Inspection on 06/07/05 for Median Road Resource Centre

This inspection was carried out on 6th July 2005.

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

Median Road Resource Centre 20/11/06

Median Road Resource Centre 06/03/06

Median Road Resource Centre 17/11/04

Median Road Resource Centre 29/06/04

Median Road Resource Centre 25/02/04

Similar services:

Queen Elizabeth House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE 25 Median Road 25 Median Road Hackney London E5 0PE Lead Inspector Sandra Jacobs-Walls Announced Inspection 6 July 2005 at 10:00am th 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 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. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 25 Median Road Address 25 Median Road, Hackney, London, E5 OPE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8356 4768 020 8985 3960 London Borough of Hackney Cecile Barrett Care Home 37 Category(ies) of Dementia (28), Old age, not falling within any registration, with number other category (28), Physical disability (9) of places 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2004 Brief Description of the Service: 25 Median Road is a local authority run home for elders who do not require nursing care. The home offers support, personal care and accommodation for a maximum of 37 service users. It offers four distinct services; long term residential care, intermediate care, respite care and services to those recently discharged from hospital and assessed as having no immediate need for hospital care (Delayed Discharge Programme). The home is in the process of reducing its long term residential care provision in order to offer more beds to service users admitted via the delayed discharge policy. The home is situated in Clapton within the London Borough of Hackney, in very close proximity to the local general hospital. Bus links are good and local shops and amenities are located nearby. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of 25 Median Road took place on site over the course of eight hours on July 6 2005. The inspection process on this occasion was focused on the impact of service provision and delivery on service users and less focused on policy and procedural documents since these were thoroughly reviewed at previous inspections and found largely to be satisfactory. The inspection process included the interviewing of eleven current residents of the home, discussion with a visiting former resident, interview with the registered manager and six members of staff and the case tracking of five service users. The inspector participated in a tour of the home’s four units and ate a lunchtime meal with three service users in one of the four units. At the time of the inspection staff personnel records were not available, since these are maintained the social services head offices. Staff Personnel files were reviewed by the inspector at the home’s head office premises on July 12th. As a result of the inspection findings, three requirements and no recommendations are made. The inspector would like to thank all service users, staff and visitors who contributed and co-operated with the inspection process What the service does well: What has improved since the last inspection? 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 6 The inspector noted that all of the requirements made at the previous inspection (conducted in November 2004) had been addressed satisfactorily. A number of permanent care staff had been appointed since the last inspection and a structure for senior members of staff is in place. The service continues to offer high quality care to service users accommodated at the home. 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. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5 &6 Prospective service users are provided with good information upon and prior to admission. Some service user files evidenced signed contracts others did not. Full needs assessments were evident on all files reviewed and service users are assured of the home’s ability to meet identified needs. Where appropriate, visits to the home is facilitated prior to admission and service users accommodated by the home for intermediate care are assisted to maximise their independence. EVIDENCE: The inspector spoke with a number of service users, who confirmed that they had received good information about the home prior to being admitted; some had prior knowledge of the home since they had stayed there previously. A current resident who was case tracked and interviewed by the inspector said, “…I got to visit before I decided to come, I like it, I like my room, it’s nice and quiet”. The inspector reviewed the home’s Statement of Purpose/Service User Guide, which contained good information about services offered. The inspector 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 9 reviewed in detail the individual case file for five service users, all files seen evidenced full needs assessment by the referring agency and/or staff of the home. The inspector noted however, that in two instances there was no signed contract on file. Staff of Occupational Therapy services, physiotherapy and hospital social work staff had assessed some service users. The inspector met briefly with a former resident of the home, who had been admitted to the home for rehabilitation and had since returned home. He confirmed that while at 25 Median Road, staff had keenly encouraged him to maintain his independence, which he felt, had greatly assisted his prompt return home. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 & 11 Individual care plans outlined service users health, personal and social care needs and these were well met by the home. Service users are treated with respect and are assured that staff will maintain respect and privacy at the time of their death, as there is an appropriate policy and procedures in place. Staff will need to improve upon the recording of service user medication information. EVIDENCE: The review of five service users files highlighted that care plans addressed well the health, personal and social care needs of service users. Files indicated consistent involvement of healthcare professionals such as district nurses, occupational therapist and physiotherapist staff. The inspector interviewed a member of the hospital physiotherapist team who commented on the commitment and co-operation of staff in meeting the health and physical need of service users particularly those admitted to the home for rehabilitation. Files seen contained well documented information regarding the healthcare needs of service users and how these were to be met. Service users who spoke with the inspector indicated that the standard of care provided by the home was very high, one service user said, 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 11 “…they take care of me the way I want to be taken cared of….”