Inspection on 09/05/06 for Mandale House Care Home

This inspection was carried out on 9th May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Mandale House Care Home 01/07/08

Mandale House Care Home 23/05/07

Mandale House Care Home 23/01/06

Mandale House Care Home 12/09/05

Mandale House Care Home 20/10/04

Mandale House Care Home 12/07/04

Similar services:

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Turret Villa Retirement Home

Moor House

Mendip House

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

CARE HOMES FOR OLDER PEOPLE Mandale House Care Home 136 Acklam Road Thornaby Stockton-on-Tees TS17 7JR Lead Inspector Jackie Herring Key Unannounced Inspection 9th May 2006 09:30 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 Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 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. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mandale House Care Home Address 136 Acklam Road Thornaby Stockton-on-Tees TS17 7JR 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) 01642 674007 01642 890050 T L Care Ltd Mrs Julie Hickey Care Home 57 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (27) of places Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is under the age category can be admitted to the home on a permanent basis. 23rd January 2006 Date of last inspection Brief Description of the Service: Mandale House is a 57-bedded care home providing personal care for older and older people with dementia. 55 of the bedrooms are single with ensuite facilities and there is one double room with ensuite facilities. Since the last inspection, Mandale House has changed the category of care the home now operates two dedicated units, 30 beds within the upstairs unit for older people with dementia and 27 beds on the ground floor for older people who have personal care needs. Mandale House is situated in reasonable proximity to a local park and public house. Public transport is in easy reach and the home is on a main traffic route. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was conducted in two inspection days, eight inspection hours in total. As a key inspection, all of the key standards were examined, which included an examination of residents records, social activity arrangements, medication records, a tour of the home, health and safety records, staff records and training and discussion with residents and staff. Six residents were involved in discussion about life within Mandale House and staff were interviewed and there was also informal discussion. In direct observation also took place, as a number of residents were not able to engage in informed discussion about life in Mandale House due to their communication and cognitive needs. This was a very good inspection in which it is clear that much progress has been made to improve and develop a number of areas within Mandale House. What the service does well: What has improved since the last inspection? The ground floor unit has undergone quite a bit of redecoration and refurbishment. The majority of the requirements from the last inspection have been addressed including improvements to the bathing and showering facilities, the heating system, the systems for maintaining the ventilation fans, quality assurance and management of resident’s personal allowances. Positive developments have also been made in regard to the resident’s assessment documentation and care plan records. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 6 The environment upstairs was noticeably much more pleasant with the change to the lounge/dining room. There was a sense of it being much more cosy, warm and homely. The staff said that there had been positive improvements and residents were benefiting from a calmer more pleasant environment. 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. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 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 Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Resident’s needs are adequately assessed prior to admission to the home, which ensure that the home is able to meet resident’s needs. EVIDENCE: Four sets of resident’s records were examined all of which contained a copy of the pre admission assessment and where appropriate also a copy of the care management assessment. The pre admission assessment contained appropriate information to demonstrate that Mandale House was a suitable care home for prospective residents. Mandale House does not provide Intermediate Care. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Whilst care records are in place for the residents, the assessments, risk assessments and care plans need some additional detail, which sets out fully resident’s health, personal and social care needs. Residents have their privacy needs and rights upheld and are treated with dignity. The medication systems were generally satisfactory however there were three areas identified that required further attention to ensure safety and robustness. EVIDENCE: Four sets of resident’s records were examined and there had been improvements since the last inspection in regard to the level of personal detail contained within some of the assessment documentation. There continues to be the need to further increase the level of personal detail, social needs and health care details within the assessment of need in all of the resident’s records. It was identified that some of the needs had not been identified within the home’s own assessment however these were detailed within the care management assessments. It was good to see that the home had moved away from using pre prescribed care plans and were now developing their own in accordance with individual residents needs, however one of the residents whose file was examined did not have any care plans despite there being identified needs. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 10 During discussion with the manager, it was identified that there was still more development work to do and staff training was continuing to take place to improve the detail and quality of individual residents care plans. Whilst risk assessment tools were in place to assess for potential tissue damage and nutrition, it was identified that some of these had not been completed fully and as such did not clearly identify any potential risks. An example of this was a resident’s who had some significant weight loss and whilst this was being managed appropriately by the home, the records did not support this. The resident’s records did not contain evidence that the assessments and plan of care had been discussed with them or their relatives. Details for GP, District Nurse, Optician and CPN visits were available within all of the files examined. The medication systems were examined during the inspection and the storage, recording and administration of medications was in the main robust. There was one area in regard to the procedure for recording and administration of controlled drugs that needed to be reviewed; the manager took immediate action to address this. In addition in two of the records examined, it was unclear if residents were having required medication or not and there was some double entries that could lead to potential risk of double administration. Residents who were spoken to during the inspection said, “I am treated in a polite and respectful manner they are very kind”, “The staff help you but you can pretty much do what you want”. Indirect observation took place and staff were observed to be have very good relationships with the residents, they spoke very kindly and the interaction demonstrated respect. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Activities are in the main well managed for residents ensuring social, religious and recreational needs are provided for. Residents where possible are able to control aspects of their lives, their independence and make choices. Meals are provided to a good standard within a suitable environment EVIDENCE: Mandale House employs an activity person who generally works Monday to Friday. Care staff spoke highly of this role and said, “She does a really good job and the activities for the residents are good, she is in the process of organising a trip to Preston Park for later this week”. A range of activities were described including Karaoke afternoons, bingo, jigsaws, life discussions, video afternoons, arts and craft including making Easter cards and also baking cakes. The activities are recorded within a daily diary. The activities person’s time is split between the two units although there are also opportunities for joint activities. During the inspection, it was observed that a small number of residents went to the local park to watch bowls and the activity person said that now the weather was improving, residents would have more opportunities to go out. One resident said, “There are plenty of activities if you want to join in, I prefer to be by myself”. Staff also confirmed that resident’s religious needs were attended to and gave an example of residents receiving Holy Communion. The manager said that there were a couple of local churches that residents could attend if they wanted to. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 12 It was noted within the resident’s documentation that there was a sheet for individual preference, which included hobbies and interests, these continue to be in of further detailed information to ensure that individual residents lifestyles and interest are fully recorded which will enable activities to be arranged where possible around individual interests. A copy of the menu was supplied along with the pre inspection questionnaire, which was a four-week rotational menu. It offered a main meal and an alternative, which was also a cooked meal and the inspector was informed that there was also additional items such as sandwiches and omelettes were available. Residents stated that the meals were good, resident’s said, “The meals are very good, you get a substantial breakfast and there is a good variety, most of the time you are given a choice”. The inspector joined residents on the ground floor dining room for lunch, the residents were satisfied with their meal however thought that the portion size was too large. There was some discussion with the manager about the presentation of the dining tables and whilst the downstairs dining room was a conducive environment, it was identified that improvements could perhaps be made to the actual setting of the dining tables. Residents spoke of being able to make decisions and having choices, this was evidenced during the inspection with afternoon tea and coffee being served, all residents were offered the choice and residents spoke of being able to have choices at mealtimes. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents are confident that any complaint would be acted upon appropriately. Robust procedures are in place, which ensure that residents are protected from abuse. EVIDENCE: Residents who were spoken to about complaints said they knew who to speak to in the event they had any concerns or wanted to make a complaint. In the main, the surveys that were returned indicated that residents knew who to speak to in the event they were unhappy. The complaints book was made available for examination and it contained the required detail. The pre inspection questionnaire contained details of all of the complaints received in the past twelve months. Staff demonstrated a clear understanding of abuse and were aware of Protection of Vulnerable Adults and whistleblowing, should this be required. The manager confirmed that staff had received training in regard to abuse and protection of vulnerable adults and said that this topic is included in the annual mandatory training. There had been adult protection issues within Mandale House; this related to residents to resident’s situations, on these occasions, they had appropriately been dealt with by the manager and staff in the home to ensure ongoing protection of residents. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 25, 26 Mandale House is clean and generally quite comfortable however further work needs to be undertaken to increase the availability of bathrooms and shower rooms and the redecoration and refurbishment programme should continue to make a more pleasing comfortable environment. EVIDENCE: A tour of Mandale House took place and was observed to be clean and odour free. Housekeeping staff were observed going about their daily cleaning duties and the staff records showed that there were five staff employed in the capacity of housekeeping and a further two for laundry purposes. Handrails were in place on corridor walls and there was a range of equipment such as hoists to meet resident’s needs. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 15 At the last inspection it was identified that there was the need for some environmental improvements this particularly related to bathrooms, shower rooms. Since that inspection, two baths have been replaced both with bath hoists. There have however been problems with these hoists and at times, the actual baths have been out of use. Two of the showers continue to be not really accessible to residents with mobility problems and there was there continues to be need to improve the flooring in others as these are currently out of use due to water leaks. During discussion with staff it was identified that the actual bathing and showering facilities although sufficient in overall number did not really provide the range of facilities required by the residents as it was thought that have additional baths rather than the number of showers would be more advantageous. This would also overcome the problem of resident’s not being able to have a bath in the event that the bath hoists were broken. At the last inspection, it was identified that there was a problem with the heating system and one of the lounge areas was cold. Since this inspection, improvements have been made to the heating system and it is now operating properly and no problems have since been experienced. A programme of redecoration continues to be underway, the downstairs environment has been improved since the last inspection and it is much brighter and more homely. It is planned to commence on the upstairs environment within the near future. Staff when asked about any improvements needed within the home said that the upstairs dining room furniture could be improved as it was showing signs of wear. During discussion with the manager, improvements to the garden were discussed. Currently, the garden is not accessible to the residents, there is two small patio areas that are accessible however it has been acknowledged that the external space needs to be improved to enable residents to take more advantage of going outside in the fine weather. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The deployment and number and skill of staff on all shifts is now appropriate to ensure that at all times residents are supported by an experienced, well trained team of staff. The procedures for the recruitment of staff are robust offering protection to residents. EVIDENCE: No new staff had been employed since September 2005, however recruitment was now taking place for the ground floor residential unit. Four staff files were randomly selected and all contained the required information including application form, appropriate references, health questionnaire and Criminal Bureau Checks including checks on the Protection of Vulnerable Adults register. The training programme was made available for examination and contained detail of all the mandatory training such as fire, health and safety and first aid and also detailed in-house induction, annual appraisals and National Vocational Qualifications. It is commendable that 70 of the staff are trained to NVQ level 2 and above. The staff during discussion believed that the staff team were well trained and well able to meet the needs of the residents within the home. The thought the training was a strength within Mandale House and said that there was always training being made available to them. Client specific training was discussed, and staff confirmed that they had attended dementia care training. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 17 It was thought that additional client specific health care training such as knowledge and understanding of topics such as challenging behaviour. One staff member said, “I have completed Dementia Care Awareness, Risk Assessments and Safe Handling of medicines and I am always on top of the mandatory training”. A detailed training spreadsheet was made available for examination along with forthcoming the programme for forthcoming training events due to take place. During discussion with residents and staff the staffing levels were discussed. Residents thought that there were sufficient staff to attend to their needs, however following the change in categories of residents, staffing of the ground floor unit had altered and was thought by the staff not to be satisfactory. This was raised with the manager and the staffing levels had been increased by the second inspection day. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Mandale House is a well run and managed home with an experienced staff team. Effective systems are in place to ensure the health and safety of residents and staff. Quality assurance systems are in place and resident’s financial interests are safeguarded. EVIDENCE: The manager of the home is registered with CSCI and she had the required qualifications and experience to manager Mandale House. Residents and staff thought the home was well run and a group of residents said, “The care is very good here, we have very good relationships with the staff, you can have a good bit banter and definitely have a laugh with them”. Staff said, “We have a brilliant team, we all get on really well and work together as a team, the manager is approachable and I feel supported in my job role”. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 19 Another group of staff took place in an informal discussion, they were extremely animated about their job roles and said, “Really love our job”, and there was a real sense of commitment and enthusiasm about their jobs. One resident said, “The care is the best thing about Mandale House, the staff are very kind, polite and respectful”. Another resident said, “I haven’t found a thing wrong with here, the girls are marvellous”. Quality assurance systems were discussed with the manager and she produced a recent survey that had been undertaken with relatives of residents. Thirty surveys had been sent and twenty had been returned. A numerical summary had been developed and the manager agreed that a brief written report was needed to support this. Additional quality assurance systems were discussed and the manager said that care plan audits take place however these were in the process of being rolled out further and medication audits take place. The manager also said that she walks around the home at least twice a day to monitor standards and she produces a daily report. There was discussion about further developments in regard to quality assurance and the manager is looking to develop this further and she also confirmed that she was in the process of conducting a resident’s survey. The pre inspection questionnaire detailed the maintenance and service of equipment within the home, which were up to date. A random sample of records was examined during the inspection, such as fire extinguishers, fire equipments, nurse call and water temperatures and all were found to be in order. Systems are now in place for maintenance of the ventilation fans. The inspector advised that the manager should also arrange to have regular checks carried out on bed rails and window restrictors, which she confirmed she would do. The system for managing residents personal allowances were also examined and the system was observed to be robust. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 X X X 3 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 X X 3 Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 21 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 OP7 Regulation 15 Requirement Further work must take place to ensure that a fully completed assessment, which includes detailed preferences, like and dislikes and there must be evidence of resident or their relative’s involvement. Timescale for action 01/08/06 2. OP8 15 3. 4. OP9 OP21 13 23 Resident specific care plans must continue to be developed where needs have been identified and must specify what the need is, how it is to be met and by who. Risk assessments and 30/06/06 assessments for health needs must be fully completed and where required, care plans implemented. The recording of administered 09/05/06 medication must be more robust. The number and mix of 01/08/06 bathrooms and shower rooms must be reviewed to ensure that there is an adequate mix to meet the resident’s needs. The out of order shower rooms must be repaired. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 22 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. 2. 3. 4. Refer to Standard OP19 OP20 OP33 OP38 Good Practice Recommendations The redecoration programme should continue, including the redecoration of the upstairs unit. The garden should be further developed to make it more accessible to more residents. The quality assurance systems should continue to be developed further. There should be a system in place for the regular examination of window restrictors and bed rails. Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Mandale House Care Home DS0000000185.V291045.R01.S.doc Version 5.1 Page 24 - 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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