Inspection on 13/09/05 for Harley Grange Nursing Home

This inspection was carried out on 13th September 2005.

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

Harley Grange Nursing Home 14/08/08

Harley Grange Nursing Home 17/08/06

Harley Grange Nursing Home 20/04/05

Harley Grange Nursing Home 21/02/05

Harley Grange Nursing Home 15/09/04

Harley Grange Nursing Home 23/03/04

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

CARE HOMES FOR OLDER PEOPLE Harley Grange Nursing Home 25 Elms Road Leicester Leicestershire LE2 3JD Lead Inspector Gill Adkin Unannounced 13 September 2005 09:30 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 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. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Harley Grange Nursing Home Address 25 Elms Road Leicester Leicestershire LE2 3JD 0116 2709946 harleygrange@schealthcare.co.uk 0116 2700409 Southern Cross Healthcare Services Limited Telephone number Fax number Email 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 Jeanne Patricia Moitt Care home 34 Category(ies) of PD(E) Physical dis - over 65(34) registration, with number OP Old age(34) of places Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: To admit the named person of Category PD as identified in Correspondence in Application number V10761 dated 02/08/04 To admit the named person of Category DE(E) as identified in Correspondence in Application number V13892 dated 09/11/04 Date of last inspection 21.02.05 Brief Description of the Service: Harley Grange is a care home owned by Southern Cross Healthcare and is registered to care for thirty-four service users under categories OP (older persons) and PD (physical disabilities). The premises are purpose built and are situated in Stoneygate, a quiet residential area two miles from the city centre of Leicester. The premise is easily accessible by private and public transport.The premises consist of two floors and service users can access both floors with the use of the passenger lift or stairs. A choice of facilities are available namely an adequate number of toilets, washing and bathing facilities. These include a dining and lounge area.The home has eighteen single bedrooms and eight double bedrooms all with ensuite facilities. A wellmaintained garden is located to the rear of the building which is accessible to all service users with physical disability. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was inspected for the eighth time against the Regulations as in the Care Standards Act 2000. This was an unannounced inspection, which took place over one day and commenced at 9.15 am on 13/09/05.The deputy manager facilitated the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting four residents and tracking the care they received through review of their records, discussion with them, and their relatives, care staff and observation of care practices. This inspection report additionally addresses specific areas where requirements and/or recommendations were identified at the previous inspection. During this inspection a tour of the accommodation occupied by residents case tracked took place and the inspector viewed internal records, and care plans. She also spoke to care and ancillary staff, residents and relatives. Residents and their relatives gave the inspector their impressions of the home. During this inspection it was noted that a complaint recorded prior to the Inspection required reporting under the vulnerable adult procedure and this was instigated at the time of the inspection. The incident noted was sufficiently serious to require that an immediate requirement notice was issued. Residents raised concerns over the lack of suitable activities. What the service does well: The home is clean and well maintained and has a happy, calm atmosphere. The registered manager is approachable and has the ability to communicate well with service users. Residents receive well-planned and nutritious meals to suit their individual needs. The registered manager has worked hard to improve standards and manage a number of recent difficult staff issues. The registered manager conducts an assessment of residents prior to admission. This includes the involvement of relatives and friends. All fire records are kept Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 6 up to date and regular mandatory training including fire training is provided for staff. 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. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 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 standard(s) 1.2.6. Written contracts fully detail Terms and Conditions of residency thereby ensuring that residents are fully informed. EVIDENCE: Discussions with the deputy manager and administrator confirmed that the Statement of Purpose was currently being re-printed after the Organisations restructure and therefore was not available for inspection. Residents case tracked were unable to confirm if they had received written contracts, however the administrator was able to produce a variety of newly written contracts, which she stated will be issued to newly admitted residents. The home does not provide Intermediate Care. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 9 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 standard(s) 7.8.9.10. Resident’s healthcare needs are met by the provision of a robust care plan. Outcomes would be improved by consideration of individual choices, better recording of interventions and a safer system of administration of medicines. EVIDENCE: Four care plans were case tracked on this occasion. The level of updating and evaluation varied considerably between the plans. One out of four care plans was fully and sufficiently evaluated where others were not. The deputy manager stated that named nurses were given the responsibility of updating plans and although audits were taking place some nurses were more proactive than others. Discussions with staff including new staff indicated that they were fully aware of residents needs and were kept up to date with information at handovers. Two of the residents tracked were identified by assessment as at significant risk of developing pressure sores. Both service users tracked had appropriate pressure relieving equipment on their bed/chairs however the two service users care plans did not fully detail arrangements for monitoring movement and also seating arrangements/choices. Staff confirmed that residents were moved frequently although indicated that they did not always document these movements. The Organisations policy and procedures state, “all care Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 10 interventions should be recorded” It was noted that several residents stayed seated in wheelchairs for