Inspection on 21/02/07 for Heatherdene

This inspection was carried out on 21st February 2007.

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

Heatherdene 09/02/09

Heatherdene 06/02/06

Heatherdene 11/07/05

Heatherdene 26/01/05

Heatherdene 10/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Heatherdene 13-14 Southfields Road Eastbourne East Sussex BN21 1BU Lead Inspector Elizabeth Dudley Key Unannounced Inspection 21st February 2007 10:00 Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heatherdene Address 13-14 Southfields Road Eastbourne East Sussex BN21 1BU 01323 642715 01323 731646 enquiry@heatherdene.co.uk 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) Heatherdene Limited Mrs Terry Blandford Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (23) Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is twenty three (23) 6th February 2006 Date of last inspection Brief Description of the Service: Heatherdene is registered to provide residential care to twenty-three people who have mental health problems. People are admitted to the home aged eighteen and above, with no upper age limit on admission. Most of the current residents are under sixty-five and therefore within the younger adult category. The home is a three-storey detached property in an attractive residential area close to Eastbourne town centre. The home is close to local transport links, shops and the towns facilities. There are twenty-three single bedrooms in the home, eight of which have en-suite facilities. There are a number of communal areas, some of which provide areas to smoke in. The home is well maintained throughout. There is a large secluded garden at the rear of the property. There is parking at the front of the building and a ramp to enable disabled access. Fees as informed by the manager on the 21st February 2007 range from £500 to £1200 per week. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 21st February 2007 over a period of five hours and was facilitated by the home manager, Mrs T Blandford. During the course of the inspection a tour of the home took place, with documentation, which included care plans, medication records, health and safety documents, personnel files and staff training records being examined. Eight residents and five members of staff were spoken with and their views on the services offered by the home were obtained. Prior to the inspection questionnaires were sent to a total of ten residents in order to gain their opinion on the home prior the inspection. Nine of these were returned and all responses made favourable comments about the home. Residents spoken with were positive about the home, they confirmed that they had received sufficient information about the home prior to their admission and had visited the home. In some instances residents stated that they had visited the home on several occasions prior to them deciding whether they wished to live at the home. Comments from residents included ‘ They talk to us about how we want them to do things for us and listen to what we say’. ‘ They discuss what we want done at reviews and whether we agree to their ideas or not’. ‘The staff are friendly and quite helpful most of the time’. ‘ The food is good, we get choices and can make our own drinks and toast and things.’ ‘ We can choose what we do, our programmes and appointments and such, and go out to town when we want’. What the service does well: The service provides care to service users and enables service users to have their needs and services met. Both younger adults and older people are resident in the home, and the home is able to demonstrate that they have the resources and the ability to address the individual needs of people who fall into both these categories of resident. The management team and staff demonstrated that they had the skills to deliver a robust quality of care to those living at the home whilst enabling them to have sufficient autonomy to make decisions about how they wished to live their lives. They provide assistance to residents less able to make these choices for themselves. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 6 Residents described the home as having a ‘..Family atmosphere’ with staff being ‘..Interested in all parts of our lives, even our own families and friends’. Residents are able to take advantage of a range of activities within the home and are encouraged to take part in activities in the general community outside the home. There is an efficient staff recruitment system in place and opportunities for staff training are in place. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 7 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 Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good, The documentation and a comprehensive assessment provided by the home enables prospective residents to make an informed choice over whether the home can meet their needs. Prospective residents can visit the home on several occasions prior to making a decision and a three-month trial period is in operation. EVIDENCE: There is a comprehensive statement of purpose and service user guide, both of which include all the information that is required by prospective and existing residents. A copy of the Service User Guide is given to all residents on their admission to the home, with the Statement of Purpose being accessible to any interested parties. All residents are provided with a contract and terms and conditions on their admission to the home and copies of this document, signed by residents, were seen. The manager ensures that a comprehensive assessment of prospective residents is undertaken prior to their admission, with residents being able to visit the home, often over a long period of time, before deciding whether they wish to live at the home. During these visits they meet other residents and are Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 9 able to stay overnight or join in meals at the home. There is a three-month trial period following admission. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans are reviewed on a regular basis and reflect the individual support required by residents in order that their needs can be met. Risk assessments allow residents to maintain autonomy over all areas of their lives whilst ensuring that their wellbeing is safeguarded. EVIDENCE: Individual care plans are formed from the preadmission assessments. Care plans are detailed and include comprehensive risk assessments. They show evidence of regular review and reflect the ongoing support required by the residents. There was evidence in some cases that residents were involved in the formation of the care plans, this should be applied to all the care plans, or evidence that the resident or their representative does not wish to participate Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 11 shown. The majority of residents spoken with confirmed that they were consulted about their plan of care. Reviews take place on a regular basis and involve health and social care professionals, staff and the resident or their representative. There was evidence that care plans were reviewed and changed to reflect the current needs of the individual and that general health care needs were identified. In the majority of care plans examined, there was evidence that discussion with residents regarding specific choices and preferences had taken place. Residents do not generally participate in the daily running of the home, but they take part in general discussions relating to this, and participate in resident’s meetings. Risk assessments are comprehensive and address all risks including those to residents who participate in the local community. There was evidence that residents are able to make decisions over the places they wish to go, and staff can accompany them if the risk assessment indicates need for this. Staff receive training on the importance of maintaining confidentiality and those staff spoken with were aware of their responsibilities in this area. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are encouraged to have opportunities for personal development and to take part in appropriate activities, whilst maintaining their present interests and skills. A varied menu is offered which can accommodate any special nutritional needs of the individual resident, and residents confirmed that the standard of catering offered meets their expectations. EVIDENCE: There was evidence of residents participating in a wide range of activities both inside and outside the home. The home provides recreational activities, which include Bingo, snooker, chess and board games, computer and Internet access and cooking sessions. Outings and holidays, including occasional day trips to France, are arranged by the home. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 13 Residents have the opportunity to take part in educational opportunities, attend local art and craft groups and generally helped to live as normal a life as their abilities will allow. Some residents attend local rehabilitation centres. Residents are free to come and go as they please within the auspices of risk assessments and many have friends from the local community. Staff accompany those residents who do not have the abilities to integrate into the community or are too vulnerable to go out alone. Many residents visit the local swimming baths or gyms. Residents are encouraged to pursue their own interests, evidence of this seen in resident’s rooms or on talking to residents. There was evidence of contact being maintained with families and representatives, and they and other visitors are welcomed into the home. Conversation with staff showed that they were aware of the family relationships of all the residents and liaised with the families following consultation with residents. Residents said that they had freedom of choice in all aspects of life in the home and ‘..We can please ourselves what we do’. ‘ Staff help us a lot but do not impose on us’. ‘ The staff let us do what we like, really’. ‘ On the whole we get a lot of help if we want it’. All residents have a key to their individual rooms, many have a front door key and all rooms have a lockable facility for residents’ personal valuables and money. There was evidence of good and comfortable interaction between staff and residents. There is a varied menu, which is adjusted to the seasons of the year, all residents get two choices at lunch and supper and a continental breakfast is served until 9 am. Residents said that fresh fruit and vegetables were available and also a small kitchen where they could make snacks and drinks. Special medical or reducing diets can be provided with care plans acknowledging individual nutritional requirements. Residents are weighed at regular intervals and action taken to address nutritional requirements. The kitchen was clean and all records required by the environmental health authority were in place. There has been a recent inspection by this authority and the report on this was seen. All residents were aware of the choices of menu available and said that different choices were available if they did not like that which was on offer. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 14 Meals are taken in a dining room. Residents said ‘.. The food is lovely’, ‘ ..We get good meals here’, ‘.. There is a choice and they do my diet for me’. ‘.. On the whole the meals are pretty alright’. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive personal care in a dignified and discreet manner and are assisted to access the services of health care professionals. A robust system of medication safeguards the residents. EVIDENCE: There was evidence that care plans addressed the physical and general health needs of the residents, showed awareness of the need for nutritional monitoring and used special diets where applicable. Staff showed that they were aware of the implications of various medical conditions in relation to their psychological status. Residents spoken with said that in instances of staff providing help with personal care, this was given in a discreet manner with staff respecting their dignity and privacy. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 16 General Practitioners and other health care professionals support residents, and there was evidence of adequate and frequent liaison between these and the staff at the home. Residents are assisted to make and attend appointments at the General Practitioners surgery and various clinics, dentists and hospitals. Personal support is flexible enabling residents to make choices relating to their activities of daily living. There is a robust medication system, with residents being encouraged to administer their own medications where appropriate and under the auspices of a risk assessment. All medication charts were signed following the administration of medication, and there was evidence of medication audit and stock rotation and staff awareness of the storage and recording requirements of medication. Staff that administer medication have receive the appropriate training. The manager and staff showed an awareness of the needs of people facing terminal illness or death, and were aware of the necessity to involve community and specialist nurses in this event. There are policies and procedures in place to address this. Some staff have experience in a palliative care setting and the manager stated that training for other staff would be put in place in the case of it being required. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 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. 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 by a robust complaints procedure and the staff’s awareness of their responsibilities in the safeguarding of those in their care. Complaints are dealt with in an open and transparent manner. EVIDENCE: The complaints policy is displayed in the home and in the service user guide. Residents were aware of to whom to make a complaint and those spoken with were comfortable to do so. No complaints have been received since the last inspection, but previous records seen identified that complaints were dealt with in a fair and transparent manner. Staff have undertaken training in the safeguarding of adults and were aware of their responsibilities towards those in their care. The company is appointee for the financial affairs of fifteen residents. Records of money held for residents were seen and were in order. Residents are able to access their money at any time. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable environment that provides individual bedrooms and sufficient communal space and bathrooms to meet their needs. The home is well maintained and benefits from a secluded garden that is frequently used by the residents. EVIDENCE: Residents live in a clean and comfortable environment that provides individual rooms and sufficient communal space to meet their needs. There is a well-maintained garden to the rear of the home, which provides secluded areas of seating and is accessible for residents. Nine of the twenty-three rooms have ensuite bathrooms, some with baths and the others with a wc and washbasin. There are three communal bathrooms and three shower facilities. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 19 All individual rooms have a lockable door with residents having their own keys, and all residents have a lockable facility for their valuables. Upper floor windows have window restrictors and radiators have heat guards. Water temperatures to residents’ outlets are tested on a regular basis and are within recommended parameters. There was evidence of an ongoing maintenance programme. All areas of the home are clean and free from offensive odours. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are provided in sufficient numbers and receive suitable training to meet the needs of the residents. Formal supervision of staff and robust recruitment practices safeguard the residents. EVIDENCE: There was evidence that staff are employed in sufficient numbers to meet the needs of the residents. Staff spoken with confirmed that they have sufficient staff on duty and that they were aware of their roles in supporting residents and their contribution to ensure the smooth running of the home. Staff stated that they had job descriptions on commencement of employment and records confirmed this. Over 50 of the staff have attained their National Vocational Qualification level 2 or 3 in care. There was evidence of additional training, including mandatory health and safety training, and the manager stated that a programme of Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 21 training in mental health needs was commencing. Staff also receive informal training in the needs of the residents in the home. Courses in the process of being arranged for staff include infection control and dealing with challenging behaviour. Staff meetings take place on a monthly basis and the minutes of these showed that staff were able to participate fully in these. Staff receive formal supervision six times a year and there is an appraisal programme in place. Staff stated that in addition to the planned supervision they could ask for supervision at any time that they required this, and extra sessions would be given to them. Four personnel files were examined and these showed that all pre-employment checks are in place and that they included all documentation as required by the regulations. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Management systems within the home safeguard the residents, staff and visitors to the home. Quality monitoring ensures that the home is providing a service that meets the resident’s expectations. EVIDENCE: The manager has worked at the home for 18 years and has held the post of manager for 13 years. She has gained the National Vocational Qualification level 4 in care, the Registered Managers Award, an MBA in Business Administration, and is at present studying for a diploma in psychiatric studies. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 23 Staff and residents stated that the ethos in the home was good and that they were able to approach the management at any time, and that the manager and staff worked as a team. The home has a quality monitoring system, which includes questionnaires being sent to residents and staff on a six monthly basis, with information gained from these influencing practice within the home. Questionnaires are also sent to health and social care professionals and representatives or relatives of residents. Policies and procedures are updated on a regular basis. Regulation 26 visits (Provider visits) take place monthly and copies of these were seen in the home. All documentation relating to the servicing of utilities and equipment was in place and in date, all staff receive regular mandatory training, which is updated at the required intervals. There was evidence of a fire risk assessment and adequate fire equipment, training and drills. Residents spoken with were aware of their actions to be taken in the case of fire. Insurance cover is provided for the business and all residents’ finances were seen to be in order. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 4 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 3 3 3 4 3 3 3 3 Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard YA6 Good Practice Recommendations That written evidence is in place to show that the care plans are formed in consultation with the service user. Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Heatherdene DS0000021132.V324973.R01.S.doc Version 5.2 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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