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Inspection on 11/08/06 for Maristow House Nursing Home

Also see our care home review for Maristow House Nursing Home for more information

This inspection was carried out on 11th August 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Maristow House provides an individual approach to the nursing care needs and social needs of the service users. Health care needs are monitored and appropriate action taken when the health care needs of the service users change. The environment is homely and the bedrooms are personalised. The home benefits from a small stable staff group who know the service users care and social needs well. The staff were observed interacting well with service users.

What has improved since the last inspection?

The detail in the care records relating to short-term care needs and long-term care needs had much improved providing the care staff with clear direction on how to care and meet the assessed care needs of the service users. Manual handling and pressure area assessments had been completed. Nutritional risk assessments had been implemented. The care records had been reviewed monthly.

What the care home could do better:

The falls risk assessments should provide information on how to reduce the risk of falls. The disposal of medication procedure was not in line with current legislation. Handwritten medication orders should be counter signed by two members of staff ensuring the accuracy of the order. A record of activities should be maintained and include which service users attended the activities and the outcome of the activity. The complaints policy and procedure should be clearly displayed for all interested parties. More supervision is needed to the cleaning of the 1st floor. Recruitment files must contain the required information for each employee. A clear record of training provided for the staff should be maintained. All staff must be up to date in manual handling training. A quality assurance system needs to be implemented.