significant periods of time without being transferred to more comfortable chairs. A resident tracked was identified with an uncovered bunion (and no slippers), which had apparently (according to the care plan) not been reviewed for approximately one year. A service user who was identified as having MRSA and who was sharing a bedroom had not had their care plan evaluated for approximately three months. No evidence was found in this care plan to demonstrate that an agreement had been made regarding the sharing of rooms. The care plan of a service user tracked who was identified at nutritional risk and loosing weight and who had not been weighed since July 2005 was inspected. Although care plans indicated that she was “still loosing weight” the plan had not been evaluated and no care plan was in place regarding any actions taken or in relation to the maintenance of privacy or dignity Medication was inspected in relation to residents tracked and after evidence was found to suggest that record keeping was poor further records were inspected. Eleven instances were found where essential medication had not been signed and no risk assessment was found regarding a resident who was self medicating. Observation of staff at work indicated that in the main staff treated residents with privacy and dignity although on discussion with service users choice was rarely offered with regard to seating arrangements. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 11 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 standard(s) 12.13.15 Food provided to residents is of good quality and prepared well. Discussion with residents would ensure that they were satisfied with meals and menus provided. The activities provided within the home do not meet service users’ expectations, interests and needs. EVIDENCE: Discussions with residents and the deputy manager demonstrated that although residents have enjoyed several outings and excursions this year at present no activities organiser was in post at the time of this inspection. The administrator informed the inspector that applications were going out after the inspection. A number of residents indicated to the inspector that they were resigned to entertaining themselves and although it was indicated by the deputy manager that staff were responsible for activities, nothing was planned. One resident tracked informed the inspector that she was “fed up” and others were noted to be irritable with each other. During this inspection the deputy manager instigated a game of indoor bowls. A relative spoken with stated that although generally she considered her relative was well cared for that “there was never much going on” Discussions with the cook and observation of the midday meal indicated that all food was well-prepared and presented and offered good choices. Residents spoken with indicated that on occasions meals became repetitive and that their views were not considered regarding menus. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 12 Food being served included two hot choices and a selection of fresh vegetables. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 13 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 standard(s) 16.18 The home’s failure to respond appropriately to incidents and complaints results in the values and principles of the home not being upheld. Failure to respond appropriately potentially increases the risk of service users being put at potential risk of harm or abuse. EVIDENCE: The home has a policy and procedure regarding complaints. It was not possible to confirm with residents tracked if they were aware of this procedure. Other residents spoken with indicated that they would know how to complain and who to. Records of complaints were inspected and it was noted that the home has had only one complaint since the last inspection; this was received the week prior to the inspection. The concerns raised within this complaint were significant enough to require that the matter be referred to the Social Services Department under the local adult protection policy. The acting operations manager dealt this with in the registered managers absence, although it was a matter, which should have been reported to Social services sooner in relation to the matters raised. It was indicated that the matter was due to be dealt with on the return (from leave) of the manager. Staff spoken with and records inspected confirmed that all were trained in adult protection and management of challenging behaviour. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 14 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 standard(s) 19.20. Clean, safe and well maintained living areas and rooms, and provision of appropriate equipment and facilities ensure that residents live in surroundings, which maximise independence and are comfortable and homely. EVIDENCE: Observation of individual accommodation and associated communal areas of the home demonstrate that the home is suitable for its stated purpose and meets the individual needs of residents accommodated. The home is well maintained and grounds are accessible to residents who are disabled. Shared facilities were inspected during case tracking and found to comply with communal space requirements. The home is warm, well decorated and maintained. A full time maintenance person is employed for general maintenance work. Observations during this inspection confirmed that all residents case tracked required adaptations and equipment to meet their assessed needs, including pressure relieving mattresses and cushions, nursing beds, hoists, and seating. All equipment required by these individuals was found in place although not fully documented in care plans. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 15 Discussions with the chef and assistant cook indicated that they had serious concerns regarding there ability to safely sanitise hand washed crockery and cutlery, this was due to the current dishwasher requiring continual repairs and often being out of order. The dishwasher had apparently been repaired a number of times this year. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27.30 The home provides sufficient numbers of staff with the skills mix necessary to meet the needs of service users. Training provided is adequate however outcomes would be improved by the inclusion of specific training related to residents’ individual conditions. EVIDENCE: During this inspection a calculation of staff hours demonstrated that the home are meeting the minimum staffing hours as recommended by the previous registration authority. The home was not fully occupied during this inspection however it was noted that a high percentage of residents have medium to high dependency needs. Residents tracked fell within the medium to high category. Rosters seen indicate that the home relies on bank staff to fill shift gaps and that only three full time nurses are employed in the home including the deputy manager. Rosters indicated that the deputy manager who was deputising for the manager whilst she was on leave had been given two days to undertake management duties, this was considered inadequate as the deputy manager was inexperienced and unfamiliar with management responsibilities and inspection procedure. Staff training records were inspected and it was noted that all staff have now received appropriate adult protection training. Additionally two staff have undertaken equality and diversity training. Staff records indicated that seven staff most of who were care assistants had received recent wound care training but the content of this was not detailed and the inspector recommended that this should include documentation. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 17 Ongoing NVQ training was well evidenced and the home have approximately 55 of staff trained to at least level two. The inspector recommended that infection control and continence training is provided after case tracking two residents with continence and infection related conditions, which identified areas for improvement regarding care planning. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36.38 A lack of formal supervision of staff potentially leads to poor care practise and ineffective staff. This may result in the health and welfare of residents being compromised. Robust procedures and systems of monitoring ensures that the safety and welfare of residents is protected. EVIDENCE: Staff supervision records were inspected and although evidence was found to demonstrate that some formal supervision of staff was taking place, discussion with other staff including trained staff indicated that many were not aware of the concept of supervision and described it as having informal short chats with the manager. No records were in place to demonstrate clinical supervision of trained staff or evidence of any post registration development. The deputy manager informed the inspector that supervision of night staff had not been commenced despite this being a requirement at the previous inspection. It was not possible to ascertain how or who supervises ancillary staff. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 19 The health and safety of residents is protected by sound organisational procedures. Evidence of fire procedures was inspected and all records related to fire including weekly and monthly checks and fire training was fully evidenced. Concerns were raised however with regard to the updating of moving and handling risk assessments and with regard to the updating of first aid training. Currently the home has five first aiders, however records seen indicate that their qualifications have now expired. It was not possible to ascertain the level of understanding of case tracked residents with regard to fire procedure although others indicated they were aware of the fire alarm tests and procedures. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x x x x 2 x 3 Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 18 Regulation 13(6) Requirement The registered provider must investigate the incident identified under the local no secrets adult protection policy The registered provider must make arrangements for the safe administration and record keeping associated with administration of medicines. The registered provider must ensure that risk assessments for cotsides are evaluated at least monthly or more often as deemed necessary according to risk. The registered provider must ensure that care plans are kept under review and evaluated at least monthly or more often as deemed necessary according to risk. The registered provider must ensure that podiatry advice and treatment is obtained when required.Podiatry treatment received must be fully documented in care plans. The registered provider must make suitable arrangements to ensure that social activities are planned and implemented each Timescale for action Immediate 2. 9 13(2) Immediate 3. 7 13(4) By 31st October 2005 4. 7 15(2) By 31st October 2005 5. 8 13(1) By 31st October 2005 6. 12 16 By 31st October 2005 Page 22 Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 week. 7. 27 18 The registered provider shall having regard to the numbers and needs of service users ensure that in the absence of the registered manager that the deputy manager is fully supernumerary and supported in order to fulfil managerial duties required. The registered person must provide training for care staff appropriate to the work they are to perform,this must include incontinence training. The registered provider must as far as practicable seek to obtain and take into account residents wishes and views regarding menus and meal choices The registered provider must provide an action plan detailing how the competency of trained staff will be monitored to ensure compliance with company policy and professional accountability with regard to the administration of medication. By 31st October 2005 8. 30 18(1)c(1) By 31st October20 05 By 31st October 2005 By 31st October 2005 9. 15 12 10. 30 18 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. 4. Refer to Standard 36 7 7 7 Good Practice Recommendations The registered provider is recommended to provide clinical supervision to trained staff. The registered provider is recommended to include in the care plan detauils of preferred bedtimes and getting up times. The registered provider is recommended to include a personal choices care plan in residents records. The registered provider is recommended to fully detail the tupe of equipment required for residents use in the care C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 23 Harley Grange Nursing Home 5. 6. 7. 8. 9. 7 7 19 37 38 plan The registered provider is recommended to fully detail seating arrangements and preferences in the residents care plan. The reistered provider is recommended to ensure that arrangements for sharing of rooms are regularly evaluated. The registered provider is recommended to consider the replacement of the dishwasher to ensure that crockery and cutlery is adequately sanitised. It is recommended that trained and care staff receive record keeping training. It is recommended that staff with expired first aid training are updated within three months. Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 Page 24 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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 Harley Grange Nursing Home C51 C01 S1908 Harley Grange V248534 130905 STAGE 2.doc Version 1.40 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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