Inspection on 09/05/06 for Hartington Road Care Home

This inspection was carried out on 9th May 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hartington Road Care Home 08/05/07

Hartington Road Care Home 23/10/05

Hartington Road Care Home 11/08/05

Hartington Road Care Home 04/03/05

Hartington Road Care Home 16/09/04

Hartington Road Care Home 24/03/04

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

CARE HOME ADULTS 18-65 Hartington Road Care Home 75 Hartington Road Leicester Leicestershire LE2 0GQ Lead Inspector Chris Wroe Unannounced Inspection 9th May 2006 4:00pm Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 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 Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 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. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hartington Road Care Home Address 75 Hartington Road Leicester Leicestershire LE2 0GQ 0116 2425779 0116 2516112 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) None Mr Mohammed Anwar Mr Mohammed Anwar Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 21/12/05 Brief Description of the Service: Hartington House (or Heart House) is registered to provide care for three residents with mental health problems. The home is a terraced house set in a residential area and is approximately a 10 minute bus journey from the city centre. The home was set up specifically to meet the cultural needs of people from the Asian community. It is situated on Hartington Road opposite a community centre and close to a range of shops and local amenities. There is one single and one shared bedroom, both of which are located on the first floor. On entering the home, there is an open plan dining room and lounge. The kitchen leads off the dining room, and the toilet and shower room are at the rear, on the ground floor. The staff at the home encourage service users to maintain their independence and have daily routines. The home has a mixed skilled staff team and some are able to converse in the service users’ first languages. Fees are charged at £270 per week plus £10 per hour for any specific individual one to one care that someone may need. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. The inspector visited the home on 9th May 2006. The visit started at 4.00pm and lasted for three hours. Three residents were at home during the inspection. All residents chose to speak to the inspector. The inspector spoke with one resident and one member of staff with the help of an interpreter. The main method of inspection used was ‘case tracking’. This means looking at the care given to residents in different ways. The ways this was done are: • talking to the residents • talking to staff and the manager • watching how residents are given support • looking at written records. All the residents were happy about the care given by staff. They felt they got good support. They felt the home was comfortable and they had what they need. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Only three residents live in the home, so a lot of individual detail has been kept out of the report, to make sure it is kept confidential. What the service does well: Care assessments are in place, and information for ongoing reviews into residents’ welfare and needs. Care plans contain good information about residents’ wishes and needs. Each person is shown as an individual, and this is reflected in the way residents talk about the different things they do. Risk assessments are in place, which give information about how to enable residents to do things they want to do and to be safe. Residents have the chance to be involved in the community. They spend days during the week at a neighbouring care home for day care. One resident helps out in local shops, another does therapeutic work in the neighbouring home. Residents are able to come and go from the home independently. Resident are enabled to have family contact if they wish it and to develop relationships. Residents’ privacy is respected. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 6 Health and personal care needs are well met, with regular check-ups arranged for residents. The home is adequately furnished and is generally clean throughout. Residents are satisfied with their bedrooms and living space. A consistent staff group works in the home. One member of staff lives in the home. Ongoing supervision is held with staff, to make sure they are continuing to work well. Residents meetings and staff meetings are held to gain views about how the home is running. Residents feel that they can raise any issues or concerns they have. Policies and procedures are in place in the home, which tell staff about how to carry out their tasks properly and about safe working practices. Safety checks of equipment are carried out. What has improved since the last inspection? What they could do better: Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 7 Records could be kept to show how attention is paid to ensuring residents have healthy balanced meals throughout the day, which are of benefit to their health and wellbeing. Where residents keep their own homely remedies, a risk assessment could be carried out, and a private lockable storage compartment be provided. The provider could ensure that written guidance is sought from residents’ GPs about what homely remedies are suitable and safe for residents to take without needing to consult the GP. In order to promote residents’ health and wellbeing, attention could be paid to making the garden an attractive and safe place for residents to enjoy. Repairs could be carried out to the floor in the toilet, to ensure that the area is safe for residents’ health. The provider could ensure that members of staff’s contracts reflect the hours they work, in order to fulfil legal requirements. The provider could ensure that all information, including the contract, is provided for members of staff in a format, which is accessible to them on an ongoing basis. A specific risk assessment could be carried out, which shows what action lone staff working in the home should take if they need support. The Statement of Purpose could be altered to correctly reflect the management of the home, in order that residents are not mislead. In order to ensure that the residents benefit from consistent ongoing support, it is recommended that the provider ensures that a duty roster is kept in the home showing the hours actually worked by and the role of each member of staff, including the registered manager. Please contact the provider for advice of actions taken in response to this Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 8 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 9 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 Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs and aspirations continue to be assessed, and terms and conditions remain the same. EVIDENCE: Care assessments were in files for all residents, giving information about the care and support they needed when they came into the home. Continuing assessment is carried out at ongoing healthcare reviews, with involvement of mental health professionals. Terms and conditions for residents remain in place. Residents said they felt able to raise any issues about the home with the staff and owner. