Inspection on 28/09/05 for Kilsby House Residential Home

This inspection was carried out on 28th September 2005.

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

Kilsby House Residential Home 21/08/08

Kilsby House Residential Home 04/07/07

Kilsby House Residential Home 25/05/06

Kilsby House Residential Home 12/01/06

Kilsby House Residential Home 16/11/04

Kilsby House Residential Home 08/07/04

Kilsby House Residential Home 26/01/04

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

CARE HOMES FOR OLDER PEOPLE Kilsby House Rugby Road Kilsby Rugby Warks CV23 8XX Lead Inspector Mrs Sheila Smith Unannounced Inspection 28th September 2005 10:00 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 Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 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. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kilsby House Address Rugby Road Kilsby Rugby Warks CV23 8XX 01788 822276 01788 824713 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) Advent Estates Limited Mrs Gillian Ann Saxton Care Home 39 Category(ies) of Dementia - over 65 years of age (39) registration, with number of places Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home limits its services to the following service user categories. No person falling within the category DE (E) can be admitted where there are 39 persons of category DE (E) already in the home. As part of the total number the home may accommodate a maximum of two people in the category of OP who have a relationship with a service user in the category DE (E). Total number of service users in the home must not exceed 39. 4. Date of last inspection 16/11/04 Brief Description of the Service: Kilsby House is situated in Kilsby, a village location on the border between Warwickshire and Northamptonshire. The home offers care to older people who suffer from dementia related conditions and utilises the person-centred approach to dementia care. The home offers care for up to 39 older people in single and shared rooms. The house is organised into three units for 15,14 and 10 people, each with its own lounge and a dining room with kitchenette facilities. Residents tend to be grouped into the units according to their individually assessed needs. There are two passenger lifts, one in the original house and one in the new extension. The home has a raised Patio area, accessible to the residents. There is an enclosed garden, mainly laid to lawn, which is uneven and therefore not accessible to older people with mobility problems. Kilsby is a small village with limited public transport, to local towns, and visitors to the home will therefore, require transport arrangements. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Residents, and upon their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 residents and tracking the care they receive through review of their records, discussions with them, and with the care staff, and observations of care practices. The inspection took place during a weekday over a period of 6.5 hours and was carried out on an unannounced basis. Communal areas, and some bedrooms were visited. A selection of care records, and essential records of the home were reviewed. A number of the residents were spoken to as part of the inspection process. The Registered Manager Mrs Gillian Saxon, was present for most of the inspection. The Commission had received a number of comment cards from residents and relatives prior to the inspection. In the main the comments recorded were positive and praised the home and the staff for the way in which the care is provided. What the service does well: The home offers a friendly warm environment, for older people with dementia related conditions. Staff provide twenty four hour care based on the person centred approach to dementia care, which sees the person as a unique individual, building on what the person can do, and finding ways to compensate for the losses brought about by the illness. The Manager and her Deputy are very enthusiastic about this type of care and the result is that the residents appeared very contented and happy. Through the feedback forms relatives commented very favourably about the home, and the staff with comments such as ‘ staff always helpful and caring’ and ‘ I wouldn’t want my Mum to live anywhere else’ Meals were nicely presented, and the mealtime during the inspection was a relaxed and happy time with staff sensitively assisting those who required help to eat their meal. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 6 The Registered Manager Mrs Gillian Saxon, and her Deputy are keen to raise the standards further in the home. The Managers style is approachable and open, and one that provides leadership and guidance for the staff team. What has improved since the last inspection? What they could do better: The care plans and associated risk assessments would benefit from containing more information that give detailed instruction and guidance to the staff in the provision of care and support to the residents. Staff record on each aspect of the care plan twice a day. This amount of recording could be beneficial, however most of the comments were very general and not particularly helpful to the person reviewing the care plan. The Registered Manager agreed to review the way in which the daily records are maintained to reduce the quantity, and work to improve the quality of the daily reports. As mentioned above the staff work to the person centred approach in the care of older people with dementia related illnesses. To be truly offering this kind of care the home needs to concentrate more fully on the daily living tasks that the person was engaged with before becoming ill, such as household tasks, Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 7 gardening knitting etc. The home does not employ an activity organiser, and this aspect of care is presently the responsibility of the staff that, because of other commitments do not always have the time to work in a one to one situation with the residents. 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. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 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 Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 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): 3,4 5. The assessment of prospective residents prior to their admission to the home ensures that residents and their families can be confident that the home can meet the needs. EVIDENCE: The Statement of Purpose and Service User Guide were not available as they were currently being updated. Most of the residents are referred by Care Managers, and there was evidence of Care Management assessments. Following a referral the prospective resident is assessed by both the Registered Manager and the Deputy Manager to assess whether the home is able to meet the needs of the person. There was no written evidence of these assessments, and the Registered Manager said that the information obtained at this initial meeting, is not recorded in writing. Advice was given that an assessment document is developed in line with the required standards. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 10 Through the process of case tracking and observation of the staff interacting with the Residents there was evidence that the staff have the skills and experience to deliver the services and care the home has to offer. Staff communicated effectively with the residents, taking into account any physical disability and any communication difficulties All prospective residents and their families are invited to visit the Home and are encouraged to move in on a trial basis before deciding to move in on a permanent basis. The Home does not allow unplanned admissions. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 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. Although care records require some additional development the current practices in the home ensures that health care needs of the people living there are being met. EVIDENCE: The case tracking indicated that in some instances more care needs to be taken to ensure that all areas of need identified in the assessment are transferred to the care plan. For example there was no indication of how the specific interests of a resident who was previously a farmer could be met. Sufficient detail of the actions required by staff to meet the identified needs, should be included, for the plan to become a proper working document for the staff. For example one area indicated the need for assistance with personal care but the details of the intervention required by staff was not recorded. Staff record on each aspect of the care plan twice a day, meaning that staff write several reports on each person. This method should give an accurate holistic overview of the person and immediately alert the reviewer to any Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 12 changes that require the care plan to be adjusted. In reality the comments made are fairly general, such as ‘assisted with personal care, and relaxed in the lounge, chatted to staff. A discussion was held with the Registered Manager about reducing the amount of written records in order to improve the quality of the information. There was evidence within the files that other professionals were involved with health care needs. For example the notes of the General Practitioner visits included the problem, date of visit, and outcome. Chiropodist, Dentist and optician appointments are arranged on a regular basis. Medication is stored in three different cupboards in each of the three units. The stock and the controlled drugs are stored separately and secured appropriately. There are no residents currently assessed as able to self medicate. The Home has a contracted Pharmacist and a pre-packed blister system is used. There is an incoming medication record with medication checked off by staff. A medication disposal record is maintained and signed by the receiving pharmacist. It was noted that there were several gaps in the administration records, so that it was not clear whether the medication had been administered. The Registered Manager agreed to address this issue. A member of staff said that no member of staff was allowed to administer medication until they had received appropriate training. From discussion with the member staff, about how the residents needs are met, it was evident that the staff have a sensitive approach to the provision of personal care, and are aware of privacy, dignity and independence issues. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The absence of an activity organiser means that meaningful individual activities are not undertaken. EVIDENCE: The interests of all residents are not always recorded through the information gathering process at the time of admission, and as a consequence staff may only have limited information on which to base any planning of activities. For example there was no indication that a person admitted who was a farmer had been offered the opportunity to go for a walk to see the local countryside and to talk about his former life. The planning of activities is the responsibility of the staff who do not always have the time to devote time to individual activities. Group activities appear to be managed better, and on the day of the inspection several residents attended a tea dance in the home during the morning, and during the afternoon attended the harvest festival in the local community hall. Records of activities were maintained. There are no restrictive routines and residents are free to move around the units as they wished. There were a number of dolls that residents were relating to and several older items such as sewing machines and wartime memorabilia Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 14 that they could remember. One resident was busy and happily involved in dusting the furniture. Getting up times and times for going to bed were not fixed and residents could choose. Likewise meal times are not fixed, and if someone does not wish to eat his or her main meal at lunchtime, it can be eaten later. From the discussions with staff and residents visitors are welcome in the home and can be seen in private, although one relative expressed his concern, through the feedback form that there was no private room available for him to see his relative. A church service is held in the home once a week. and the Registered Manager is strengthening the relationship with the local community through working with the local vicar. The vicar visited the home during the inspection and was very complimentary in his comments about the staff. All residents’ rooms viewed during the inspection showed evidence of personalisation and choice in respect of furniture, fittings and decoration. The observations made during the inspection regarding the attitude and the approach of staff to the residents, demonstrated that although suffering from dementia related conditions people feel able to take control over their lives. Residents were seen to move about the home freely and said. that they do as they please and feel comfortable in the home. One resident commented ‘I feel like I am on holiday’. Lunch consisted of chicken, vegetables and potatoes or cheese and onion pie, followed by rhubarb crumble or ice cream. Residents were seen to be given sufficient time to eat their meal in an unhurried manner, and staff offered assistance in eating when necessary; this was carried out discreetly, and sensitively. Residents were very positive in their comments about the food. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this inspection. EVIDENCE: Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,25,26 The standard of the décor within the home is reasonably good, and the standard of hygiene was satisfactory, so that the residents have a homely place in which to live. EVIDENCE: The home has a written programme of on going maintenance. The Registered Manager has addressed most of the issues raised in the last inspection, namely making the downstairs toilet accessible to the residents, and providing an additional assisted bathing/ showering facility in the original part of the house. Two bedrooms at the rear of the main house have been redecorated. It was noted that one of the corridors and toilets on the ground floor of the home needed decorating and the Registered Manager said that arrangements were in hand for this area to be painted shortly. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 17 A staff room has been created, so that staff have a room in which to make hot drinks and to relax during their breaks. It was noted that one of the double rooms is overlooked from the patio/ decking area outside, and the Registered Manager should ensure that resident’s privacy is respected. All of the radiators have been covered to prevent residents burning themselves. It was noted on the last inspection that several armchairs in the lounge were worn. These have now been removed and replaced. The grounds of the house are untidy, although the lawn had been cut recently. however the garden is not accessible to unaccompanied residents because of the uneven surface of the lawn. The house does however have a large raised patio area, so that the residents can sit outside in warm weather. Each resident’s room was appropriately furnished. A selection of rooms was randomly visited during the inspection. Those seen met the standard; the rooms seen contained a number of personal possessions and appropriate furniture and fittings. One resident commented that her room was ‘lovely and comfortable’ The Fire Officer recently visited the home and identified a number of issues. Most of the issues have been dealt with apart from one fire door, which has been damaged, by one of the residents. The Registered Manager said that his would be repaired shortly. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The staff team are experienced, knowledgeable about the resident group, and committed to improving the quality of life of the people they care for. EVIDENCE: The ratio of staff to each unit is two during the day and one overnight. The total number of hours used in the home slightly exceeds the recommended hours calculated by using the formula in the residential Forum ’care staffing in care homes for older people.’ Advice is given that each area is calculated separately against the formula, as each area is caring for residents with different levels of dependency. It was noted, for example, that whilst the staff were competently dealing with the physical care needs of the residents in unit 2 there was little time to socialise. It was also noted that when some of the residents were escorted to the Harvest Festival residents in the lounge were unsupervised for a short time. The Registered Manager must ensure that there are enough staff on duty to cover peak times, or times when staff are required elsewhere. Observations were made of staff engaging appropriately with the residents who seemed comfortable and relaxed in their company. During the inspection it was noted that a member of staff handled a difficult situation, professionally and competently. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 19 Staff files were not available during this inspection, but the member of staff on duty confirmed that the company have a strong commitment to staff training. Some of the staff are employed from other countries, and demonstrated their competence in caring in many ways during the inspection, with residents appearing very comfortable and relaxed, however there were a few difficulties noted in communication where English was not the first language. It is important that staff have access to language lessons, as part of their ongoing training. Residents were very positive in their comments regarding the staff, one resident said ‘ I have never been waited on so much, I feel that I am on holiday’. It was noted that during the inspection there was a considerable amount of physical contact with the residents, with lots of hugs, and holding of hands. It was obvious that the residents responded to this type of care, and the general atmosphere within the home was pleasant and happy. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32,33,38 The home is run by an experienced and competent Manager, who has a large amount of experience in caring for older people with dementia, and who safeguards the health, safety and welfare of the people living in the home. . EVIDENCE: Staff commented that the Manager was easily accessible to them, and willing to discuss issues and guide them in practice by example. The Manager has now completed National Vocational Training level 4 and the Registered Managers award, and endeavours to attend training and to keep herself updated about current thinking in caring for people with dementia. A competent Deputy, who undertakes specific responsibilities, supports the Manager. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 21 The problems identified at previous inspections between the Registered Manager and the Directors of the providing company, have not been fully resolved but the Registered Manager said that there was considerable improvement and more of an understanding of each other’s roles. Accident records were viewed during the inspection, which are presently kept in a hard backed book. Discussions were held about using a more suitable format. There was no evidence that comments made previously regarding the testing of the water system for Legionella have been addressed. A maintenance person is employed, and records of testing the fire alarms and emergency lighting were seen and found to be up to date. Most of the recommendations by the fire officer had been addressed apart from the faulty closing device on one of the fire doors. (See above) Health and safety and Control of Substances Hazardous to Health information were in evidence in the home, and available to staff. Staff confirmed that faulty equipment was replaced or repaired quickly. 13 members of staff hold a current First Aid certificate. Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X 2 3 3 3 STAFFING Standard No Score 27 2 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 23 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. 1 Standard OP9 Regulation 13 Requirement The medication and administration records must be signed appropriately Meaningful activities must be provided. The fire door must be repaired. Timescale for action 01/11/05 2 3 OP12 OP38 16 23 01/11/05 07/10/05 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 An assessment process with recording system evidencing that full assessments of prospective service users are undertaken, should be developed in line with standard 3.3 To continue to develop care plans to ensure that all areas of assessed need are included in the care plan and to ensure that there is sufficient information for staff to use them as a working tool. DS0000012830.V251359.R01.S.doc Version 5.0 Page 24 2 OP7 Kilsby House 3 4 5 6 OP19 OP24 OP27 OP38 Consideration should be given to creating a garden that is suitable, and safe for the residents to use. Arrangements should be made to ensure the privacy of the residents living in the downstairs room that is overlooked by the raised decking area. Staffing levels should be reviewed in each of the areas to assess the sufficiency of the numbers of staff in relation to residents assessed needs. The water system should be tested for Legionella Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Kilsby House DS0000012830.V251359.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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