Inspection on 04/04/07 for Maplewood House

This inspection was carried out on 4th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Maplewood House 05/12/05

Maplewood House 21/07/05

Maplewood House 07/12/04

Maplewood House 20/07/04

Similar services:

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Insight - Eastchurch

Southfields

Thorndene

Magenta

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

CARE HOMES FOR OLDER PEOPLE Maplewood House Maplewood House Off Chatfield Court Caterham Surrey CR3 5YA Lead Inspector Vera Bulbeck Unannounced Inspection 4th April 2007 10:45 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 Maplewood House DS0000013712.V333254.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. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maplewood House Address Maplewood House Off Chatfield Court Caterham Surrey CR3 5YA 01883 383807 01883 383812 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) Surrey and Borders Partnership NHS Trust Mr Krishna Govinden Care Home 15 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (9) of places Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Maplewood House is a detached property providing accommodation for 15 service users with mild to moderate learning disabilities, the majority of which are over the age of 65 years. The home is located in Caterham and has easy access to the local shops, public transport and other local services. The accommodation for service users is provided on the ground and first floors. All service users have their own bedroom. The home has its own transport and parking is available to the front of the property. There is a large rear garden that is mainly laid to lawn. The registered manager informed the inspector on the day of the site visit, the fees range for the home are from: £903.83 to £1.011.64 per week. Additional charges are made for holidays and personal items. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over five hours forty five minutes commencing at 10.45 am and ending at 16.30pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Three care plans were sampled and the care observed for the three individuals. The manager of the home stated he had not received any service user feedback sheets. The inspector spoke with the majority of service users to obtain feedback. Five members of staff were spoken to during the visit. A number of records were observed. The registered manager Mr Kris Govinden was on duty. There were fifteen service users living in the home on the day of the site visit and there were no vacancies. The inspector would like to thank the service users and staff for their cooperation and hospitality during the inspection. The service users living in the home wish to be called service users, therefore service users will be referred to throughout the report. What the service does well: Service user’s views are continually sought to improve the service the home provides. Regular meetings are held with service users, records were seen and found to be well documented with an action plan to enable any suggestions or points of view to be actioned. The inspector spoke to the majority of service users; all were complimentary towards the staff, regarding the care provided and the staff team. Service users living in the home appeared to be happy; they were well dressed and some stated they enjoyed their lunch on the day of the site visit. Service users are able exercise their choice in the home, some of the service users are fairly independent and are able to go out alone and some with a member of staff. The inspector spoke with a number of staff on duty on the day of inspection; staff commented they feel supported by the management of the home and work as a stable team. The home was homely and welcoming and all areas in the home were nicely decorated and furnished. Some service users had some items of furniture in their bedrooms, which they had purchased since living in the home. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 6 Several service users commented the food served is very good. 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. The summary of this inspection report can be made available in other formats on request. Maplewood House DS0000013712.V333254.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 Maplewood House DS0000013712.V333254.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user is only admitted to the home following a needs assessment to ensure that the home can meet the service user’s identified needs. The home does not offer intermediate care. EVIDENCE: All service users entering the home have a pre needs assessed carried out to ensure the home can meet the service users needs. The registered manager explained that full details of any potentially new service user would be undertaken when the service user enters the home. The admission procedures and criteria reflect the principles of admission and assessment appropriate to the home. The pre assessment document was seen and it was noted that service users need to be involved in the assessment to ensure the home is able to meet the service user’s needs, prior to admission to the home. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 9 The registered manager informed the inspector a copy of a service users guide is provided to all service users and relatives. This was not checked on this visit. The inspector would advise the management of the home to ensure the statement of purpose and the service users guide is reviewed on a regular basis to include any changes in the home. Maplewood House DS0000013712.V333254.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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users health, personal and social care needs are set out in an individual plan of care, to demonstrate needs are met in accordance with the homes philosophy. Service users are treated in a respectful and sensitive manner. EVIDENCE: Three service users care plans were sampled and there was evidence that service user’s health, personal and social care needs had been identified and assessed. Care notes need to be more detailed to include service users daily routines, and consideration must be given to those service users who wish to be involved with their care plan. An action plan is in place to meet the physical care needs of the service users, to ensure the support, comfort and dignity of the service users is maintained. The care plans are kept in the dining room in a lockable cupboard and staff have access to the care plans to enable staff to use them as a working tool. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 11 The management of the home will liaise with support services to ensure appropriate equipment is received for example, hoists. A number of risk assessments were seen and are reviewed three monthly, several risk assessments were in need of updating, and the registered manager explained this was in the process of being completed. Medication was seen to be well organised and all staff have received training. One service user is able to self medicate and records are checked on a regular basis by the staff to ensure the service user administers the medication as required. A pharmacy audit was undertaken in July 2006, the pharmacist prepares medication for the service user who self medicates. It was noted that several service users have been prescribed rectal diazepam medication and three staff have completed the training and have certificates on file. However, three staff members have to complete competence training to be able to administer the medication. This needs to be undertaken as a matter of priority to ensure in the event of an emergency adequately trained staff are on duty. All creams and lotions prescribed by the doctor currently kept in the bathroom cabinet, and used on service users after a bath must be kept locked at all times. The registered manager immediately removed the creams and lotions until the key can be replaced. The service users spoken to confirmed that staff are respectful and knock on service user’s bedroom doors before entering. Observation by the inspector was staff are respectful. It was also noted that service users and staff have a good rapport. Service users informed the inspector, they are able to discuss with any of the staff any worries they may have and staff always listen and take action where necessary. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and encouraged to maintain contact with family and friends and have access to a range of activities. Meals are well balanced and varied with individual choices and preferences as well as special dietary needs catered for. EVIDENCE: The majority of service users have contact with family and friends and those who do not have family or friends the inspector advised the registered manager to involve an advocate. Some service users are able to go out with their family, and a few service users are able to go out alone to the shops and town centre. There are planned activities. These include, visits to the pub for a meal some service users like to go shopping, and some service users enjoy going out for tea, and during the summer months some service users enjoy fruit picking on a farm. One service user informed the inspector she goes line dancing once a week with a member of staff and at weekends she goes home to visit her mum. She has a passion for animals and has a number of animal posters on her bedroom Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 13 walls. She also stated she prefers to stay in her bedroom because “the boys” the male service users swear and she does not like it. The registered manager explained that the service user likes to spend time in her bedroom; she has her own TV and music centre. The bedroom is personalised and is very comfortable. However, the service users does use the other facilities in the home, particuarly the dining room which is also used for activities and meal times. Twelve service users attend a day centre either in the morning or the afternoon and at times all day depending on the timetable with day care. Staff from the Driscoll Centre provides activities on Mondays and Tuesdays in the home and the staff take out some service users during this period. Two service users go to the gym on Fridays and three service users attend Adult Education one day a week on a Thursday. A joint birthday party is being organised for two service users with a disco. The service users informed the inspector they were looking forward to the party. The registered manager informed the inspector, that arrangements are being made for a service user to pay respects to a relative and visit the cemetery, following a recent bereavement. There are plans for the Chaplin to visit the home to conduct a short service and to undertake some counselling if necessary. Holidays are currently being discussed and a member of staff is looking into the possibility of visiting Turkey and Portugal two of the chosen destinations by service users. Several service users prefer to go out for days, some service users do not like to fly. Any service user who does not have sufficient funds for a holiday the Trust pays towards the holiday. Meals are served in the dining room, the tables were nicely laid the food was plentiful and appeared appetising and nourishing and well balanced. The dining area was nicely presented and the service users are encouraged to eat meals in the dining room, this is also a social occasion. The staff and service users are involved with the menu planning, all staff are aware of the service user’s likes and dislikes. The menu of the day is displayed in various areas around the home in picture symbols for service users to see and all service users are informed of the menu. The staff stated on the day of the visit, there is a choice of main meals every suppertime, and lunchtime there is a choice of sandwiches or light snacks. Two service users informed the inspector they enjoy whatever meals are provided for them, some days are more popular than others, for example all the service users like a roast. Fish and chips are on the menu for Fridays. Several service users’ confirmed the food is very good. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place that includes timescales and action to be taken. Service users confirmed they have been provided with a copy. All staff has received the appropriate training to ensure service users are protected from potential risk of harm or abuse. EVIDENCE: The Commission for Social Care Inspection has not been notified or received any complaints regarding the home since the last inspection dated 05/12/05. There have been two recorded complaints in the home since the last inspection. The process for dealing with complaints was observed and found to be clear and any outcome or letters for the complaints were dealt with within the twenty-eight days timescale. All service users are provided with a copy of the complaints procedure, which, is in pictorial form and documented in the homes brochure. All new service users are given a copy on arrival in the home. Service user’s confirmed they are able to discuss any problems or complaints with the manager or staff, service users stated they are listened to and appropriate action is always taken. The inspector observed several posters situated around the home “your views matter” encouraging service users to speak out. The homes policies and procedures for the protection of vulnerable adults and a whistle blowing policy were in place and all staff has received the protection Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 15 of vulnerable adults training except a new member of staff. The staff on duty confirmed they had undertaken this training and were aware of the procedures. The home has a copy of Surrey Multi Agency procedures. Service users are encouraged to vote and some have been registered for a postal vote. Maplewood House DS0000013712.V333254.