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to fulfil their own needs and choices. EVIDENCE: Care plans have good information about residents’ needs and about how staff can support residents. Care plans talk about how staff help residents to make choices and to be independent. Care plans show that each person is an individual with different needs and wishes about how they want to live their lives. Staff show that they help residents to be in charge of their own lives. Residents are able to go out when they want to, and to be as independent as possible. One resident helps in local shops in the community, and one resident does therapeutic work in a neighbouring care home, with the support of staff. Residents’ weekly benefits are received at the home and given to them to manage independently. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 12 Staff write ‘risk assessments’, which talk about what residents are able to do and how staff can keep them safe from harm. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents generally benefit from a good lifestyle in the home. EVIDENCE: Residents spend time during the day at a neighbouring home run by the same provider. Residents said that they enjoy going to this home. Different things that residents do include working in jobs, going out in the community and helping in the home. Residents are able to go out when they want to, and to be involved in the local community. Residents in the home have different faiths and cultural choices, and staff support residents in these. Religious festivals are celebrated, and staff help residents to fulfil the requirements of their religion. Staff support residents to have contact with their families, if they want it. One resident said that he sees his brother sometimes. Staff give support to residents to develop personal relationships if they want to. Residents are able to spend time on their own if they want to, or to mix with others. Private mail, which comes to the home for residents, is given to them Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 14 to deal with, and the staff will give help if needed. Staff knock on bedroom doors and respect privacy before entering. The residents have their lunchtime meal at the neighbouring care home where they choose to spend their day. Meals are provided which cater for the different dietary, religious and cultural needs of residents, for example, vegetarian. A meal can be brought home for residents for evenings if they wish for it, or the member of staff can cook what they would like. Sometimes residents buy food from local takeaway shops, which they buy for themselves. There is a policy about nutrition and diet in the home, which includes information about dietary needs. Records show foods, which residents eat at lunchtime, but there is no record to show that residents are getting a consistent nutritionally balanced meal in the evening. It is recommended that records are kept to show how attention is paid to ensuring residents have healthy balanced meals throughout the day, which are of benefit to their health and wellbeing. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from good staff attention to health and medical care needs. Further attention could be given to medication systems to ensure residents’ safety. EVIDENCE: Residents are mainly able to be independent, but staff prompt residents to look after their health and personal care, when needed. The lifestyle of the home is relaxed and flexible to enable residents to make choices. Staff are aware of the different personal support needs of residents. Reviews are held to make sure residents’ mental health needs continue to be met, and medication is right for them. Health care check-ups are arranged for residents, such as dentist and optician appointments. Care plans contain details of health care needs. Residents can deal with their own medication if they are able to and it is safe for them. Currently residents who are supported in taking their medication by staff need to take medication in the day-time only, and so the medication stores and records are held at the neighbouring home. Records were available for the inspector to check. During a tour of the premises, an unlabelled bottle of paracetemol was found in one resident’s bedroom. It is recommended that Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 16 where residents keep their own additional homely remedies, a risk assessment is carried out, a private lockable storage compartment is provided. It is also recommended that the provider ensures that written guidance is sought from residents’ GPs about what homely remedies are suitable and safe for residents to take without needing to consult the GP. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from harm by policies in the home and awareness of staff. EVIDENCE: The home has a complaints procedure for residents to use. Residents said they feel able to raise anything they are concerned about, and staff will deal with it. There are procedures in the home, which talk about what action to take to protect residents from harm and keep them safe. Staff in the home have recently had training about the local multi-agency policies to protect vulnerable adults from harm, and one member of staff was able to talk about what she would do about any suspicion of harm. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a generally clean and comfortable home, but some attention could be paid to improvements. EVIDENCE: The home provides adequate furnishings and fittings for residents, although some are of a basic quality. Residents are able to have their own things in their bedrooms. Residents told the inspector that they were happy with their bedrooms, and had everything they needed. Residents help to keep their rooms and other parts of the home tidy. Tests of electrical equipment are carried out to make sure equipment is safe. Records show that routine cleaning and temperature testing in the kitchen is carried out, although there were some gaps in recording. There is a yard/garden at the back of the house, but it is not in a good state for residents to enjoy. In order to promote residents’ health and wellbeing, it is recommended that attention is paid to making the garden an attractive and safe place for residents to enjoy. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 19 Residents can do their own laundry, with the help of staff if they wish. The washing machine is situated in the kitchen, which although not best practice, is in keeping with a domestic style home of this size. Most areas of the home were seen to be clean. In the toilet it was noted that the grouting had gone between some of the floor tiles, and that the area between tiles was wet, creating a potential health hazard. At the last inspection it was recommended that this was addressed, but no action has yet been taken. It is further strongly recommended that this matter be dealt with to ensure a safe environment for residents. There has been no record available over a number of inspections of evidence of contact with the Environmental Health Department. In order to ensure that the home continues to meet requirements relating to health and safety, the inspector will request a site visit by the Environmental Health Officer to assess practices within the home. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from supportive staff.. EVIDENCE: Written records needed for employment of staff are in place. One member of staff lives in the home on an ongoing basis. The hours she works are not reflected in her contract of employment, and it would be good practice if the provider rectifies this, to ensure legal requirements are met. The member of staff does not read or write in any language, and it would be good practice if the provider ensures that all information, including the contract, is provided for the member of staff in a format which is accessible to her on an ongoing basis. The manager has brought in a risk assessment, about lone working in the home. While this is a general policy, it does not specifically relate to any aspects of risk in the home, and it is recommended a specific risk assessment is carried out which shows what action lone staff working in the home should take if they need support. Staff have had recent training in adult protection, to help them to continue to do their job well. Staff have ongoing supervision to support them to do their job. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are kept generally safe by management systems in the home. EVIDENCE: The owner is also the manager of the home. An application was made for an alternative manager, but when this was unsuccessful, the owner has continued to manage the home. The owner’s son is the deputy manager. The Statement of Purpose incorrectly states that the owner’s son is the manager, and it is recommended that this is changed, in order that residents are not mislead. The deputy manager has active involvement in the running of the home. The staff rota was confusing in that it showed the deputy manager’s attendance at the home on the day of inspection, but he was outside Leicester. It is also unclear about the registered manager’s involvement in the home. In order to ensure that the residents benefit from consistent ongoing support, it is recommended that the provider ensures that a duty roster is kept in the home showing the hours actually worked by and the role of each member of staff, including the registered manager. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 22 There are different ways that staff try to get people’s views about how the home is run. Residents meetings are held sometimes, and residents have an input into the daycare programme of the neighbouring home where they spend time. Residents were able to talk with the inspector, and staff were open to ideas and to any issues raised. Staff meetings are also held in the home. Tests of fire safety equipment have been carried out as required. Residents described their knowledge of the fire evacuation procedures. Risk assessments have been carried out to make sure that staff are safe carrying out different tasks in the home. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 23 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 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 24 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 Refer to Standard YA20 YA20 Good Practice Recommendations It is recommended that where residents keep their own homely remedies, a risk assessment is carried out, and a private lockable storage compartment is provided. It is recommended that the provider ensures that written guidance is sought from residents’ GPs about what homely remedies are suitable and safe for residents to take without needing to consult the GP. In order to promote residents’ health and wellbeing, it is recommended that attention is paid to making the garden an attractive and safe place for residents to enjoy. It is strongly recommended that repairs are carried out to the floor in the toilet, to ensure that the area is safe for residents’ health. It is recommended that the Statement of Purpose is altered to correctly reflect the management of the home, in order that residents are not mislead. It is recommended that the provider ensures that a duty roster is kept in the home showing the hours actually DS0000006437.V291953.R01.S.doc Version 5.1 Page 25 3 4 5 6 YA24 YA30 YA37 YA37 Hartington Road Care Home worked by and the role of each member of staff, including the registered manager. Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 Hartington Road Care Home DS0000006437.V291953.R01.S.doc Version 5.1 Page 27 - 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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