Inspection on 25/07/06 for Lynghis Home

This inspection was carried out on 25th July 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lynghis Home 15/01/09

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Lynghis Home 40 Beauchamp Road Forest Gate London E7 9PD Lead Inspector Lea Alexander Key Unannounced Inspection 25th July 2006 11:00 Lynghis Home DS0000066724.V301863.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 Lynghis Home DS0000066724.V301863.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. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynghis Home Address 40 Beauchamp Road Forest Gate London E7 9PD 0208 471 6478 0208 471 6478 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) Mrs Nana Adwoa Edwin Mrs Agnes Tekyi Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: The Care home is a four bed roomed terraced house in a residential area of Upton Park. The accommodation comprises of a communal lounge, dining area, kitchen and small staff office. There is a courtyard garden to the rear. The aims to provide care to four adults with mental health issues. The home is nearby local shops and amenities and local bus routes. There is unrestricted parking. The home opened in 2006 and this was the first inspection under National Minimum Standards. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one Inspector over the course of two half days. During the course of the Inspection the Inspector met with the Responsible Individual and also met privately with the staff member on duty and with a service user. The Inspector also sampled a range of documents relating to the day-to-day running of the home including staff personnel files and service users personal files. What the service does well: The home has produced a statement of purpose and a service users guide. At the time of this inspection the home had just opened and one service user was living there. It was evidenced that relevant background and assessment material had been obtained from other professionals and that the home had carried out its own assessment for this service user. The service user had also been able to “test drive” the home before moving in. The home has a contract with the service user and has developed a format for its individual plans and risk assessments of service users. Appropriate support regarding finances and benefits is provided to the service user and the home is exploring ways to support them to continue with activities from their previous placement. Staffs were observed interacting with the service user and were evidenced as supporting them to maintain appropriate contact with their family. The service user has also been supported to register with a local GP. The home provides a range of comfortable and generally well-maintained shared and private spaces. Service users have their own bedrooms. Meal times were observed to be flexible and unrushed and the home was clean, hygienic and free from odours. Service users benefit from a Registered Manager with a professional social work qualification. The home has a business plan that includes financial projections. A range of policies and procedures has been developed and a complaints log is available. The medication available corresponds with Medication Administration Records (MAR) and the MAR sheets have been appropriately maintained. Service users are protected by the homes recruitment policy and practise. The home obtains two satisfactory references and its own Enhanced level Criminal Records Bureau (CRB) check prior to staff commencing and also obtains proofs of ID and copies of educational and training certificates. The home has also provided specialist mental heath training to all support staff. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 6 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 7 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 Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 8 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): 1, 2, 4 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective service users are given information they need about the home and are properly assessed to ensure that their needs are met. EVIDENCE: The home has produced a statement of purpose and service users guide and the Inspector sampled these. The statement of purpose includes information on the homes philosophy of care as well as items required by regulation. The service users guide contains information on the accommodation provided, terms and conditions of residence and information regarding staffing as well as items required by National Minimum Standards. At the time of this inspection the home had one service user in residence, whom had been admitted the previous week. The Inspector sampled their personal file and noted that this contained copies of Care Programme Approach documentation prepared by the Community Mental Health Team including an assessment and care plan. In addition the home had obtained a copy of the individual plan from a previous placement and carried out their own assessment that addressed issues such as support with personal care, day time activities and budgeting and also included relevant background information. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 9 The Inspector also noted that the service user had visited the home prior to moving in as part of the decision making process. A copy of the contract the home has developed with the service user was also available on their personal file. Lynghis Home DS0000066724.V301863.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): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has developed individual planning and risk assessment tools and is in the process of implementing these. EVIDENCE: The home has developed a format that it plans to use for individual service user plans and risk assessments. The format service user plan addresses areas such as communication, mobility, mental health, medication and personal care. The Inspector noted that an individual plan and risk assessment had yet to be completed for the current service user. The Responsible Individual advised that this would be developed over the coming weeks. A copy of a risk assessment developed by the Community Mental Health Team was available on the service users personal file. By sampling the daily log the Inspector evidenced that the service user is receiving support to transfer their benefits to the local DSS office and that they are being supported to manage their finances by receiving a set allowance Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 11 each day. The Inspector was advised that this had been agreed with the service user and would be incorporated into their individual plan. The Inspector sampled the homes policies and procedures and noted that a missing persons procedure had been developed that includes a protocol for staff to follow. Lynghis Home DS0000066724.V301863.