Inspection on 13/07/05 for Laurieston House

This inspection was carried out on 13th July 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

Laurieston House 09/09/09

Laurieston House 22/10/08

Laurieston House 03/10/07

Laurieston House 03/10/06

Laurieston House 15/11/05

Laurieston House 13/12/04

Laurieston House 06/05/04

Laurieston House 14/10/03

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Laurieston House 78 Bristol Road Chippenham Wiltshire SN15 1NS Lead Inspector Alison Duffy Unannounced 13th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Laurieston House Address 78 Bristol Road Chippenham Wiltshire SN15 1NS 01249 444722 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Jennifer Jobbins Jennifer Jobbins Care Home 10 Category(ies) of MD(E) Mental Disorder - over 65 (3) registration, with number OP Old Age (7) of places Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 No more than 7 service users over the age of 65 years requiring personal care. 2 Not more than 3 service users over the age of 65 years with a mental disorder. Date of last inspection 13th December 2004 Brief Description of the Service: Laurieston House is a home registered to care for ten older people, three of whom may have a mental disorder. The home is located on the outskirts of Chippenham giving good access to all local amenities. Laurieston House is privately owned by Mrs Jobbins. Mrs Jobbins is the Registered Provider and the Registered Manager and works closely with residents and staff by undertaking various shifts within the working roster. Staffing levels are maintained at two members of staff throughout the waking day. At night a member of staff undertakes a waking night and another provides sleeping in provision. Residents’ private accommodation consists of four twin and two single rooms, all of which are comfortably furnished. The rooms are located on the ground and first floor although the home does not have a stair or passenger lift. The communal areas of the home consist of a homely lounge and a spacious dining room. To the rear of the property are large well-maintained gardens giving various seating areas. The home does not provide nursing or intermediate care. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 13th July 2005 from 10am 2.40pm. Mrs Carol Wallace, Deputy Manager was available throughout and received feedback at the end of the inspection. The inspector made a tour of the building and spoke with a number of residents in the lounge and in the garden. Care planning information, daily records and the fire log book were viewed and the medication systems were examined. It was not possible to view recruitment information, as Mrs Jobbins was unavailable. All feedback received about the home was very positive. Residents appeared relaxed within their surroundings and reported that they could treat the house like home. Sitting out in the garden was appreciated and the food was reported to be excellent. One resident said the staff are ‘all very good’ and Mrs Jobbins was described as a ‘treasure’. What the service does well: What has improved since the last inspection? What they could do better: Although generally well written, attention should be given to the subjective language used within daily records. Storage of confidential information must also be addressed. Some risk assessments require greater clarity and control measures need to be stipulated within individual plans of care. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 6 Further attention must be given to the installation of radiator covers and hot water regulators. 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. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5 The admission procedure is well managed yet greater clarity of some information would be of benefit, to ensure needs are fully met. EVIDENCE: Residents reported that they were able to visit the home before their admission although a family member often made the initial contact. All found the home to be welcoming and Mrs Jobbins gave time to answer any questions. Documentation demonstrated an assessment form, which was completed during an initial visit. Mrs Wallace reported that Mrs Jobbins always visits prospective residents in their own environment before admission. On occasions, Mrs Wallace also attends. Mrs Wallace reported that careful consideration is given regarding the admission process, which includes how the prospective resident will ‘fit in’ with existing residents. Documentation was viewed regarding a respite admission. Various information was apparent although statements such as ‘catheter care needed’ were evident. Mrs Wallace reported that on this occasion, staff knew the resident from previous respite stays. However, clarity of information was appreciated. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 9 The home does not provide nursing or intermediate care. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Care planning is of a good standard, yet respite care information requires greater detail. Risks identified within assessments require further consideration to ensure residents’ safety and wellbeing. Resident’s health care and medication systems are well managed. Privacy and dignity are maintained in practise yet the storage of documentation does not promote such. EVIDENCE: All residents have an individual plan of care, which is regularly updated as required. The plans are detailed and are used as a daily working tool. A number of risk assessments were available. Mrs Wallace was informed of the need however, in the event of identifying a risk, to evidence control measures. For example within one assessment a resident was identified at high risk of developing pressure sores. It was recorded that she had a special mattress on her bed although other matters, were not identified. In such cases, the risk should be specifically targeted within the resident’s plan of care. One care plan of a resident staying within the home on a respite care basis was examined. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 11 Such documentation was more limited than that of permanent residents and did not reflect current need. Mrs Wallace was advised to address this accordingly. Daily records are detailed yet some contain subjective language such as ‘a little grumpy’ and ‘in a bad mood today.’ Mrs Wallace reported that this has been addressed with the staff team and is very much a learning curve for some. Mrs Wallace reported that the matter would be further addressed with the staff team. Documentation demonstrates regular input from GPs and District Nurses. On the day of the inspection an Occupational Therapist was visiting following concern of a resident not eating. Records demonstrated matters such as blood testing and changes in medication. Medication systems within the home are clear, ordered and well maintained. Documentation demonstrates satisfactory receipt, administration and disposal of medication. Written medication instructions are countersigned appropriately and all staff administering medication have received training. Residents confirmed that their privacy is respected and all staff knock on doors before entering. All interactions observed within the inspection were sensitively and respectfully undertaken. Permission was sought from residents regarding the inspector viewing care planning information and private accommodation. Residents were also asked if the visiting Occupational Therapist could share lunch at the table. The home therefore appears to strongly promote residents’ rights to privacy and dignity. However, a previous requirement of ensuring safe storage of residents’ personal information has not been addressed. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Visitors are welcome and residents are encouraged to follow their own routines and interests. A varied menu based on residents’ choice is in place. EVIDENCE: Residents reported that visitors are welcomed at any time and much enjoyment is gained from family contact. Residents are able to meet with their visitors in any of the communal areas or in their room as required. On the day of the inspection, staff were friendly and hospitality was evident. Residents reported that the day is generally spent relaxing in the lounge or in the garden. Some have a daily newspaper and enjoy solitary interests such as reading, music and television. Due to the size and homely nature of the home, residents are encouraged to assist with housekeeping tasks such as laying the table and preparing vegetables. Some residents reported that they have varying times for getting up and going to bed depending on how they feel. There is a visiting hairdresser and Holy Communion may be taken as required. All residents reported that the food is very good and a varied menu is available. All food is based on residents’ likes and good home cooking, with an emphasis on fresh produce. A choice is available and residents are given an Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 13 added alternate if this is not liked. Meals are generally taken in the dining room as the mealtime is also portrayed as a social gathering. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Although written complaint information was not available on the day of the inspection, residents were clear that they would tell a member of staff if they were unhappy. Adult protection training is required in order to minimise the risk of abuse to residents. EVIDENCE: Mrs Wallace reported that Mrs Jobbins had taken the policies and procedures file from the home in order to up date the information. A copy of the complaints procedure was therefore not available. At the last inspection Mrs Jobbins reported that all residents and their families had been given a copy of the complaints procedure. On this occasion residents reported that they would either tell Mrs Jobbins or a member of staff in the event of a problem. Mrs Wallace reported that she was not aware of any recent complaints. The home has a copy of the Wiltshire and Swindon Vulnerable Adults protocol. Adult protection training is also in the process of being arranged. As a result of a past Vulnerable Adults issue, discussion took place regarding physical contact in order to gain residents’ attention. Mrs Wallace reported that Mrs Jobbins is aiming to gain further clarification with such matters within the planned training. Mrs Jobbins has discussed various issues with staff although it was agreed that opportunities to discuss further scenarios of a similar nature would be of benefit to staff development. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24 and 25 The home is homely, clean and furnished to a good standard. Further attention must be given to safeguarding residents from possible injuries associated with radiators and hot water outlets. EVIDENCE: Laurieston House is a large, detached property set back from the road on the outskirts of Chippenham. Private accommodation consists of two single and four twin rooms, which are located on both the ground and first floor. All twin rooms have screening to be used as required. Rooms were clean, individual in style and personalised to varying degrees. The home does not have a stair or passenger or lift so all residents with rooms on the first floor must be physically able to manage the stairs. There is a well furnished lounge and separate dining room. Patio doors open onto large, well-maintained gardens. The lounge has recently been redecorated with new curtains. There are three bathrooms. One room however has tiles coming away from the wall. At the last inspection Mrs Jobbins reported that the bathrooms were shortly due to be Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 16 refurbished. Mrs Wallace reported that attention has not been given to this matter although the refurbishment is still planned. The home has not had a recent Environmental Health or Fire Inspection. At the last inspection a requirement was made to continue with the programme of fitting radiator covers. Mrs Wallace reported that the covers have been purchased and are in the process of being painted. This requirement is therefore repeated. A requirement was also made to devise a programme based on risk assessment regarding the fitting of hot water temperature controls. Until such time of installation, it was required that monitoring of hot water temperatures took place. In relation to this, risk assessments have been undertaken. However, the assessments demonstrate a risk of scalding if residents are left alone. Mrs Wallace reported that the assessments do not give a true reflection of the situation and therefore must be addressed accordingly. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Staffing levels are maintained as agreed by the previous Registration Authority. Training is promoted yet adult protection and communication skills are required to ensure the protection of residents. EVIDENCE: Mrs Wallace reported that there have been no changes to the staffing arrangements since the last inspection. Staffing levels continue to be maintained at two members of staff throughout the waking day. At night one member of staff undertakes a waking night and another provides sleeping in provision. Mrs Jobbins undertakes some shifts as part of the working roster and is on call as required. The home has a team of bank staff who cover staff sickness and annual leave. Agency staff are not used. Mrs Wallace reported that all staff are up to date with their mandatory training Other topics such as memory rehabilitation, risk assessment and medication have been undertaken. As stated earlier in this report, communication and adult protection training are required. Two members of staff are currently undertaking NVQ level 3 and one member is doing level 2. At the last inspection a requirement was made to develop a training plan and individual training profiles for staff. Mrs Wallace reported that Mrs Jobbins has this information and therefore it could not be accessed during this inspection. This also applied to recruitment documentation. It was therefore not possible to Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 18 identify whether the requirement of developing a new application form had been met. Both matters will be addressed at the next inspection. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 Health and safety is given consideration, yet insufficient attention has been given to address the risks to residents from radiators and hot water outlets. EVIDENCE: Mrs Jobbins was not available during this inspection so standards within this section were given limited consideration. The Inspector was pleased to note however that despite previous reluctance of undertaking formal training, Mrs Jobbins has commenced NVQ level 4 in management. Mrs Wallace is also undertaking the training and reported the support from each other is extremely beneficial. Documentation demonstrated the external servicing of systems such as the hoists, fire alarms and portable electrical equipment. The fire log book was well maintained. However Mrs Wallace was informed of the need to undertake an actual fire drill within each identified period, rather than on one occasion when staff discussed the fire procedure. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 20 The building is well maintained. However further attention, as stated earlier in this report must be given to the installation of radiator covers and hot water regulators. Risk assessments related to such and the monitoring of hot water temperatures must, in the mean time, be further addressed. On a tour of the accommodation it was noted that one resident was using cot sides. Mrs Wallace was informed of the need to review this practice with relevant professionals and gain such agreements in writing. A risk assessment should be agreed within the review setting. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 x x x 3 2 x STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x x x x x x 2 Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 22 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 7 Regulation 15 Requirement The Registered Person must ensure that all care planning information is of the same standard and demonstrates sufficient information to meet individual need. Attention must also be given to subjective language within documentation. The Registered Person must ensure that any risk identified within the risk assessment process is addressed and fully documented within care planning information. The Registered Person must ensure that all confidential records, including those of residents are stored securely. This requirement is outstanding from the last inspection. The Registered Person must ensure that all staff undertake adult protection and communication skills training. The Registered Person must ensure that risk assessments regarding hot water are clarified. Hot water must be monitored, documented and reviewed with regulators fitted as part of the risk assessment process. This Timescale for action 31st September 2005 2. 7 13(4)(c) 31st September 2005 3. 10 17(1)(b) 31st September 2005 4. 23 13(6) 31st October 2005 31st September 2005 5. 25 13(4)(c) Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 23 6. 25 13(4)(c) 7. 29 18 8. 29 17, Schedule 2 9. 30 18 10. 33 24 11. 38 13(4)(c) was identified at the last inspection. The Registered Person must ensure that the programme to fit radiator covers is completed. The order of installation must be linked to the findings within regularly updated risk assessments. This was identified at the last inspection. The Registered Person must ensure that the current application form is further developed. This was identified at the last isnpection although it was not possible to verify whether the matter had received attention on this occasion. The Registered Person must ensure that all personnel files contain documentation as stated within Schedule 2. This also includes a photograph of the staff member. This was identified at the last isnpection although it was not possible to verify whether the matter had received attention on this occasion. The Registered Person must ensure that a training plan is developed and all staff have individual training profiles.This was identified at the last inspection although it was not possible to verify whether the matter had received attention on this occasion. The Registered Person must develop a formal system for monitoring and improving the quality of care provided in the home. This was identified at the last inspection although it was not possible to verify whether the matter had received attention on this occasion. The Registered Person must ensure that a review is 31st October 2005 31st September 2005 31st September 2005 31st September 2005 31st September 2005 31st September Page 24 Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 undertaken regarding the provision of cot sides. Such usage must be agreed with an appropriate professional, be fully documented and risk assessed. 2005 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 38 Good Practice Recommendations The Registered Person should ensure that a fire drill takes place during every period identified in the fire log book. Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 Page 25 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham Wiltshire, SN15 2BB 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 Laurieston House D51_D01_S28410_LauriestonHouse_V210948_140705_Stage4.doc Version 1.40 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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