. This service user’s file contained clear information of exactly how he wished to be cared for, one entry on file stated that the service user, “ …prefers to be changed in the bathroom (he) likes to choose his own clothes…he needs the carer to wash his back and feet”. There were also clear written instructions regarding the service user’s preference with regard to managing his incontinence. All service users who spoke with the inspector commented positively on the skills of the staff group to care for them in a sensitive and respectful manner. One service user interviewed said, “The home is luxury, staff are wonderful and want to do their best for people. They are kind, patient and efficient.” Staff however will need to improve upon the recording of service user medication information. The inspector reviewed the medication information for three service users who were case tracked. In two instances for two separate service users, information recorded on Medication Action Record (MAR) sheet were not in compliance with the home’s medication policy. For example on a few occasions entries on MAR sheets were not countersigned by a second staff member and the inspector noted dates when no entry was made to indicate that medication had been offered. Senior staff interviewed could offer no explanation for the noted discrepancies. Staff must ensure the appropriate recording on MAR sheets. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 & 15 Service users social, cultural, religious and recreational interests are well catered for at the home. Service users are encouraged to maintain links with family members and friends and have a good degree of choice and control while living at the home. Meals provided are appealing, varied, nutritionally balanced and are available to service users at convenient times. EVIDENCE: Service users who spoke with the inspector commented that visitors were freely allowed to visit, the inspector met briefly with a former resident of the home, who was visiting a current service user. He confirmed that he frequently visited the home and was always made to feel welcome by staff. The inspector also saw the relatives of one service users visit with their young children. One service user informed the inspector that she and staff of the home were making plans for her birthday party due to be held in the forthcoming weeks. Service users are offered a range of activities internal and external to the home. On service user interviewed attends the adjacent day centre on a weekly basis. Another service user told the inspector that she had enjoyed a gardening activity on the grounds of the home earlier on the day of the inspection. Services users were encouraged to go out on day trips and access 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 13 the local community. One service user’s care plan included her participation in caring for the unit’s cat and birds. The inspector also saw service users on one of the units participate with staff in musical bingo. One service user who did not want to participate instead danced with staff to the music of the bingo game. Another service user interviewed was asked about his participation in activities offered by the home said that his participation was, “Zero. I choose not to attend activities. I like a drink and attend Mind in Tower Hamlets. I spend my day on my bed – it’s the only way I get to relax because of my bad back. I like my telly, I like sport”. Another service user interviewed said, “I’m a bit of a loner, I like it like that; staff respect that”. The inspector ate a lunchtime meal with service users on the day of the inspection. Service users were offered a good choice, including a vegetarian option. The meal offered was very well prepared, culturally appropriate, nutritiously balanced and well presented. All service users who commented on the home’s provision of food indicated that menu choices and meals offered were always tasty and of a very high standard. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 The home has an effective complaint procedure in place, which is well known to residents and their representatives. Service users legal rights are protected and they are well protected from abuse. EVIDENCE: The home has an effective complaints procedure in place. Information regarding this procedure is available to service users and relatives in written form via the home’s Service User Guide/Statement of Purpose document. The inspector reviewed the home’s record of complaints received since the last inspection; there were four complaints and the inspector noted that all four had been reported fully and with appropriate action taken and outcomes documented. The home’s accident and incidents books were also reviewed, the inspector noted that both sets of records were appropriately documented and managed. Service users, who were asked, indicated that they knew how to make a complaint if they so wished. The inspector had reviewed the home’s adult protection policies and procedures at the previous inspection and was satisfied that there was good guidance available to staff and effective procedures in place. The registered manager confirmed that there had been no instances of suspected or actual abuse in the home since the last inspection. The inspector noted that keen inventory is kept for all possessions of service users upon admission to the home and there are clear systems and procedures in place to account for the service user finances. Staff members interviewed, indicated good understanding of specific aspects of the home’s adult protection procedures. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 15 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 & 26 The home’s premises are safe and generally well maintained. Communal areas, both internal and external to the home are comfortable and there are sufficient and suitable lavatory and washing facilities throughout. Specialist (rehabilitation) equipment is available and service users bedrooms are individualised to meet needs and preferences. The home is clean, pleasant and hygienic. EVIDENCE: The inspector visited all four units and made note of the home’s general environment. The premises throughout were clean and hygienic and well maintained. All 37 bedrooms have en suite facilities. The home has access to a ‘handyperson’ who performs minor maintenance duties. The registered manager pointed out that the home’s external paving had recently been industrially hosed which had greatly improved the appearance of the home’s exterior. All units had separate dining and lounge areas, which were comfortable, well decorated and appropriately equipped. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 17 The home meets all spatial requirements. The inspector saw several service user bedrooms on all four units; all were well lit, ventilated and heated with appropriate furniture. Bedrooms were personalised to the taste of individual service users, many of the bedrooms seen contained family photographs, memorabilia, pictures, artwork etc. Communal areas, noticeably the lounge, dining areas, corridors and main hall contained art, flowers, photographs of staff and service users together participating in special events, the building has a very homely atmosphere, which service users appreciate. Security of the building is good; ringing the doorbell accesses the front entrance, CCTV monitors the external perimeter of the building. Specialist equipment is generally used to assist the rehabilitation of service users recently discharged from hospital and/or in need of intermediate care. OT services are very much involved in the care of these service users during their stay at the home as are other health care professionals. The home makes use of hoists, wheelchairs and Zimmer frames, steps and other equipment authorised by OT services. The home has good fire safety policies and procedures in place, it also consistently maintains required health and safety records such as fridge, freezer and water temperatures to ensure a safe environment and staff adhere appropriately to COSSH procedures. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 & 30 The home is adequately staffed at all times and there is a good skill mix of the staff group on each unit. Staff are appropriately trained and competent to perform duties. Staff personnel files however must contain all information as required by the Care Homes Regulations in order to enhance the protection of service users. EVIDENCE: The registered manager had provided the inspector with the home’s staffng list via the pre-inspection questionnaire, the home’s staffing structure also featured in the home’s Statement of Purpose/Service User Guide. Staffing levels of the home adequately met the needs of all service users. Staff interviewed by the inspector indicated that training opportunities were good; all care staff had either completed NVQ training or was in the process of completing courses. Specialist courses were also available to staff such as medication training, dementia care etc. All service users interviewed spoke very highly of the competency and skills of the staff group and of their commitment to offer high quality care. One service user interviewed said, “The staff are marvellous!” 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 19 Another service user commented, “Staff are helpful, very obliging – no one is disagreeable, even staff that do the dirty work” Staff interviewed by the inspector spoke with warmth about their need and desire to care for service users well. One care staff member commented; “I just love doing my job and looking after elderly people, they like seeing me and I enjoy caring for them…they’re the most important part of my job”. Another care support worker told the inspector that his job was, “Brilliant!” Following the inspection on site, the inspector arranged to review staff personnel files at the home’s head office the week following the inspection. Ten staff files were reviewed. All files seen contained evidence of appropriate recruitment practices e.g. interviews were consistently conducted, job application forms and employment contracts were evident. All files reviewed contained written references and CRB disclosure forms. It was noted however, that while files were generally well maintained, files for staff who had been employed by the organisation for a number of years failed to evidence required documentation as outlined in the Care Homes Regulations; this was particularly the case for proof of identity, such as birth certificate or passport copy. This issue must promptly be addressed. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36,37 & 38 The registered manager and the home’s management team efficiently run the home and service users best interests are paramount to service provision. There are sound quality assurance measures in place and staff are appropriately supervised. Service users benefit from the strong leadership and management skills of the registered manager. Service users finances are appropriately handled, the home’s record keeping, policies and procedures are appropriately in place. The health, safety and welfare of service users and staff are well promoted and protected. EVIDENCE: In speaking with service users, visitors to the home, staff and review of key documentation it was clear to the inspector that 25 Median Road is very effectively and efficiently run. The leadership style and management skill of the home’s registered manager in particular, greatly contributes to the continued high quality care provided by the home. The registered manager is 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 21 well experienced and qualified to perform required duties. Service users and staff interviewed spoke very highly of the registered manager; one member of staff said, “We have the best manager, she’s marvellous, she listens, you can go to her anytime, even if you do wrong, she’ll tell you off, but she listens”. The home consistently forwards monthly monitoring visit reports to the Commission, findings are generally positive. Procedures are in place for the appropriate management of service users finances. Staff commented that supervision from line managers was held at consistently regular intervals and was of a high quality. All unit staff groups are currently completing team and individual target objectives; there was evidence on personnel files of individual staff appraisal and, as appropriate, written probationary reviews. The home has developed and effectively implemented all required policies and procedures. 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 x 3 3 3 3 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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. 1. Standard OP2 Regulation 12(1) Requirement The registered manager must ensure that all service user files contained signed contracts/agreements The registered manager must ensure that staff appropriately and accurately reflect the administration of service user medication on MAR sheets The registered provider must ensure that staff personnel files contain full informationas outlined in Schedule 4 of the Care Homes Regulations. Timescale for action 01/09/05 2. OP9 13(2) 01/08/05 3. OP29 17(2) 01/10/05 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 Good Practice Recommendations 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 25 Median Road G56 G06 S33815 Median Road25 V237918 060705 Stage 4.doc Version 1.40 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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