Inspection on 21/11/06 for Lymehurst

This inspection was carried out on 21st November 2006.

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

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

Other inspections for this house

Lymehurst 30/10/07

Lymehurst 11/07/06

Lymehurst 28/11/05

Lymehurst 24/08/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Lymehurst 112 Ellesmere Road Shrewsbury Shropshire SY1 2QT Lead Inspector Joy Hoelzel Key Unannounced Inspection 21st November 2006 09:00 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 Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lymehurst Address 112 Ellesmere Road Shrewsbury Shropshire SY1 2QT 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) 01743 351615 01743 351416 lymehurst@aol.com Mrs Goulsen Ibrahim Mr Tay Sivri, Mr Seref Ibrahim, Ms Narin Ibrahim Care Home 32 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (24) of places Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate 32 Elderly Persons of which a maximum of 8 persons may be suffering from Dementia. 11th July 2006 Date of last inspection Brief Description of the Service: Lymehurst is a private care home registered with the Commission for Social Care Inspection to provide a full residential service for up to thirty-two older people. The home is situated on Ellesmere Road close to the centre of Shrewsbury. The homes owners Mrs Ibrahim and her family operate the business with Tay Sivri having day-to-day management responsibilities. The property has been converted from a large double fronted Victorian family style residence and extended at ground floor level to provide comprehensive and spacious accommodation. The Home stands in its own grounds entered from the road onto a large forecourt. There is an established staff group providing residents with consistency in a homely atmosphere. Weekly fees range from £400.00 - £460.00. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Commission for Social Care Inspection Reports for this service are available from the provider or can be obtained from www.csci.org.uk Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection is the second statutory inspection for 2006/07 and took place over five and a half hours on Tuesday 21st November 2006. It was conducted by one Commission for Social Care Inspection regulation inspector. Twenty four of the thirty eight National Minimum Standards for older people were inspected on this occasion. Twenty two people are currently living at the home, two management staff and three care staff were on the premises supported by ancillary and catering personnel. Four case files were selected for case tracking, relevant documents and procedures were inspected, together with a selection of staff personnel files. A full tour of the premises was conducted. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 1,2,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users have a full assessment of their needs prior to moving into the home, however, the lack of availability of the service user guide does not provide a full overview of life at the home. EVIDENCE: The statement of purpose has recently been reviewed (October 2006) and includes the information on the provision of the service and the current details of the weekly fees. The service user guide was not available on request. Terms and conditions for the residency at the home are included in the admission pack and include details of the room to be occupied and the fees payable and by whom. Of the four case files selected for inspection none contained a signed copy of the terms and conditions for residency. The responsible individual explained that the administrator deals with all contracts and stated that the signed completed copies are kept in the individual confidential files. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 9 The care plan of a person most recently admitted to the home contained pre admission information from the local Primary Care Trust, other files contained information from the local authorities. The home was unable to undertake pre admission assessment on this occasion as the admission was on an emergency basis; an assessment of need was carried out shortly after arriving at the home. The manager explained of the good relationships that have been developed with the social workers and GP’s within the area over a period of time and stated that the professionals know the scope and capabilities of the service provision and feel confident that the home is able to meet the needs of all people including the people admitted on an emergency basis. The responsible individual confirmed that the manager visits prospective service users either at the hospital or their place of residency prior to offering a placement. Whenever possible all prospective service users are invited to the home before making the decision to move in. One lady stated that she came to the home on an emergency basis and liked it so much that she made the decision to stay and has never regretted the decision. The home does not provide an intermediate care service. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each service user has a care plan, but practice of involving service users in the development and review of the plan is variable. The care plan and risk assessment guidance for staff needs to be improved to ensure that there is consistency in the way care is given. EVIDENCE: The manager is currently undertaking a complete revision of all care plans and is introducing a new system of recording. Four case files were selected for inspection and contained an assessment of need based on the activities of daily living using a tick box approach, some additional brief comments on observations had been included. The admission form on one case file identified a problem with the person ‘wandering’ and for sometimes leaving the premises alone. A specific plan of care had not been implemented to set out in detail the action to be taken by Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 11 staff to reduce the risk of this person getting ‘lost’ and what to do if he did leave the home unescorted. Another case file indicated a high risk score following assessment for the potential for developing pressure areas. The manager explained that this person is fully mobile and requires very little interventions from staff and thought that the risk assessment had been incorrectly completed. One service user is currently self administering insulin injections under the supervision of staff. The case file included a self medicating assessment but this had not been completed. A risk assessment had not been carried out for this task, the competency of the person or staff had not been assessed (this person has an identified short term memory problem) and clear