Inspection on 06/09/06 for Jubilee Court Care Home

This inspection was carried out on 6th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Jubilee Court Care Home 06/01/09

Jubilee Court Care Home 06/09/07

Jubilee Court Care Home 09/02/06

Jubilee Court Care Home 20/10/05

Jubilee Court Care Home 01/03/05

Jubilee Court Care Home 02/09/04

Jubilee Court Care Home 04/03/04

Similar services:

London Road Neurological and Specialist Care Unit

Carlton Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Jubilee Court Care Home Nabbs Lane Hucknall Nottingham NG15 6HB Lead Inspector Richard Ramsden Key Unannounced Inspection 6th September 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Court Care Home Address Nabbs Lane Hucknall Nottingham NG15 6HB 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) 0115 983 4630 0115 983 4640 Nottinghamshire County Council Mrs Colleen Russell Care Home 60 Category(ies) of Dementia (30), Dementia - over 65 years of age registration, with number (30), Old age, not falling within any other of places category (60), Physical disability (5) Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Out of the total number of beds (60), there will be 30 beds for DE 55 and over and/or DE(E) Out of the total number of beds (60), 5 may be used for PD 55 and over Service Users shall be within category OP Date of last inspection 9th February 2006 Brief Description of the Service: Jubilee Court is a purpose-built care home for up to 60 older people some of whom may have dementia. The home is owned and managed by Nottinghamshire County Council Social Services. The accommodation is provided on two floors with two shaft lifts to assist independent access. The home is divided into four units each with kitchen, dining room, sitting room and assisted bathing facilities. All bedrooms are for single occupancy and have ensuite facilities. One of the units is dedicated to provide respite care. There are pleasant well-maintained gardens, which are accessible to all residents. The monthly accommodation charges for those residents who are self funding would be £1508 per month. A copy of the most recent inspection report is available in the home. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 8 hours. It included the inspection of care and other records, a discussion with the registered manager, two team leaders, two members of care staff and two of the staff who work in the kitchen. The inspector spoke with five residents and a partial tour of the building was also completed. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history and the pre-inspection information provided by the manager. What the service does well: Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. Individual residents’ care plans are comprehensive and being reviewed on a regular basis, to ensure that staff have up-to-date information of what assistance and support each resident requires. The residents spoken with during the inspection said that they are very satisfied with the services provided by the home. They confirmed that the staff are always friendly and respectful and that they ensure that the residents privacy and dignity is maintained at all times. One resident who is blind, stated that the staff are always ‘popping in’ to ensure that shes okay. She said that the staff are ‘marvellous’ and cannot be faulted. Residents said that they are very happy with their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture, photographs, ornaments etc. All of the residents spoken with, confirmed that they can use their bedrooms at any time. One person said that she had been provided with the key so that she could lock her bedroom door. The home is purpose-built, it is comfortably furnished and well decorated. The residents said that it is always kept clean and tidy. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 6 The home’s registered manager is well qualified and experienced and ensures that the home is run in the best interests of the residents. Residents and staff confirm that the manager seeks their views about the way in which the home operates. The staff training records show that a considerable amount of training has been provided since the last inspection. There were aspects of good practice highlighted in the main body of the report. What has improved since the last inspection? What they could do better: The registered person should write to residents confirming that having looked at the preadmission assessment they believe that the home can meet their needs. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 7 Risk assessments must be completed with all residents who wish to administer their own medication. The laundry room door should be kept locked when there is no staff in situ. The room contains industrial laundry equipment and dirty laundry that could be harmful to residents, particularly those who have dementia. 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. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3. The literature supplied to prospective residents contains sufficient information for them to make an informed choice about whether the home will meet their needs. All residents have been provided with written terms and conditions of residence. Staff are ensuring that they can meet the assessed needs of prospective residents by obtaining full written assessments prior to their admission to the home. Jubilee Court does not provide intermediate care. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The literature provided to prospective residents has now been updated and a new brochure has been produced. This literature now contains sufficient information to enable people to make an informed choice, as to whether the home will meet their needs. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 10 All of the residents’ records viewed as part of this visit showed that they had been provided with Terms and Conditions of Residence documents. Two of the residents had signed to confirm that they agreed with the information in these documents. One person was unable to fully understand the information and staff had asked her son to sign on her behalf. This document was still waiting to be signed at the time of this visit. Three residents’ care plans were assessed during this visit and each contained a preadmission assessment, which had been completed by a social worker. The manager was advised that the registered person must confirm in writing to the service user, that having regard to the assessment, the care home is suitable for the purpose of meeting their needs, in respect of health and welfare. The home no longer provides intermediate care. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents individual care plans contain sufficient information and are regularly reviewed to ensure that staff are always aware of what support and assistance each resident requires. Residents’ health care needs are being met. There have been considerable improvements to the way in which medication is managed, however risk assessments must be completed with all residents who wish to administer their own medication, to protect residents health and safety. Residents feel that they are treated with respect and their rights to privacy are upheld. “Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service”. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three residents’ care plans were viewed as part of this visit, the care plans appeared to address the issues highlighted in the residents’ assessment process. It was noted that all the care plans viewed, had been reviewed and when necessary updated each month, to ensure that staff always have up-to-date information about the care and support each resident requires. Where possible people have signed to confirm their involvement in the care planning process. (This is good practice). The residents spoken with during this inspection said that they believe that their health care needs are being appropriately met. The residents’ records viewed during the visit confirms this. One resident said that she frequently has to go to hospital and a member of staff who she knows and trusts always accompanies her. There have been significant improvements in the way in which medication is managed within the home. Additional training has been provided for all staff that administer medication and the manager has introduced a system to monitor and review the administration process. The registered person has written to all senior staff informing them that they must rigorously follow the home’s medication procedures. It was however noted that two residents who administer their own medication did not have risk assessments, to ensure that they are safe to administer and store their medication. One person was carrying her medication in a bag attached to her walking frame. She also had some non-prescription medication, stored on the top of her bedside cabinet. The bedroom door was unlocked. This resident stated that staff had never informed her that she must store her medication securely, as it could present a health and safety risk to other residents. She did agree to ensure that in future it was stored in her locked bedside cabinet. The manager stated that all Team Leaders are aware that risk assessments must be completed with any resident who wishes to administer their own medication. The risk assessment formats are available and had been completed for one other resident. The risk assessments for the two residents who wish to manage their own medication were completed during this visit. The manager stated that she had Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 13 contacted her line manager to visit the home and discuss this issue with all staff who administer medication. It was also noted that staff are not recording the temperature in the treatment room where controlled medication is stored. The temperature must not exceed 25°C as it can deteriorate if stored at higher temperatures. All of the residents spoken with during the inspection said that staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Residents state that the lifestyle experienced in the home matches their expectations and preferences. People are encouraged to maintain contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. All of the residents spoken with said that they enjoyed the food provided by the home. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The residents spoken with during this visit said that they are generally satisfied with the level of activities and entertainment provided by the home. One person said that she enjoyed the entertainment, but that she is not always aware of what activities are being provided. She stated that a singer who plays an accordion had recently performed at the home and that the Salvation Army had visited the weekend before this inspection. One person said that religious services are held in the home but that they choose not to attend. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 15 All of the residents spoken with, said that they can have visitors at any time and confirmed that their visitors are always made welcome. The residents confirmed that they are encouraged to make decisions about their individual lifestyles within the home. One person said that until recently she had managed her own finances. All residents have been provided with information on how to contact local advocates and the procedure they must follow if they wish to view their personal records. (This is good practice) The members of staff spoken with during this inspection were able to demonstrate a good understanding of the homes Access to Records Policy. Residents meetings are held on a regular basis and appropriate minutes have been maintained. People said that the food provided by the home is of a very good standard, that there is always plenty of food and that alternatives will be provided if people do not want of food suggested on the menu. The lunch on the day of inspection appeared wholesome and nutritious and a vegetarian option had been provided. The cook discusses the meals with the residents and as a result of these discussions a new menu has been planned and will be implemented shortly. (This is good practice). Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Residents believe that their complaints would be taken seriously and that appropriate action would be taken. The homes complaints records support this view. The registered person is taking appropriate action to protect residents from abuse. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The home has an appropriate complaints procedure, which is available to residents staff and visitors. The homes complaints records show that there have been five complaints in the last 12 months. Four of these complaints had been dealt with appropriately; one other was still being investigated at the time of this inspection. All of the residents spoken with, said that if they had any concerns they could discuss them with any of the senior staff. They were confident that their complaints would be taken seriously and appropriate action would be taken. The inspector was advised that there have been no incidents of abuse in the home in the last 12 months. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 17 The home has an appropriate Whistle Blowing Procedure and the two members of staff spoken with during the inspection, were clear about their responsibilities to report all incidents. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. The accommodation is purpose built and maintained to a very good standard. At the time of inspection the home was clean and there were no offensive odours. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: A partial tour of the premises was completed as part of this visit. The purpose-built accommodation is comfortably furnished and well decorated. Four of the residents spoken with during the inspection said that they liked their bedrooms and confirmed that they can use them at any time. They said that they had been encouraged to personalise their rooms with small items of furniture, photographs and ornaments. The residents confirmed that the home is always kept very clean. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 19 Residents have now been offered keys to lock their bedroom doors; this will help to maintain privacy and protect their personal belongings. The laundry is a reasonable size and is well equipped with washable wall and floor covering. Relevant sections of the homes infection control policy were displayed in the laundry so that staff can have easy access to them. It was noted on the day of inspection that the lock on the laundry room door had been disabled and there were no staff in situ. This means that residents, some of whom may have dementia, had access to the laundry equipment and soiled linen. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Adequate staffing levels are being maintained. The home’s recruitment policies and practices are supporting and protecting residents. The manager was able to demonstrate the homes commitment to staff training and development. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The staff rotas provided prior to the inspection and those viewed on the day of inspection, showed that sufficient staff are being provided to comply with previously agreed staffing levels. The residents spoken with confirmed that although staff appear busy, they always find time for social interaction. One person, who is partially sighted, said that staff are always “popping in” to make sure that she is alright. The personal records of two members of staff were assessed as part of this visit; one set of records contained all the required information. The second set of records did not contain a Criminal Records Bureau check, although there was confirmation that an appropriate CRB check had been received. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 21 Out of a total of 38 care staff 15 had completed NVQ level 2 or above. A further 8 members of staff were completing NVQ training at the time of this inspection. The information supplied by the manager prior to this inspection showed that a considerable amount of staff training has been provided over the last year. (This is good practice). The members of staff spoken with during the inspection said that they are always being encouraged to attend training courses. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The homes manager is well qualified and experienced. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. Where checked the health and safety of residents and staff are generally promoted and protected. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The manager is well qualified and experienced. She has worked in a managerial capacity with older people since 1993 and has been a registered manager since 2003. Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 23 She has professional social work qualifications and has completed the registered managers award. Residents and staff said that the manager is a very approachable and that she seeks their views about the way in which the home is run. Quality monitoring systems are in place, which show that residents and stakeholders in the community are being encouraged to express their views about the services provided by the home. The manager has used this information to help develop an individual business plan for the home. (This is good practice). The records of residents’ finances were checked and were well maintained. The residents who were asked said that they were happy with the way their finances are managed. The records of items handed in for safekeeping were checked at random and had all been well maintained. Since the last inspection a number of staff have completed training in first aid to ensure that there is always an appropriately qualified person on duty. The home’s Fire records and Legionella assessment, including water temperature tests had all been well maintained. As previously mentioned the lock on the laundry door had been disabled enabling residents some of whom may have dementia to gain access to this room. The room contains industrial machinery and foul linen, which could potentially put residents’ health and safety at risk. Jubilee Court Care Home DS0000043200.V302728.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement It is required that individual risk assessments must be completed and regularly reviewed with all residents who wish to administer their own medication. Staff must ensure that the medication is stored securely at all times. (Previous timescale of 20/10/05 & 09/04/06 not met) Timescale for action 06/09/06 2. OP9 13 (2) It is required that staff record each day, the temperature in all rooms where medication is stored. The temperature must not exceed 25°C. It is required that the laundry door is kept locked when there are no staff in situ. This should ensure that residents do not have access to the industrial laundry equipment and “foul” linen. 06/09/06 3. OP38 13 (3) & (4)(a) 06/09/06 Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 26 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 OP3 Good Practice Recommendations It is recommended that the registered Person confirms in writing to the resident that having regard to the assessment the care home is suitable for the purpose of meeting the resident’s needs in respect of health and welfare. It is recommended that care plans are always updated in a user friendly format which avoids crossings out and alterations which make them difficult to read. 2. OP7 Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Jubilee Court Care Home DS0000043200.V302728.R01.S.doc Version 5.2 Page 28 - 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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