Inspection on 21/06/05 for Micron House

This inspection was carried out on 21st June 2005.

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

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

Other inspections for this house

Micron House 05/03/08

Micron House 10/05/06

Micron House 01/11/05

Micron House 27/09/04

Micron House 19/04/04

Micron House 25/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Micron House 41 Halesowen Road Netherton Dudley West Midlands. DY2 9QD Lead Inspector Cathy Moore Unannounced 21 June 2005 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. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Micron House Address 41 Halesowen Road Netherton Dudley West Midlands. DY2 9QD 01384 230504 01384 230504 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) Mrs Gail Butcher Mrs Gail Butcher Care Home 10 Category(ies) of OP Old Age (10) registration, with number of places Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Nil Date of last inspection 27/09/04 Brief Description of the Service: Micron House is registered to provide personal care to a maximum of ten older people.It is located in Netherton ,near Dudley. It is situated in a favorable position, as it has a number of amenities and facilities close by. Next to the home is a good sized park, a library and an arts centre. Further down the road are a number of shops including a supermarket, newsagent, butchers, a bakery and a post office. Nearby is an Age Concern centre and the main Netherton health centre where district nurses and local doctors are based. The home is on a main bus route leading to Cradley Heath in one direction and Dudley in the other. Micron House is a large traditional detached property. The ground floor houses the lounge, dining area, a conservatory, toilet ,assisted bathroom , laundry, kitchen and bedrooms. The first floor houses the office, further bedrooms and a toilet. The home provides six single bedrooms, four of which have en-suite facilities and two double bedrooms. There is a generous sized rear garden which is on two levels . Ramped access is available from the top to the bottom of the garden. The home has a small car park at the rear which can accommodate three cars, further car parking is available in a public car park opposite the home. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carrried out as one of the home’s two statutory inspections for this year, between the hours of 09.10 and 16.10 hours. During the inspection two residents files were accessed which included viewing their care plans and health care records. Five residents and two relatives were spoken with in detail. Reports relating to maintenance and also health and safety were looked at. The premises were randomly assessed, this included the communal areas, a number of bedrooms and the laundry. What the service does well: What has improved since the last inspection? Since the last inspection two staff members have returned from maternity leave. The home is in the process of recruiting a new member of staff. The registered provider/ manager has purchased a set of sit on scales for more accurate and safe weighing of the residents and a new commercial type washing machine. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 6 A number of bedrooms have been redecorated. The rendering on the external rear garden wall has been repainted. 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. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) 2,3,5 Residents are issued with a terms and conditions document. Residents do not move into the home unless they have had their needs assessed. Prospective residents and their families are given ample opportunity to assess the quality, facilities and suitability of the home before they move in. EVIDENCE: Two residents files scrutinised for case tracking purposes included a terms and conditions document which was signed and dated by all parties. The terms and conditions document did not detail the weekly fee charged. An assessment of need had been carried out in respect of both of the residents which covered a number of applicable areas. This document however, had not been signed or dated by the resident. A social worker assessment/ care plan document was seen on both residents files viewed. There was evidence available to demonstrate that the residents had visited the home prior to admission. One resident commented, “ I looked at three different homes, but liked this one the best”. A trial period of 12 weeks was noted in the homes terms and conditions document. This time is to give new Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 9 residents the opportunity to determine the suitability of the home before their placement is confirmed. Two new residents spoken to indicated that they were happy and content at the home. One said, “ The home is really nice”. The other commented, “ This is a very nice place”. Her husband said, “ you could not find a better place”. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) 7,8,11 Care plans require further development. Risk assessments specific to moving and handling and falls are lacking. Other aspects of health care are mostly being addressed by the home. EVIDENCE: Two residents files viewed included care plans. These care plans were not specific enough to encompass specialist needs, for example one residents mental health needs and concerns, nutritional and tissue viability assessments were not mentioned. The care plans did not always detail sufficient, precise instructions for staff to follow. There was a lack of residents’ signatures to demonstrate that they had been involved in their care planning process. The residents whose files were viewed had signed to say that they did not want to be involved in their care plan review process. There was evidence that two new residents’ had been seen by various healthcare professionals examples being their doctor, the optician and district nurse. Chiropody was seen to be lacking somewhat. There was evidence to demonstrate that the registered provider/ manager had tried to secure this input but has not to date, through lack of this resource, been completely successful. The manager did state however, that she would continue to try and secure this service. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 11 There was evidence that residents are being weighed regularly. A set of sit on scales has recently been purchased by the home. There was evidence available to demonstrate that the doctor had been called for one resident in that due to general deterioration she had lost weight. Risk assessment processes in respect of falls risk assessment and moving and handling were lacking. There was evidence available to demonstrate that nutritional and tissue viability assessments are carried out on a regular basis. Care planning and assessment documentation seen did not always detail the residents name or the name of the person who had completed the documentation. The manager stated that doctors are now starting to review residents’ health on an annual basis. There was evidence to demonstrate that the home had confirmed with the doctor’s surgery the last health review of a new resident, which was September 04. There was evidence available to demonstrate that the wishes of residents in respect of death and dying had been determined. A letter from a relative of a resident who had passed away indicated that the care provided had been of a good standard it stated “ Sincere thanks for the loving care and dedication shown to mother”. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) 13,14, 15 The home actively encourages residents to maintain contact with family and friends. Service users are enabled to exercise choice and control over their lives. The home strives to provide a wholesome, appealing, balanced diet. Meals are served in pleasant surroundings. EVIDENCE: Visiting times are open and flexible. One resident’s husband visits her everyday. One visitor commented, “ We can visit when we like. The staff make me feel welcome, they are very friendly”. During the inspection a relative rang the home to speak to a resident. Staff ensured the resident got to the phone to take the call. Residents’ bedrooms viewed held a number of personal possessions. Advocacy information was available. The home has a set menu which looks interesting and varied. The manager is to add supper to the menu. The manager said,” I try to encourage healthy eating by providing fresh, well balanced foods. I try to encourage low fat diets Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 13 but am aware that residents at times require foods to build them up. Residents do not seem to like eating fresh fruit so when sponge puddings are cooked we add fresh fruits to these, or serve banana custard or other fruit dishes”. Residents have signed a statement indicating their satisfaction with the milk provided. A record is maintained on a daily basis of food consumed by each resident. Records detailed food consumed over four meals per day, breakfast, lunch, tea and supper. The main meal of the day consisted of soup, followed by faggots, peas, mashed potato and gravy with sponge and custard for pudding. Tables were nicely laid, condiments available. Staff were readily available to give assistance. One resident chooses to have her meals in her room. Another enthusiastically said” I sometimes have my breakfast in bed”. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) 16,18 Complaints procedures appear satisfactory. Policies require development regarding adult protection. Adult abuse awareness training is lacking. EVIDENCE: One complaint has been sent to the CSCI since the last inspection which alleged bruising on a resident, laundry facilities, missing laundry and poor moving and handling. The complaint was investigated as part of this inspection. A letter from a doctor regarding the bruising did not highlight concern but diagnosed the cause to be “ age related purpura”. The doctor’s letter also said, “As far as I can see the resident is receiving a high standard of care.” It further said, “I have no cause for concern in the residents care”. The laundry on the day of the inspection was seen drying on the line. The manager did confirm that the dryer had been broken for a time and washing was dried in the bathroom. The dryer is in the flat on the second floor. There was an inventory detailing the resident in question personal clothing, it was not possible however, as the resident no longer lives at the home, to determine if clothing had or had not gone missing. According to staff and the manager the resident in question had been able to walk with assistance. The home has a bath hoist to assist bathing. Staff files randomly selected retained moving and handling certificates dated April 2005. The home has an in-house complaints procedure which has been produced in standard font. Three minor complaints have been received from residents’ since February 2005. One of these being that the tea was not served at five O’clock one day, another that a nightdress had gone missing which was apparently later found in the resident’s bedroom. These complaints had been recorded in the complaints book and addressed. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 15 The home has in-house adult protection policies and a whistle blowing policy which require updating in accordance with Dudley M.B.C’s multi- agency adult protection policies and procedures. The whistle blowing policy also requires revision. Staff to date have not received adult abuse awareness training. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) 19,20,23,24,25,26 Residents’ live in a safe, well-maintained environment. Residents’ communal areas are clean, well maintained and comfortable. Residents’ rooms suit their needs, they have comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: The homes internal environment was seen to be of a good standard regarding décor, furnishings and carpets. The garden is reasonably maintained and has gates at the end of the drive to enhance safety. The exterior of the home requires some attention to the second floor flat window area and the rendering. The manager said that she was in the process of arranging for this work to be carried out. The home offers a lounge, dining area and conservatory which is adequate space for the possible maximum occupancy of ten residents. The communal areas are well decorated and furnished. The communal areas comfortable and homely. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 17 Bedrooms viewed were of a good standard. In general an audit is carried out on each bedroom in respect of furnishings and fittings, there was however, no evidence that this has been done for new residents’. There was evidence to demonstrate resident confirmation for those who do not wish to have a key to their bedroom door. There was no evidence available to demonstrate that residents who occupy a double room are asked when a room becomes vacant if they would like a single room. One resident commented about her bedroom “ My room is beautiful they decorated it for me before I came in “. Lighting throughout the home appeared adequate and was domestic in style. Radiators throughout the home are guarded apart from the one in the conservatory which is not turned on in the summer months. There was documentary evidence available to demonstrate that hot water temperatures are checked on a regular basis. Control valves are fitted to all hot water outlets accessible to residents. The home has a laundry room. A new commercial type washing machine has been purchased since the last inspection. The laundry floor appeared in good condition, the walls tiled. A double sink was available. Washing was seen drying on a line in the back garden. The laundry was lacking infection control policies and procedures. A random tour of the premises demonstrated no communal items were stored in the bathroom, liquid soap and paper towels were available in the vicinity. The manager said Mops and buckets are only kept in the rooms in which they should be used. Random staff files assessed included infection control (Asset accredited) certificates dated 2003. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 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) EVIDENCE: These standards were not assessed during this inspection. No new staff have been employed since the last inspection. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 19 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) 38 In general health and safety in the home is observed. Further attention is required in some areas. EVIDENCE: Certificates confirming required servicing of equipment and fire fighting equipment were in order. The last gas landlords certificate seen, however, was dated the 5.3.05. The manager has recently received fire training from West Midlands Fire Service. The manager informed that the staff fire and drill training is outstanding. Accident records were available within the home, there was however, no evidence of regular documented accident analysis. The home has recently secured a contract with an external company to give assistance and guidance with health and safety issues. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 20 Training was assessed but not fully as staff have not yet received certificates for courses recently attended. Certificates were available (which were selected randomly) demonstrated recent moving and handling training. One staff member (S.R) has yet to receive refresher first aid training. The kitchen was not assessed. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 21 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 x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 2 3 3 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x 2 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 22 Yes 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 5(1) Requirement The registered provider/ manager must ensure that the most up to date fee is detailed on the residents terms and conditions document or contract if they are self funding. The registered provider/ manager must ensure that the resident is fully involved in their assessment of need process and this is evidenced by their signature on the assessment of need documentation. (For all prospective residents). The registered provider/ manager must expand the care plans to specifically detail the need ,goal, concern or risk.Full instructions for staff to follow stating what has to be done, how, when and how often must also be included. The registered provider manager must involve the resident in their care planning process. This should be evidenced by asking them to sign their care plans to demonstrate their aggreement to its content. The registered provider/ manager must produce and Timescale for action 21.07.05 2. OP3 12(5)(a) 21.06.05 3. OP7 15(1) 21.07.05 4. OP7 15(1) 21.07.05 5. OP8 12(1) 10.07.05 Page 23 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 6. OP18 13(6) implement a falls risk assessment process and moving and handling assessment process. The registered provider / manager must revise the inhouse adult abuse policy. The policy must be clear to all staff that they must immediatley report any concerns, incidents or allegations of abuse to the senior on duty or the manager. The policy must give clear instructions of what must happen and who must be contacted if an incident or allegation of abuse occurs, for example assess and deal with any immediate situations, summon emergency services if required, refer to Dudley Social Services/ and or Dudley adult protection Co-Ordinator, CSCI etc. The policy must adhere to Dudley Adult protection procedures and must detail up to date names and telephone numbers of contacts for example the CSCI, Dudley Social Services department, Dudleys adult protection Co-ordinator. 21.07.05 7. OP18 13(6) 8. OP18 13(6) The registered provider/ manager must secure adult abuse awareness training for all staff. The registered provider/ manager must revise the homes whistle blowing policy. This policy must include names of people/ organisations that staff can contact if they are not comfortable to approach internal 21.08.05 21.07.05 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 24 9. OP23 23(2) seniors/ management for example Public Concern at work, The CSCI etc. The registered provider/ manager must ensure that an entry is made on each residents personal file of those who share a double room , each time they are offered a single bedroom. Timescale of 27.09.04 not met. The registered provider/ manager must ensure that an audit is carried out in respect of each new resident against standard 24.2, where items are not required these must be highlighted and confirmed by the residents signature. The registered provider / manager must produce infection control procdeures for the laundry, these must detail cleaning processes and handling of clean and soiled washing to prevent contamination. The registered provider/ manager must ensure that the required service is undertaken in order for a new gas landlords safety certificate to be issued. The registered provider/ manager must ensure that senior (S.R) receives refresher first aid training. Timescale of 30.10.04 not met. The registered provider/ manager must ensure that all staff receive fire and fire drill training. This must then be continued on a six monthly basis. The registered provider/ manager must develop a system to formally analyse accidents to enhance minimisation. 22.07.05 10. OP24 23(2) 22.07.05 11. OP26 13(3) 22.07.05 12. OP38 13(4)(a) 22.07.05 13. OP38 13(4)( c) 01.08.05 14. OP38 23(4) 22.07.05 15. OP38 13(4)( c) 22.07.05 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 25 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. Refer to Standard OP16 OP26 OP26 Good Practice Recommendations The registered provider/manager should consider producing the complaints procedure in large print/pictorial format. The registered provider/manager should ensure that laundry is not dried in any communal internal area. The registered provider/manager should consider displaying wash hands signs in all toilets and bathrooms. Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Micron House E55 S25033 Micron House V234278 210605 Stage 4.doc Version 1.30 Page 27 - 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. 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