instructions for staff were not available. A care plan detailing the times of the injections, the frequency and required levels of the blood sugar monitoring or what to do in the case of an emergency had not been completed. The daily recordings made in another care plan identified a problem with a pressure area and the interventions required by the district nurse, a specific plan of care had not been developed for the additional pressure relief that is required, or the action to be taken if a deterioration in the wound area was noted. Assessments for the prevention of developing pressure areas is now included in the case files, all staff must be aware of how to complete and use this monitoring tool and the action to be taken when a high risk has been identified. There was other conflicting information seen in the new and old style care plans e.g. • Care of dentures/cleaned by staff – wears dentures/no, • Use of catheter for maintaining continence when the catheter had been removed some time previously. Assessments are required for the risk of falling, nutrition, continence and monitoring psychological health. Assessment and care planning documentation still needs to be improved to ensure that staff are given the relevant information and guidance to meet all of the service users identified needs. Due to staff having cared for service users for long periods of time an over reliance on personal knowledge rather than the written care plan has developed and this has the potential for inconsistencies in the way daily care routines are carried out. Care plans should be made clearer on how staff members are to carry out care tasks ensuring service users experience consistent care practices. All case files had the recording of the visit made for healthcare professionals including GP’s, chiropodist, district nurses etc. One visitor at the home discussed the recent meetings held with the diabetic specialist nurse and other healthcare professionals. The home operates a twenty eight day regime for medication administration using blister type packaging with additional boxes and bottles. Dividers and photographs of individuals are now included in the Medication Administration Record file. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 12 The Medication Administration Record appeared to be correctly completed but on checking the administration of Temazepam and the recording made in the controlled drug register the amount did not correspond. Staff are completing each administration in the register but are not correctly completing the Medication Administration Record chart. This was discussed with the manager at the time of the inspection. Medications requiring cold storage are kept in a separate lidded box in the main fridge in the kitchen. A dedicated medication fridge has been purchased the delivery being imminent. Phials and pens of insulin that are currently in use are being stored also in the fridge this conflicts with the manufacturers instructions, for the in use medications to be kept at room temperature. This was discussed with the manager and immediate action was taken for the correct storage procedure to be implemented. Staff were observed to be assisting with the personal care of service users in a discreet and dignified manner any interventions were carried out in private. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are aware of the need to plan the routines and activities of the home in a way that meets the choice and wishes of service users. However, there is little opportunity for partaking in social activities, which are arranged by the care staff and are very much determined by the constraints of time and workload. EVIDENCE: Activities continue to be arranged by the care staff in addition to their care duties. Five on site surveys were completed and returned on the day of the inspection comments on what could be done better section of the survey included ‘ I wish sometimes we could go on trips, short ones perhaps. I think it would be lovely if we could have entertainment such as a singer, perhaps country and western’, ‘Would be lovely to have musical evening’, ‘more exercising even very short walks around the ground’. One visitor commented that previously it was observed that staff would regularly help service users to have walks around the grounds but this ‘doesn’t seem to happen any more’. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 14 The manager stated that an outing to the local theatre to the Pantomime is being organised and stated that musical evenings and craft afternoons are arranged. Monthly Church of England services take place in the home with the opportunity for partaking in Holy Communion. It is acknowledged that some service users may not wish or are unable to partake in any structured activity nevertheless opportunities for stimulation through leisure interests both inside and outside the home must be available and be age appropriate. The recently revised statement of purpose states ‘ The home offers a wide range of activities designed to encourage the client to keep mobile and most importantly take an interest in life’. During the tour of the premises many of the bedrooms were individualised with personal belongings. One person spoke with enthusiasm about the individual receipt of service and stated that nothing could be bettered; ‘the staff, managers and owners are all brilliant’. A rotational menu is operational, alternatives are provided from the menu when required. Breakfast was being served to three people in the dining room and included fresh fruit. Two people indicated on the survey that over the past six months there had been an improvement in the meals. The evening meal included a variety of hot and cold food, with fresh fruit and alternative desserts. All service users appeared to be well nourished and those people who expressed a view said the food was satisfactory. The environmental health officer inspected the premises in October 2006 making some minor recommendations. The manager confirmed that arrangements have been made to comply with the recommendations. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. 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. Residents and others associated with the service state that they are very satisfied with the service provision, feel very safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: The complaints procedure is included in the statement of purpose; a copy is also displayed on the notice board at the entrance to the home. No complaints have been sent directly to Commission for Social Care Inspection since the inspection in July 2006. The manager discussed the compliments received on a regular basis. Three service users stated that if they had concerns they would not hesitate to see a member of staff and were confident that it would be sorted out quickly. A referral has been made to the adult protection team for consideration following an incident occurring with a member of staff and service user. The home offers a facility for service users to deposit personal monies for safekeeping; records relating to this have been maintained and fully receipted. Observation of balance on the individual record and the amount of actual cash held corresponded. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service provides a homely environment. It has a planned programme to improve the home but occasionally there is slippage of timescales. EVIDENCE: The manager commented on the proposed development of the home and described the demolition of the older wing and rebuilding it to a higher standard. The work is planned to commence in January 2007. This will include a further eleven bedrooms all with ensuite facilities and additional communal areas. Areas in the older part of the building are now looking very tired and will benefit from the planned investment and will improve the living conditions of some people. However people spoke of the satisfaction with their private Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 17 accommodation. One comment received on the survey ‘ I have been very happy and for me I could not wish for anything else’. The fire officer visited and inspected the premises in August 2006 making some recommendations to improve the fire safety around the home. A letter was sent to the fire officer from the manger confirming compliance with the recommendations. Systems for the control of infections appear to have been implemented, additional hand washing facilities are available and protective clothing for staff when accessing the kitchen have been provided. The manager has recently attended training in infection control. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates a robust recruitment process for staff ensuring that the safety of service users is upheld. EVIDENCE: At the time of the inspection the manager was supported by the registered provider, three care staff, one support worker with additional catering and domestic staff. A rota is maintained to show which staff are on duty at any given time of the day or night. The manager stated at present there are no staff vacancies. Two of the five surveys completed by service users indicated that additional staff would be beneficial and would enable individuals to have more exercise on a one to one basis with staff members. Visitors at the home commented that in their opinion more staff would enhance the quality of the care provision. All care staff are encouraged to gain accreditation for National Vocational Qualification Level 2 and 3 in care. Two staff personnel files were selected for inspection and contain the documents relating to a robust recruitment procedure. Certificates and records of achievement are retained to evidence the training undertaken by each individual. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 19 Training and development needs of staff have been identified with opportunities for training being arranged. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31,33,35,36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear style of management in the home that values and engages with service users, staff and families. Although records could be better managed the home is run in the best interests of the service users. EVIDENCE: The person in charge has the day-to-day management responsibilities of running the home; the other owners have their own particular area of expertise and responsibilities. The manager has not yet completed the registered managers award certification but plans to complete by the beginning of the New Year. Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 21 Service users satisfaction questionnaires were distributed in April 2006 with any comments or suggestions for improving the service being acted upon. One area being the choice of meals available. Staff and service users meetings continue to be held on a monthly basis, minutes are kept of the content of the meetings. The home offers a facility for service users to deposit personal monies for safekeeping; improvements have been made to the records relating to this are being maintained and fully receipted. Observation of balance on the individual record and the amount of actual cash held corresponded. Formal supervision of staff with their line manager has commenced in November 2006 together with an appraisal of their work performance. Records are maintained, and evidence that the required health and safety checks are being carried out at regular intervals in relation to fire safety, hot water temperatures, portable appliance testing and chemical substances (COSHH). It was recommended to the manger that the relevant contractors be contacted with regard to the testing for Legionella. Lymehurst DS0000061052.V318807.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 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 2 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5(1) Requirement The statement of purpose and service user guide must be reviewed to contain all relevant information, be readily available and in the appropriate format. Previous timescale 31/10/06 not fully met in relation to service user guide. All care plans must set out in detail the action required to be taken by staff to ensure that the health, personal and social care needs of a person are fully met Previous timescale 31/10/06 not met. The care plans must be drawn up with the full involvement of the service users and/or representative whenever possible. Previous timescale 31/10/06 not met. Nutritional and psychological screening, tissue viability and falls risk assessments must be undertaken and reviewed at regular intervals. Previous timescale 31/10/06 DS0000061052.V318807.R01.S.doc Timescale for action 31/12/06 2 OP7 15(1) 31/12/06 3 OP7 15(1) 31/12/06 4 OP8 12(1)(a)( b) 31/12/06 Lymehurst Version 5.2 Page 24 5 OP12 16(2)(m) (n) 6 OP37 17(2) Schedule 4 (13) not fully met. The registered person must ensure that the social and recreational activities arranged for all service users are further developed and sustained Previous timescale of 31/10/06 not met. A records of food provided for service users must be in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory Previous timescale of 31/10/06. This requirement not inspected on this occasion. 31/12/06 31/12/06 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 Lymehurst DS0000061052.V318807.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lymehurst DS0000061052.V318807.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. 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