Inspection on 15/09/06 for Longford

This inspection was carried out on 15th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longford 15/08/07

Longford 20/10/05

Longford 29/06/05

Longford 22/09/04

Longford 26/05/04

Longford 04/02/04

Longford 21/06/02

Similar services:

33 St John`s Church Road

Dovedale Court

Lyncol House

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

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

CARE HOME ADULTS 18-65 Longford Longford 40 Massetts Road Horley Surrey RH6 7DS Lead Inspector Lisa Johnson Unannounced Inspection 15 September 2006 09:00 th Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longford Address Longford 40 Massetts Road Horley Surrey RH6 7DS 01293 430687 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) Ashcroft Care Services Ltd Hayley Ann Whiteley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 18-65 YEARS 20th October 2005 Date of last inspection Brief Description of the Service: Longford is owned by Ashcroft Care Services. The home is a large detached house in a residential area of Horley, Surrey. The home is close to the town centre where facilities and amenities are available. The accommodation comprises of ground and first floor facilities. All bedrooms single and three have en-suite facilities. In addition there is one communal bathroom, a shower plus two toilets. There is ample space including two lounges and a large dining room. There is a spacious kitchen with a separate utility area. There is a large garden to the rear of the house and adequate parking is available at the front. The weekly fees range from £1480- £1821. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over eight hours commencing at nine o’clock and finishing at five o’clock. It was carried out by Mrs. L Johnson Regulation Inspector. The inspector spoke to three service users to gain their views on the care provided. Due to the communication difficulties of some of the service users living in the home their views about their care could not be obtained. Other information gained was from observation of individuals within the home. A full tour of the premises took place. Staff training records, staff files and policies and procedures were sampled. The inspector spoke to four members of staff. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 6 Since the previous site visit a problem with a step at the rear of the home has been actioned. The company has provided a copy of the redecoration and refurbishment programme for the home to the Commission for Social Care Inspection. Records of monthly reviews were available on service users files. What they could do better: During this site visit some individual care plans were sampled which had not all been side by the individual or their representative. A requirement was made that this matter is completed and where this is not possible this should be recorded on the individual plan. At the previous site visit a requirement was made that individual plans need to be implemented in respect of service users wishes regarding dying and death. Some progress has been made but no agreed plans were observed on individual files sampled. Therefore a further requirement was made that this matter is completed. The home needs to make further improvements in ensuring that fifty percent of staff gains National Vocation Qualifications. The inspector sampled some of the staff personal files. One file did not contain two written references. A requirement was made that two written references should be obtained for all staff prior to commencement of employment and maintained on their personal file in the home. This is to ensure that service users are protected by the homes recruitment policies and procedures. Some staff spoken to was not aware of the General Social Care Code of conduct. A requirement was made that this document is bought to the attention of all care staff and that they are all provided with a copy to ensure the health, welfare and safety of service users is protected Since the previous inspection there has been no registered manager in post for several months. The inspector was informed that a new manager has been appointed and is due to commence in October 2006. A requirement was made that the company should make an application to the Commission for social Care Inspection for the manager to be registered. During a tour of the premises the inspector observed that there were no radiator covers installed in service uses bedrooms, the lounge and recreational room. A requirement was made that these are installed to ensure` the health, welfare4 and safety of service users Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 7 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. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed prior to admission to the home. EVIDENCE: Since the previous inspection there have been no admissions to the home. However evidence sampled concluded that pre admission assessments are completed prior to any individual moving into the home and there was further evidence available, which that suggested that regular ongoing assessments are completed for individuals. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are provided with an individual care plan, which records their individual needs and goals. Service users are supported to make decisions about their lives with assistance. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Each service user has a completed care plan, which has been based on a full assessment of needs including emotional support personal care, communication, safety, health and social skills. Each plan contained a personal profile and contained a strengths and needs and likes and dislikes section. It was evident that plans were regularly reviewed. Members of staff spoken to and who act as key workers confirmed that they were aware of service users individual plans and are involved in completing monthly reviews. However some plans sampled had not been signed by service users or their representatives to agree their confirmation to their plan. Therefore a requirement was made that service users and/or their individual plans should Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 11 sign their plans and where this is not possible this should be recorded on the plan. Service users have their own bank accounts but due to their needs are unable to access these independently, but are supported by staff. One person has an appointed advocate. One individual uses makaton sign language and uses gestures and staff were observed to be communicating and responding effectively ensuring that this individual was able to make choices Detailed risk assessments were in place, which were regularly reviewed and covered areas for example emotional support, community access, personal support and domestic skills. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a range of appropriate activities and engage in a range of leisure activities. Service uses are supported to take part in the local community. The rights and responsibilities of service users is respected. The home is able to demonstrate that service users are provided with a wellbalanced and nutritious diet. EVIDENCE: The home provides a range of activities for service users. During the inspection service users were busy attending a number of activities including shopping and visits to the local library. During the afternoon the reflexologist attended the home to carry out therapies, which individuals were seen to enjoy. Other activities provided include access to further education, visits to the pub, carriage riding, visits to the cinema swimming, music, trampolineing pottery, and arts and crafts. One individual told the inspector “I like going to McDonalds and visiting the pub with staff”. Another individual said “I have been to the Isle of Wight on holiday”. The inspector was informed that the service is currently making preparations for other service users to go on holiday this year. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 13 During the visit one individual was being assisted with cleaning their room and another person was assisted with laundry. Service users have the opportunity to participate in cooking. Service users maintain links with their family and friends and one individual has an appointed advocate. One service user told the inspector she is able to use a phone to ring her relative. During the visit positive relationships were seen between service users and staff and it was observed that service users were relaxed and in the presence of staff. Staff had a good knowledge and understanding of individuals needs and were able to respond to non-verbal forms of communication and responded to requests. The homes menus were sampled which were well balanced and nutritious. The meals at lunchtime and supper were observed. Staff were observed to ask service users about their preferred choice for their sandwiches at lunchtime. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users physical and health needs are met. Service users are protected by the homes medication administration procedures. Further work is needed to ensure that the ageing, illness and death of a service user is as the individual would wish. EVIDENCE: During the visit one individual needed to have a dressing changed and a member of staff was observed to respect this individuals privacy by accompanying this person to her bedroom. Information was available for each individual in respect of the preferred way they like to receive their medication. The health care needs and objectives of service users were documented in their individual plans. Three service uses plans were sampled which indicated that service users are supported to access a range of health care professionals including a local general practitioner, community nurse, psychiatric and psychology support. A health checklist was available with each individual’s Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 15 records highlighting the dates for health checks for example the dentist, opticians and chiropody. Detailed records were maintained of health care professional appointments. Risk assessments were in place, which were regularly reviewed and covered areas such as emotional support, community access, personal support and domestic skills. The homes medication administration systems were examined and records were maintained adequately. A list is maintained of staff authorised to administer medication and photographs of individuals were available with their medication card. The local pharmacist has completed a medication audit, which was satisfactory. Protocols were in place for the administration of “As required medication”. During the inspection individual privacy was respected when receiving personal care with bedroom and bathroom doors kept shut. Staff were observed to assist and give guidance to service users. At the previous site visit a requirement was made that individual plans need to be implemented in respect of service users wishes regarding dying and death. Some progress has been made but no agreed plans were observed on individual files sampled. Therefore a further requirement was made that this matter is completed. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon with one issue needing attention. The home responds to the protection of vulnerable adult policies to ensure that residents are protected from abuse. EVIDENCE: Since the previous site visit two complaints have been received which were referred under the local authority multi- agency safeguarding adults procedure. There is a complaints procedure in place, which was available in the procedure file and was observed on display on the notice board in the hallway. However it was required that the service should adapt the procedure in a service user friendly format to ensure that it is accessible to service users. The staff training records sampled indicate that staff have received training in safeguarding adults from abuse, which was confirmed by staff spoken to during the visit. The company has implemented safeguarding adult’s procedure and the local authority safeguarding adult procedures were available. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable well maintained home which is clean and hygienic. EVIDENCE: The service is close to Horley town centre and local amenities and provides a homely atmosphere. During this visit the home was found to be well maintained and pleasantly furnished. However a requirement was made that the carpet in the hallways was cleaned. This is to ensure that service users have a comfortable and pleasant home to live in. Bedrooms were viewed as comfortable and reflected individuals preferences and interests with a range of personal possessions on display. The home was cleaned to a good standard and was hygienic. Separate laundry facilities were available. Cleaning schedules were in place for staff to follow Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvement is needed in ensuring that fifty percent of staff gain National Vocational Qualifications. Service users are in the main protected by the homes recruitment policy and appropriately trained staff meets practices with two matters needing attention and their needs. EVIDENCE: During the inspection there was members of staff on duty and four staff are provided in the evening. At nighttime the home provides one waking and one sleep in staff. The inspector was informed that their had been some staffing issues but the situation was now more settled. The rota indicated that there is minimal agency used. The inspector spoke to two members of staff who have completed National\Vocational Qualifications and a number of staff have are waiting for dates to commence the course. However the company needs to ensure that fifty percent of staff have gained National Vocational Qualifications (Level 2) or above. This is to ensure that service users are supported by qualified and competent staff. Some staff spoken to were not aware of the General Social Care Code of Conduct. A copy was observed on one individuals file and the deputy manager informed the inspector that further copies have been ordered. A requirement was made that this document should be bought to the attention of all care staff. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 19 The inspector sampled the recruitment files for three members of staff. Evidence was provided that staff have received police checks. However one individual did not have two written references on file. A requirement was made that two written references should be obtained for staff and made available on individual files. This is to ensure that service users are protected by the homes recruitment policies and procedures. Some staff spoken to were not aware of the General Social Care Code of Conduct. A copy was observed on one individuals file and the deputy manager informed the inspector that further copies have been ordered. A requirement was made that this document should be bought to the attention of all care staff. Three members of staff were interviewed and asked about their training and development, which concluded that staff have access to training and development and received mandatory training. This was confirmed by the examination of training certificates seen on staff files were which concluded that individuals had received training in fire awareness, bereavement, epilepsy, safeguarding adults autism, moving and handling, emergency first aid challenging behaviour and crisis intervention. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further improvement is required in ensuring that a registered manager is in post. Further work is needed to ensure that the home is run best interests of service users. The health safety and welfare of service uses is mainly protected with one issue needing attention. EVIDENCE: Since the previous site visit the registered manager has transferred to another service in the company. Management cover has been provided by the deputy manager with a manager from another service over seeing two and a half days a week. The inspector was informed that a new manager has been appointed who is due to commence in October. However there has been no registered manager in post for some time and a requirement was made that the new manager must submit an application to the Commission for Social Care Inspection to be registered. There was no evidence available to confirm that quality audit questionnaires have been updated in the home. Since the inspection the inspector has had the Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 21 opportunity to speak to the companies quality assurance manager who stated that work is in progress to update the quality assurance systems in the company. A requirement was made that feedback from service users and their relatives should be updated. The responsible individual conducts monthly quality visits and reports were available in the home. The report format has been reviewed which were detailed and informative providing feedback sought from service users. The company ha introduced a new letter and a range of policies and procedures were in place with a staff read and sign system in place. The company provides .a range of policies and procedures, which have been updated with the home having a read and sign system in place to ensure that staff are aware of the procedures. Substances hazardous to health (COSHH) were stored securely and appropriately. Health and safety checks are completed and recorded and fire records were appropriately maintained. Records were maintained of regular water temperature monitoring and fridge and fridge freezer temperatures are recorded daily. During a tour of the premises it was observed that radiator covers were not installed in bedrooms, the sitting room and recreational room. A requirement was made that covers should be provided in these areas to ensure that the health and safety of service users is protected. Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 2 X 2 X X 2 X Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15(1) Requirement Timescale for action 15/11/06 2 YA21 3 YA32 4 5 YA34 YA34 6 YA37 7 8 YA39 YA42 The registered persons must ensure that service users and/or their representative s agree and sign their individual plans 12(3) The registered manager must complete a procedure to ensure that each service users wishes are considered in relation to dying and death. (Previous timescale of 20/01/06 not met). 18(1) The registered persons must ensure that fifty percent of staff have gained National Vocational qualifications (Level 2) or above 18(4) All staff must be provided with a copy of the General Social Care Code of conduct. 19(1)(b) The registered person must 4(b)(c) ensure that two written 5(d) references are obtained for all Schedule 2 staff prior to commencement of employment in the home. 8(1)(a) An application must be made for the new manager to the Commission for social care Inspection for registration 24 (3) Quality audit systems must be updated. 13(4)(a)(c) Radiator covers must be provided in service users DS0000013705.V309619.R01.S.doc 15/11/06 15/10/06 15/10/06 30/09/06 01/11/06 15/12/06 15/11/06 Longford Version 5.2 Page 24 bedrooms and communal areas. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Longford DS0000013705.V309619.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Longford DS0000013705.V309619.R01.S.doc Version 5.2 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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