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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home supports service users to orientate and settle into their new environment. EVIDENCE: The service user currently residing at the home had moved to a new area when taking up residence. Discussion with the service user evidenced that they were being supported to orientate and familiarise themselves with their local surroundings, including trips to local shops and public transport. The home had established activities that the current service user was involved in prior to their moving - these include employment in a sheltered workshop. The Responsible Individual advised the Inspector that the home would be liaising with local services to enable the service user to continue with this activity. The homes assessment of the service user identified that they will need support to engage in community and occupational activities and that Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 13 Responsible Individual advised the Inspector that this would be reflected in the individual plan when developed. Since moving to the home the service user has been supported to maintain appropriate contact with family members. Some issues regarding the level of appropriate contact have already been identified and these have been recorded in the daily log. The Responsible Individual again advised the Inspector that this issue would be addressed in the individual plan when developed. As the service user had been in residence for one week prior to this inspection, they are still settling into their daily routine. During the course of the inspection staff were observed interacting with the service user and respecting their choices of when to be alone or in company. The Inspector was shown a log of the meals provided and advised that the service user had helped devise this and choose some of the meals listed. During the course of the inspection the Inspector observed that mealtimes were flexible and unrushed. Lynghis Home DS0000066724.V301863.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The homes medication policy and practice safeguards service users. EVIDENCE: The homes assessment of their current service user identifies that they are independent for their personal care. During the course of this inspection the Inspector observed that getting up times and other activities are flexible. The homes assessment also identified that the service user requires no technical aids or adaptations. The initial assessment carried out by the home identified the need for a transfer to a local GP upon admission, and information contained in the service users personal file evidenced that this had occurred. Information regarding other professionals involved in the service users care was also located in the service users personal file. The home has developed a medicines policy that includes guidance on storage, disposal and administration of drugs, including controlled drugs. Whilst no service users are currently self-medicating, the policy does address this area, including the need for an assessment and monitoring process before and Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 15 during any programme of self-medication. The home has also developed separate policies governing the use of homely medications and situations were service users are non-compliant with prescribed medications. The Inspector sampled the homes Medication Administration Records (MAR) for the current service user and the medication available. Medications are stored in a locked cabinet in the staff office. The Inspector examined the available medication and found that it corresponded with that recorded on the MAR sheet. The MAR sheet had been fully completed and was in order. Lynghis Home DS0000066724.V301863.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 good. This judgement has been made using available evidence including a visit to the service. The home has developed a policy to ensure that service users views are listened to and acted upon. To protect service users from harm training on adult protection issues should be prioritized for all staff. EVIDENCE: The home has developed a complaints procedure and a summary of this is included in the service users guide and is displayed in the hallway of the home. This includes information on how to make a complaint, the timescales within which the home aims to deal with these and contact details for the Commission for Social Care Inspection. The Inspector viewed the homes Complaints log. This has been devised to include information on the investigation of complaints and their outcome. At the time of this inspection no complaints had been received by the home. The Inspector also viewed the homes adult protection policy. This includes definitions of the types of abuse service users can experience and identifies staff roles and responsibilities should they have adult protection concerns. The policy also makes appropriate reference to local adult protection guidelines including referral to the local Adult Protection Officer and the Commission for Social Care Inspection. The home has a separate whistle blowing policy. The Inspector spoke with the staff member on duty at the time of this inspection and noted that they required prompting to identify the different types of abuse service users might experience. The staff member was able to appropriately identify their responsibilities if they have adult protection concerns. The Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 17 Responsible Individual should prioritise adult protection training as a priority for all staff. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 18 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, 25, 26, 27, 28 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home provides service users with a range of comfortable and generally well-maintained private and shared spaces. EVIDENCE: The home is a terraced house on a quiet residential street. On the ground floor off the entrance hallway there is a communal lounge with comfortable seating, a TV and stereo. There is also a dining room with a small kitchen off. One service user bedroom and a small staff office are also located on this level. To the rear there is a small courtyard garden with flowerbeds. On the first floor there are three service users bedrooms and a shower room with WC and hand basin and a bathroom with WC, hand basin and mixer tap. The Inspector viewed two bedrooms in the home, including that of the current service user. These contained a double bed, chair, and chest of draws, wardrobe and bedside table. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 19 During the tour of the premises the Inspector noted several minor repairs and these are listed in the requirements section of this report. The home was noted to be clean and free from offensive odours. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 20 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): 31, 32, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are protected by the homes recruitment policy and practice. However, the home must ensure that all staff are appropriately qualified and trained. EVIDENCE: The home currently employs five support workers in addition to the Registered Manager. At the time of this inspection only one of these had obtained NVQ level 2. The Responsible Individual advised that the home would be looking for other support staff to enrol on NVQ level 2 courses in the future. The home has developed a recruitment policy and the Inspector sampled personnel files for two support workers. Both of these were evidenced as including a completed application form, a job description, two satisfactory references and an enhanced Criminal Records Bureau check obtained by Lynghis Care Home. Personnel files were also found to contain employment contracts, copies of educational and training certificates and proofs of identity. The home has developed an induction programme for staff members and a copy of this was found on both of the staff files sampled. The Responsible Individual advised the Inspector that all staff will be supported to attend Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 21 mandatory training courses such as health and safety and food hygiene over the coming months and that a training course on psychosis had already been run with all staff attending. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 22 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): 37, 39, 40 & 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Service users benefit from a generally well run home. However the health, safety and welfare of service users must be promoted and protected. EVIDENCE: The Responsible Individual advised the Inspector that the Registered Manager has a background as a qualified Social Worker and is planning to undertake a Registered Managers Award from September 2006. The Inspector requested information on the homes quality assurance policy and procedure, but this was not available. By sampling the homes policies and procedures it was evidenced that the home has developed a range of policies and procedures that comply with current legislation and provide appropriate guidance to staff. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 23 The Inspector requested a number of health and safety records required by legislation to be maintained by the home. No fire records (including alarm tests and evacuation drills), log of water temperatures or incident book were available. A record of fridge and freezer temperatures was available, however the Inspector noted that these had not been completed on one occasion in the previous week. The Inspector viewed the homes staffing rota and found that this did not include details of night cover on one occasion in the previous week. The Responsible Individual advised the Inspector that night cover had been provided but that the rota had not been updated to reflect this. A tour of the premises identified that potentially hazardous cleaning materials were being stored in an unlocked cupboard in the kitchen. Inspection of the fridge evidenced that started processed foods had not been date labelled. Prepared foods stored in the freezer had also not been date labelled. The Inspector was shown the homes current accident book – this had no entries at the time of this inspection. Current gas safety and domestic electrical compliance certificates for the home were shown to the Inspector. The Inspector was also shown a business plan for the home that included financial projections. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 X 3 X 1 3 X 1 X Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Not applicable. 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. 2. Standard YA23 YA24 Regulation 13 12, 23 & 39 Requirement Staff training regarding adult protection matters should be given a priority. The following repairs and maintenance issues must be attended to: (i) The broken toilet seat in the upstairs bathroom must be repaired or replaced. The bathroom paintwork is patchy and must be made good. The damaged boxing at floor level under the boiler in the kitchen area must be repaired. Curtains in service users bedrooms must be properly hung. Service users must be supported personalise their bedrooms should they wish. Version 5.2 Page 26 Timescale for action 30/11/06 30/11/06 (ii) (iii) (iv) (v) Lynghis Home DS0000066724.V301863.R01.S.doc 3. YA32 12 & 18 4. YA35 18 5. YA39 12 & 24 The Registered Person must ensure that the home complies with minimum targets for the numbers of support staff who have obtained NVQ level 2. The home must develop a training and development programme to ensure that support staff have completed mandatory training courses and have the necessary skills to meet service users needs. The Registered Person must develop and implement a quality assurance process that includes the views of service users, their families and other stakeholders. 31/12/06 31/12/06 31/12/06 6. YA42 The outcomes of the quality assurance process should be published and be made available. 12,13,16,23 The Registered Person must & 37 ensure that: (i) A record of fire safety tests including fire point alarm tests and evacuation drills is maintained and available for inspection. A record of water temperatures is maintained and is available for inspection. An incident log is maintained and made available for inspection. A daily log of all fridge and freezer temperatures is maintained. The staffing rota 30/11/06 (ii) (iii) (iv) (v) Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 27 (vi) (vii) accurately reflects the staffing situation within the home. Appropriately label started processed foods and prepared foods in the fridge and freezer. All potentially hazardous cleaning materials are securely stored. 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 YA40 Good Practice Recommendations The home should index its policy and procedures so that they are readily accessible. Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Lynghis Home DS0000066724.V301863.R01.S.doc Version 5.2 Page 29 - 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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