CARE HOMES FOR OLDER PEOPLE Maristow House Nursing Home 16 Bourne Avenue Salisbury Wiltshire SP1 1LS Lead Inspector Karen Mandle Key Unannounced Inspection 09:45 11th August 2006 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 Maristow House Nursing Home DS0000015926.V299067.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. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maristow House Nursing Home Address 16 Bourne Avenue Salisbury Wiltshire SP1 1LS 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) 01722 - 322970 01722 - 337485 Mrs Lindsey Jayne Wallace Mrs Lindsey Jayne Wallace Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17), Physical disability (17), Terminally ill (2), of places Terminally ill over 65 years of age (2) Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users who may be accommodated in the home at any one time is 17 No more than 2 service users with a terminal illness may be accommodated in the home at any one time The minimum staffing levels set out in the Notice of Decision dated 16 January 2004 must be met at all times 7th February 2006 Date of last inspection Brief Description of the Service: Maristow House Nursing Home is an older building located in a residential area, which has been converted for use as a care home. The home is situated in the city of Salisbury, Wiltshire. The home is within easy reach of the city centre. The accommodation is provided over 2 floors of the home, with the majority of the bedrooms provided being single. The home provides a comfortable communal room on the ground floor, which is inclusive of a dining area. Maristow House is registered to provide nursing care for 17 older people. The home is privately owned by, Mrs Lindsey Wallace who is also the registered manager. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced the 11th August 2006 and was completed when the inspector returned the 16th August 2006. Marie Langworthy assisted the inspector with the second visit. The inspector was able to freely tour the home, visit with many service users and observe staff interacting with service users. Prior to the site visit taking place, the inspector sent five service users surveys to the home to gain their opinion regarding the service provided at Maristow House. The surveys provided positive comments about the care provided. The care of 5 service users was case tracked through the inspection process by reviewing care records, observing care and speaking where possible to the service users. During the inspection, among other documents, the inspector reviewed the complaints record, staff employment records, staff rosters and the accident record. The judgements contained in this report have been made from evidence gathered during the inspection which included a visit to the service and takes into the account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? What they could do better: Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 6 The falls risk assessments should provide information on how to reduce the risk of falls. The disposal of medication procedure was not in line with current legislation. Handwritten medication orders should be counter signed by two members of staff ensuring the accuracy of the order. A record of activities should be maintained and include which service users attended the activities and the outcome of the activity. The complaints policy and procedure should be clearly displayed for all interested parties. More supervision is needed to the cleaning of the 1st floor. Recruitment files must contain the required information for each employee. A clear record of training provided for the staff should be maintained. All staff must be up to date in manual handling training. A quality assurance system needs to be implemented. 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. Maristow House Nursing Home DS0000015926.V299067.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 Maristow House Nursing Home DS0000015926.V299067.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 All service users are assessed prior to admission to the home ensuring that the home is able to meet the nursing needs of the service user. The home is not registered to provide intermediate care therefore standard 6 is not applicable. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Each service user is assessed by the manager Lindsey Wallace prior to admission to Maristow House to ensure, that through the assessment process the home is able to meet the nursing needs and social needs of the individual service user. Two pre admission assessments were seen which provided information relating to current health care needs and long-term needs. The home works closely with the local hospice, which also provides the home with assessments prior to an admission-taking place. The home is not registered to provide intermediate care therefore standard 6 is not applicable. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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. Service users are provided with care plans, which gave clear directions on how to provide the nursing care required. Health care needs are monitored and action taken when health care needs change. Medication, which was no longer in use, had not been disposed of correctly in line with current legislation. Some medication had not been signed for. Service users feel they are treated with respect. Quality in this outcome area is judged to be good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The care records of five service users were reviewed. An improvement to the records was seen. The short-term care needs of the service users were clearly identified through short-term care plans and provided clear instruction on how to care for the identified nursing need. The short-term care plans were being reviewed monthly and when any changes to the nursing need take place. The manual handling risk assessments were complete as required from the previous inspection. Whilst all service users had now been provided with a pressure area risk assessment, the assessments were not being reviewed Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 10 monthly. The care records provided evidence of those service users at risk of falls but did not provide information on how the risk of falls would be reduced. Nutritional risk assessments were in place. The home is registered to provide nursing care. It was evident that many of the service users had complex nursing needs, however appropriate nursing interventions were observed and the care individualised to the persons’ nursing and social needs. Written evidence was available of GP visits taking place and of other health care professionals who had visited service users or had been contacted for advice by the home regarding the care needs of a service user. The service users who were able to communicate with the inspector spoke confidently that their health care needs were being met and were complimentary of the care provided. The health needs of the service users are monitored and evidence in the daily statement demonstrated when a GP was promptly contacted when the health care needs of a service user had changed. Appropriate pressure relieving equipment was in place for those service users at risk of pressure damage. The medication procedure was assessed. Some medication records had gaps with no signature to confirm that the medication had been given. When a medication is handwritten on to the medication record it should be countersigned by two members of staff, one of which must be a qualified nurse, ensuring that the medication order is correct. The medication trolley needed cleaning. The controlled medications were seen which were recorded and stored correctly. Medication no longer in use had not been disposed of in line with current legislation. The inspector was able to visit with many of the service users some of which by choice spent much of their time in the privacy of their own rooms. These service users expressed how much they appreciated that the care staff respected their privacy and dignity and that they were able to make this choice. Service users also confirmed that all personal care was provided in the privacy of their bedrooms or bathrooms. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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): 12, 13, 14 and 15 The activities provided suit the social needs of the service users group, however a record of activities is not maintained. Service users are supported to maintain links with family and friends. The food provided is of a good standard with varied menus supporting the dietary needs of the service users. Quality in this outcome area is judged to be good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: An activities programme is provided which meets the needs of the service users. Many of the service users at Maristow House would have difficulty participating in group activities due to their complex health care needs. However, the inspector was able to spend time with three service users who sat in the communal area together. The service users confirmed that they watch TV, read the newspapers, and a service user was seen knitting. They also confirmed that they enjoyed outside entertainment that came into the home. Two service users who, due to their care needs spent much of their time in their bedrooms. Both service users had a large range of videos, which one service user confirmed, he really enjoyed. A record is not kept of the activities provided and who participates in the activities. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 12 Service users were able to confirm that they could receive visits from family and friends at any time, in the privacy of their bedrooms or in the communal room. A record is maintained of all visitors to the home. A service user reported that she frequently goes out to lunch with her family. Marsitow provides an individual approach to the care and social needs of the service users, providing service users with choice and where possible control over their lives. Unfortunately the full time cook was not available at the time of the inspection to discuss the kitchen procedures. However with talking to the service users it was reported that the cook visits with the service users to ensure that they have enjoyed their meals. The service users were complimentary of the food provided. Nutritional assessments are in place and food supplements given when needed. Two service users were fed via gastric tubes with correct procedures in place. The lunchtime meal was observed, which was well presented. Service users requiring assistance with their meals were provided with help on a one to one basis. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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): 16 and 18 A complaints policy and procedure is in place but is not openly displayed within the home providing this information to family and visitors. All staff had received training in “Abuse Awareness” and the local vulnerable adults procedure. Quality in this outcome area is judged to be adequate. This judgement has been made using the available evidence including a visit to this service. EVIDENCE: A complaints policy and procedure is in place, however it is not openly displayed in the home for family and visitors to be fully informed of how to make a complaint. The home has not received any formal complaints regarding the service provided. Through conversation it was evident that the manager had a clear understanding of the local vulnerable adults procedure and how to implement the procedure in the event of receiving an allegation of abuse. All staff had received training in “Abuse Awareness” and the local vulnerable adults procedure. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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 and 26 Maristow House provides a homely environment for service users to live in and is generally well maintained. Infection control measures are in place. Quality in this outcome area is judged to be adequate. This judgment has been made using the available evidence including a visit to this service. EVIDENCE: Maristow House is a large older detached building, which has been converted for use as a care home. Maristow provides a homely environment for service users to live in. The Extension on the ground floor provides a comfortable communal room with a small dining area. The home is generally well maintained. However two vanity units, which were in a poor state of repair, will need replacing. A bedroom on the second floor needed redecorating. The garden to the rear of the building was un-kept and not a suitable place for service users to use. The inspector was able to visit many of the bedrooms, which were homely and personalised. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 15 The ground floor of the home was cleaned to a good standard, however the upstairs of the home was not quite of the same standard. Dust was observed on the windowsills in the bedrooms. In addition, the shower tray and shower room upstairs were not sufficiently clean. Infection control measures were in place with hand washing facilities adequately provided around the home for care staff to use. Disposable gloves and aprons were observed being worn by the care staff whilst carrying out personal care duties. Clinical waste is dealt with and stored appropriately. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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 and 30 The home was staffed in accordance with a condition set by the Commission. The staffing levels provided are meeting the care needs of the service users. Recruitment systems are in place but not consistent. Not all mandatory training had been provided. Quality in this outcome area is judged to be adequate. This judgment has been made using the available evidence including a visit to the site. EVIDENCE: Maristow House is required to staff the home in accordance with a condition set by the Commission. They were meeting this condition on both days of the inspection taking place. The staffing rotas also provided evidence of the home working in accordance with the condition. The staffing levels provided were meeting the care needs of the service users and service users confirmed that they received care in an appropriate amount of time, even during busy times in the home. Standard 28 has been addressed directly to the home prior to this report and the CSCI is currently awaiting a response from the provider. The recruitment files of four members of staff were reviewed. Two files were of a good standard providing references, appropriate Criminal Records Bureau (CRB) checks, contracts of employment and proof of identity. Whilst two files did not provide two references, both employees had worked at the home for many years, however this will need to be addressed. CRB checks had been made. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 17 The system for recording Staff training did not appear up to date. Some training events were recorded on a personal card system. Other staff training was evidenced through copies of the training certificates in the employment file. Therefore it was difficult to conclude that all mandatory training had been provided. The inspector did however conclude that two qualified nurses had not received a manual handling up date. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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 and 38 Safe systems are in place for the management of service users’ money. Quality assurance systems are limited. The home had systems in place to meet health and safety issues. Quality in this outcome group is good. This judgment had been made using the available evidence including a visit to the site. EVIDENCE: The registered manager Lindsey Wallace was on annual leave whilst the inspection was taking place, therefore Standard 31 will be assessed as part of the next inspection. The quality assurance systems are limited. Mrs Wallace the registered provider remains very much involved in the day-to-day management of the home and continues to work clinical nursing shifts, providing opportunity for service users and relatives to raise any concerns regarding the service at Maristow House. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 19 The home also benefit’s from a small stable staff group who know the service users well. Service users confirmed that they would openly discuss issues with the staff. It will be required that service users surveys and relatives/residents meetings are implemented to enable service users and families further opportunity to give their opinions of the service provided at the home. The home will not take responsibility for service users personal money. All personal items and hairdressing bills are billed through the service users’ account. A record of accidents is maintained along with the action taken following the accident. The fire log indicated that the fire alarm system had been tested weekly and the emergency lighting tested monthly. The staff had been provided with fire training. Risk assessments for the premises had been completed. The home is generally well maintained providing a safe environment for service users to live in. Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Service users must be assessed for risk of falls and if a risk is identified, a care plan must be put in place to direct staff on how to manage the risk. Inspectors comment. This has been met in part. Service users had been assessed for this risk. As part of the risk assessment, it must be documented how the risk can be reduced. 2. OP9 13 The registered person will make arrangements for the disposal of medication in line with current legislation. 3. OP19 23(2,b) The vanity units in room 5 and 8 15/10/06 will be replaced to ensure that the units are safe and can be kept clean. The registered person will ensure 15/10/06 that all staff receive appropriate manual handling training. The registered person will ensure 15/10/06 that all employment files contain DS0000015926.V299067.R01.S.doc Version 5.2 Page 22 Timescale for action 15/10/06 01/10/06 4. 5. OP30 OP29 18(1,c) 19 Maristow House Nursing Home 7. OP33 24(1) the required information; two references, relevant police checks, proof of identity, application form with work history and contract of employment. The registered person will establish and maintain a system for evaluating the quality of the services provided at the care home. 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The person registered should ensure that if medication instructions need to be made by hand, that the record is signed by the registered nurse taking the instruction and counter checked by a second person. (This was identified at the previous inspection and some progress has been made but the recommendation has not been met in full) The medication trolley should be kept clean at all times. A record should be maintained of all activities, which services users participated in and the outcome of activity. The complaints policy and procedure should be openly displayed in the entrance hall. The rear garden should be maintained to a standard that enables to service users to use the garden. Further supervision should be provided to the cleaning arrangements on the 1st floor. The staff training records should be maintained in a format, which can be fully audited. 2. 3. 4. 5. 6. 7. OP9 OP12 OP16 OP19 OP26 OP30 Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Maristow House Nursing Home DS0000015926.V299067.R01.S.doc Version 5.2 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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