Inspection on 16/05/07 for Mount Pleasant

This inspection was carried out on 16th May 2007.

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

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

Other inspections for this house

Mount Pleasant 23/07/09

Mount Pleasant 28/07/06

Mount Pleasant 31/10/05

Mount Pleasant 14/04/05

Mount Pleasant 10/11/04

Mount Pleasant 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Mount Pleasant Finger Post Lane Norley Via Warrington Cheshire WA6 8LE Lead Inspector Sue Dolley Unannounced Inspection 16th May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mount Pleasant DS0000006622.V333588.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. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Pleasant Address Finger Post Lane Norley Via Warrington Cheshire WA6 8LE 01928 787189 F/P 01928 787189 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) Pribreak Limited Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for a maximum of 25 people within the category of OP (old age, not falling within any other category). 28th July 2006 Date of last inspection Brief Description of the Service: Mount Pleasant is a converted, extended care home registered to provide care and accommodation for twenty-five older people. It is in the village of Norley on the road from Frodsham to Cuddington. The home is set in large grounds, has attractive views across farmland, and provides a tranquil setting with adequate car parking facilities. People are accommodated on two floors. Access between floors is via a stair lift or stairway. There are 21 single rooms and two shared bathrooms, all of which have wash hand basins. Communal space consists of two lounges, a large room and a small sitting area in the entrance hall. Mount Pleasant provides a well cared for, bright and welcoming environment. Throughout the building there are an adequate number of toilets and a variety of bathrooms available for people who live at the home. There are aids around the home to help people who live there. Aids include bath hoists; grab rails and an emergency call bell system. There is a large, attractive garden with a number of sitting areas and pathways available for people to enjoy. The fees at Mount Pleasant are £375.00 per week. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 16th May 2007 and lasted 8 hours. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the home -owner, was also asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were also made available for people in the home, families and health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of people cared for were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? The acting manager has recently completed a Registered Managers Award. She has applied to become registered manger and is due to have an interview with the Commission for Social Care Inspection. Staff members continue to complete training to build upon their knowledge and skills. Since the last inspection the kitchen has been completely refitted. The kitchen, dining room, a hallway, 2 bathrooms, 3 toilets and 3 bedrooms have been redecorated and the main access drive has been altered with new gates fitted to improve security. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mount Pleasant DS0000006622.V333588.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 Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mount Pleasant provides people with information about the home and care available to enable them to make an informed choice about where to live. Pre admission assessments are thorough and this ensures all care needs are identified and can be met within the care home. EVIDENCE: The statement of purpose and service user guide, are being reviewed and rewritten. They are to be produced in a more user- friendly style and format. Advice was given at feedback to the inspection regarding the content of the draft statement of purpose. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 9 The home intends to provide each person living at the home and the Commission for Social Care Inspection with copies of the new documents when completed. Three care files of people recently admitted were checked. The care files provided comprehensive information about each person cared for and the reason for admission was clearly stated. Overall, thorough assessments of needs had been undertaken. The documentation was complete except that there was a scant amount of information on one persons profile about their social history, one care plan agreement had not been signed by the person receiving care or by their representative. The Commission for Social Care inspection had also not been notified when one person receiving care had had an accident and had needed treatment at a hospital accident and emergency department. Advice was given regarding these matters at feedback to the inspection. Initial assessment documentation had been compiled with the help of social services representatives, hospital staff, staff at Mount Pleasant, people to be cared for and their relatives. The assessments had taken place in a variety of settings as most appropriate. This information had been built upon during the first weeks of care to enable care staff to provide individualised care and support and to meet the needs and wishes of people cared for. Where possible prospective residents and their supporters had been encouraged to have introductory visits to assess the facilities and suitability of the home. The manager is currently in the process of introducing a new and more comprehensive initial assessment document, which will make it easier to gather and record information during initial assessment interviews. This new style form will clearly indicate action to be taken by staff to help meet needs. During the course of the site visit staff members were observed to anticipate needs and to provide, friendly, prompt and courteous care and attention. Through their observed interactions they demonstrated that they had a good knowledge of the people in their care and had a genuine concern for their welfare. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are assessed, addressed and met. People who use the service are promptly referred to health professional when necessary and as a result people who use the service feel well cared for. EVIDENCE: The three care files checked provided a wealth of information about the people cared for. Each plan of care had been generated from a comprehensive assessment and discussed with the people receiving care to ensure all needs had been identified, addressed and met. The plans had been reviewed monthly or more frequently as necessary. Each fie contained risk assessment documentation and other information to enable staff to provide individualised care and support. Many positive comments were received regarding the quality of care experienced. Each person spoken with said that they had been treated with respect and that they were very satisfied with the care received. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 11 In discussion with a person recently admitted and receiving care and support, they said they couldn’t be happier in a five star hotel. They said that care staff couldn’t be nicer and that they receive lots of attention. They said they had lived in other care homes but in this home they had gained weight and regained their mobility. They described the atmosphere as lovely and described the staff as, happy. One relative, who had completed a questionnaire prior to the site visit, said that carers love the residents and strive to help them lead as full a life as possible. Another relative described staff as very attentive and caring. They said that staff pop in and out of their relative’s room frequently, stay for chat and make their relative feel important and cared for. The same person said that their relative had lived in three previous care homes and that Mount Pleasant was by far the very best. They described the home as having a family atmosphere and felt that because staff retention was positive it helped to ensure residents feel content and secure. The care file documentation showed that there are positive working relationships between staff at Mount Pleasant and care professionals including general practitioners and community nursing staff. Each health care visit was fully recorded with action to be taken and outcome of the visit shown. The daily notes of care were checked and were well written. They accurately recorded the care provided, were evidence of continuity of care and identified changing needs. Ten members of the care staff team are responsible for administering medication. All the medication administration records from 6th May 2007 were checked. The records contained a photograph of each person to aid identification and the medication procedure was available at the front of the file for care staff to refer to. One medication used ‘as and when required’ was not identified as such. One medication had been administered four times on one day instead of three times as prescribed. The reason for this had not been indicated on the medication administration records. One error in recording had not been explained and one item of medication was not recorded as given on one occasion. These anomalies indicate a need for more frequent monitoring of administration and recording and indicate a need for full and clear administration instructions to be provided to care staff. Some people living in the home, following assessment had been enabled to self-administer medication and had been provided with a lockable space in which to store it. Suitably trained, designated care staff had access to the lockable space with the person’s permission. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are enabled to undertake a variety of social activities within the home and local community to meet their needs and wishes. Food is of a good standard and meals are varied with ample choice to satisfy people’s preferences and dietary needs. EVIDENCE: People living within the home confirmed that they could choose to take part in activities as they wished. Details of the activities available are displayed on notice boards in the home. A range of activities and entertainment advertised included, board games, bingo, indoor- bowls, skittles, exercise to music, film afternoons, pub lunches and birthday celebrations. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 13 People living in the home confirmed that they are able to have visitors at any time convenient to them. The visitors throughout the day of the site visit were observed to be warmly welcomed by staff members and were made to feel at home. The people cared for were complimentary about the standard of food provided and several people said that their appetites had improved since entering the home. A nutritious range of wholesome food is provided. The cooks discuss meal choices every day with each person cared for. Individual food preferences are well known and alternatives are always offered and provided. The menus were displayed in the kitchen area, for kitchen staff to refer to. In discussion at feedback to the inspection the management were advised to provide a menu board in the dining room to make people aware of the meal choices and alternatives available at each meal –time and to help orientate some people to the time of day. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s interests are safeguarded and they feel confident that any concerns raised would be taken seriously and acted upon. EVIDENCE: No complaints had been received since the last site visit in July 2006. The home has a robust and well-advertised complaints procedure to enable people cared for and their supporters to make a complaint if necessary. Staff members are encouraged to assist people receiving a service to make their feelings known. The manager and deputy are available to discuss any problems and to assist with queries. In addition a quality standards process invites people to make comments about the standard of care provided and welcomes both positive and negative comments to help improve services. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 15 All the care staff and the two cooks have received adult protection training. Staff members are aware and alert to safeguard the people receiving a service and the home has a copy of the Department of Health guidance ‘No Secrets’ to refer to. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and pleasant. It is decorated and furnished to a good standard providing a comfortable and homely environment for people to live in. EVIDENCE: The communal areas, lounges and dining room, five bedrooms, several communal bathrooms and toilets and the kitchen were checked and all were well decorated, well presented, fresh and clean. These areas been redecorated or repainted since the last site visit, the kitchen had been completely refitted and new catering equipment had been installed. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 17 The main drive access had been altered with gates fitted to improve security. There is a routine programme of maintenance; redecoration and renewal to ensure all areas in the home are kept clean, cared for and comfortable. There is a call alarm system available throughout the home and a stair lift enables less mobile people to have access to the first floor. People cared for are individually assessed for specialist equipment to aid mobility. There are sufficient bathrooms and toilets throughout the home. Bedrooms are of various shapes and sizes are furnished to a good standard and personalised. People coming to live in the home are encouraged to bring along small personal items to make their rooms homely and comfortable. The bedroom furniture is arranged to suit individual needs and to enable personal care and assistance. The grounds are extremely well maintained, attractive and accessible and provide a peaceful and colourful setting in which to relax. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People cared for benefit from the home having generous staffing levels and experienced care staff members who continue to undertake training to achieve qualification and to extend their knowledge and skills. EVIDENCE: The staff rotas were checked and the staffing complement was discussed and is as follows. 2 seniors are on duty from 8.00am to 7.00pm each day. 2 carers are on duty from 8.00am to 7.00pm each day 1 cook is on duty from 8.00am to 7.00pm each day. There is a twilight shift from 6.00pm to 9.00pm when 2 additional staff members are on duty, 1 of these is a senior. At night between 9.00pm and 8.00am 2 members of night staff are on duty. At least one of these staff members is a senior. Occasionally both night staff members are seniors. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 19 The staffing levels are generous and peoples’ needs are met by an experienced team of care staff who have worked within the home for a considerable length of time. There is a loyal and committed staff team, all staff absences are covered from within the existing staff team and staff turnover is very low. When observing staff interactions with people being cared for, it was clear that a number of people had developed dementia care needs whilst living at the home. Staff members responded quickly to peoples needs and wishes and anticipated the care and support necessary. On two occasions people presented challenges to care and the responses could have been more constructive and positive. One person had complained that their meal was cold and another person had objected to being moved in her wheelchair. Although staff members gave reassurances, they did not explore the comments fully. This indicated a need for dementia care training and training in dealing with challenges. In discussion with the manager consideration had been given to providing this training and enquiries had been made to arrange it. 50 of care staff have achieved NVQ Level 2 or above and staff members have received recent training in fire safety, moving and handling, first aid and basic food hygiene. Future training is to include training in dementia care, health and safety, moving and handling, fire safety and NVQ 2 in health and social care. Staff members show a keen interest in training to further their own knowledge and understanding and to improve care practices. No new members of staff had been recruited since the last site visit. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability and the proprietors and managers are approachable. People receiving a service know that they will be listened to and appropriate care and support will be provided. Health and safety matters are considered and acted upon to promote the health, safety and welfare of everyone in the home. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has applied to become the registered manager and was awaiting interview with the Commission for Social Care Inspection. She has recently achieved a Registered Manager Award. She has previously supervised staff for six years. She has worked with arrange of people using services including older people and people with learning disabilities and has a range of transferable skills. The deputy manger has in excess of twenty years experience in providing care. Both managers have a good knowledge of people cared for and staff members. People living and working within the home, benefit from their combined knowledge, skills and experience in delivering individualised care. Their management approach is clear. The managers, lead by example and work alongside care staff at various times during the week to ensure they are familiar with the changing needs of people and with staff members approach to care provision. The proprietors and managers are approachable and accessible and are involved in the running of the home on a daily basis to share the responsibilities. Annual quality standards questionnaires are circulated to people receiving a service and their relatives to seek their views regarding the standard of care provided. The results of the survey were read during the site visit and provided evidence of good quality care and support and of a high level of satisfaction. The survey results were displayed in the entrance hall for everyone to view. People living in the home and their relatives generally manage personal finances. However, the management team do help to manage some personal allowances. Three examples of personal allowance balances were checked. Two balances and records kept were accurate. A small anomaly in the third balance was satisfactorily explained and rectified. Management staff members check all personal allowances and related allowances regularly. Peoples’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. All records are securely kept and up to date and care plans are regularly reviewed. The general home records and maintenance files are thoroughly organised to aid retrieval of information. All necessary maintenance information and monitoring checks are conveniently stored in one file. The fire precautions information and accident records were well maintained and risk assessments had been undertaken to identify and reduce risks to people living and working within the home and to maintain a safe environment. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A 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 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP1 OP9 OP30 Good Practice Recommendations Ensure that the statement of purpose and service user guide, are produced in a user- friendly style and format. Ensure frequent monitoring of administration and recording of medication so that people cared for receive their medication as prescribed. Ensure that care staff members receive training in dementia care and in dealing with challenges to ensure all care is responsive and appropriate. Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mount Pleasant DS0000006622.V333588.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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