of residents and staff is promoted and protected. EVIDENCE: The registered manager is well qualified with many years management experience. She provides strong leadership and support to the staff team. The home is well organised. Staff I spoke with were clear about their roles and responsibilities. They said that they enjoyed working in the home and all worked together as a team. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 21 Accident forms were completed satisfactorily apart from recording the time the resident was last seen by staff before the accident occurred. Accident records showed that when there may have been head injuries observations were carried out. Training records show that all staff have received training in health and safety. Staff were observed using correct methods of moving and handling. The returned pre-inspection questionnaire showed that servicing of equipment takes place as required and a selection of service certificates were seen, along with the records of fire alarm tests which show a different actuation point is tested each time. Financial records were seen, where residents cannot look after their finances themselves, good records were in place, which are designed to protect the residents’ interests. Halcyon Court Nursing Home DS0000055003.V311031.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 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 x 18 3 2 x x x x 3 3 2 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 x 3 3 3 3 Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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. 2. 3. Standard OP8 OP19 OP26 OP19 OP22 Regulation 12 23 23 Requirement Nutritional assessment must be monitored to maintain resident’s needs are met. Deep cleaning is required in the kitchen and a number of wall tiles replaced. The lifting equipment in the bathroom must be repaired and bathroom must not be used as storeroom. The registered person must make suitable arrangements for keeping the care home free from offensive odours. (raised at last inspection) Several bedroom doors require attention to enable them to close freely and the lock on the sluice door must be repaired. Attention is required to the stairs carpet and blown light bulbs replaced. The areas of the home that is showing signs of wear and tear must be addressed and the washbasin in a resident bedroom refitted. Timescale for action 01/01/07 01/01/07 01/01/07 4. OP26 16 01/01/07 5 OP19 23 01/01/07 6 7 OP19 OP19 23 23 01/01/07 01/01/07 Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP9 OP27 Good Practice Recommendations Photograph of residents should be placed on the front of resident’s medication records. The manager review the staffing level to ensure they are sufficient numbers of staff to meet the increasing needs on residents. Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Halcyon Court Nursing Home DS0000055003.V311031.R01.S.doc Version 5.2 Page 26 - 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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