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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained comfortable, clean, and pleasant and has a homely atmosphere. The garden is easily accessible from the lounge and service users are able to make full use of the grounds. EVIDENCE: The home was found to be clean and tidy on the day of the visit. However, there were a few areas that require attention, for example; the bolt on the bathroom door was not working and in another bathroom the call bell was broken. The tiles in the ground floor bathroom were badly stained and need cleaning. The registered manager informed the inspector the replacement call bell was on order and the lock is due to be fitted when the maintenance person visits the home to undertake any repairs. The smoker’s room needs attention, the carpet was badly stained and the ceiling needs attention following a leak in an upstairs bathroom. The Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 17 fridge/freezer in the kitchen needs to be cleaned and staff must ensure all food is appropriately covered. There are several areas around the home that have a nice homely touch and service users are able to enjoy. All the bedrooms were nicely furnished and personalised by the service users. The grounds are spacious and nicely cared for. The inspector was informed that service users enjoy the garden during the summer months or good weather. Maplewood House DS0000013712.V333254.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets service user’s needs. The home has a comprehensive staff recruitment and training programme which, incorporates all areas needed to ensure, as far as reasonably possible, that service users are in safe hands at all times. EVIDENCE: There are four members of staff on duty during each shift. There is two staff on waking night duty. The registered manager spends two days a week undertaking management duties, and three days a week working as part of the care staff rota system. Three staff files were sampled and the documents required for each member of staff was found to be in place. A training plan was observed by the inspector, which was kept up to date. The registered manager informed the inspector the majority of staff has received (POVA) protection of vulnerable adults training. The inspector discussed with staff on duty that confirmed they have received training in the past, but several staff members commented they need to be updated on the procedures. The registered manager explained that when he has undertaken up to date Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 19 training with Surrey Multi Agency training, which he is currently waiting for, he would cascade the training to his staff team. The home has three members of staff who have completed NVQ Level 2. The registered manager stated two more staff are in the process of completing NVQ level 2 and 3. It was identified at the time of the visit that the registered manager and deputy manager have been on equality and diversity training, the inspector advised the registered manager to ensure all staff receive training in this area. Maplewood House DS0000013712.V333254.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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users, benefit from an open, positive and inclusive management style. The home has a monitoring system in place that is based on seeking the views of the service users. All staff has received the mandatory training to ensure the health, safety and welfare of service users is maintained at all times. EVIDENCE: The registered manager completed the Registered Managers Award in 2005 and is competent and qualified to manage the home. Staff were complementary and stated they feel supported and the registered manager has an open door policy. Staff stated they are able to speak with the manager at anytime. One member of staff stated the manager is very flexible with staff and has a great understanding. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 21 Regular visits are undertaken by a designated person to check the home is meeting the required standards. A new format has been produced to ensure all areas in the home are quality audited on a regular basis. The forms are detailed and cover a range of topics. The management of the home need to ensure the Care Homes Regulations 2001 and the National Minimum Standards for Older People is available in the home at all times, and to ensure the staff have access and use as a working tool. The registered manager stated the home has regular meetings with service users. Service users confirmed they have meetings and are able to make suggestions about days out and holidays. Staff meetings are undertaken on a regular basis. The minutes of these meetings are recorded and staff sign to indicate they have read the minutes. Any action that needs to be taken should be clearly documented. The registered manager informed the inspector, a questionnaire (Customer Care Satisfaction) is sent to all relatives on a yearly basis, and the last questionnaire sent out was some months ago. A number of complimentary letters sent to the home were sampled by the inspector, regarding the care provided and staff involvement. Three service users finances were sampled and records indicated the finances were well documented and each service users have their own bank account. Two signatures of staff are required for any transaction. Receipts were seen and the money held was checked and found to be in order. There are two service users who are able to manage small amounts of their personal allowance. A number of records were checked including the fire records, the records were found to be well documented and details were filed appropriately. The inspector advised the home to implement an emergency contingency plan, to ensure in the event of an emergency, the staff and relevant emergency services would be clear on the action needed to be taken if service users were unable to return to their home. There was an incident in the home in 2006 and the registered manager informed the inspector that appropriate action was taken following the incident. Staff informed the inspector this was the second incident and closer supervision of the service user by the staff, has been put in place. However, management of the home need to ensure guidelines are in place for staff, and all service users should be risk assessed to ensure their safety and wellbeing. Maplewood House DS0000013712.V333254.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA9 YA19 YA30 YA38 Good Practice Recommendations All prescribed creams must be kept in a locked cupboard at all times. The fridge/freezer in the kitchen needs to be kept clean at all times and food must be kept covered. All staff requires updates to a number of training courses and all staff to attend equality and diversity training. Guidelines to be in place for staff with reference towards managing service users behaviour. Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Burgner House 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Maplewood House DS0000013712.V333254.R01.S.doc Version 5.2 Page 25 - 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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