Inspection on 13/12/05 for Oak Trees

This inspection was carried out on 13th December 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

Oak Trees 16/11/06

Oak Trees 19/07/05

Oak Trees 30/09/04

Oak Trees 22/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Oak Trees Rhode Lane Bridgwater Somerset TA6 6JF Lead Inspector Jane Poole Unannounced Inspection 13th December 2005 09:15 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 Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oak Trees Address Rhode Lane Bridgwater Somerset TA6 6JF 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) 01278 451125 01278 431174 Somerset Care Limited Mrs Julie Ann Watts Care Home 67 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (36) of places Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To be registered for one named person under the age of 65 years. Rooms 51 and 52 to accommodate service users of low to moderate care needs. 19th July 2005 Date of last inspection Brief Description of the Service: Oak Trees is registered with the Commission for Social Care Inspection to provide care to up 67 people over the age of 65. The home specialises in providing care to older people who have a dementia and has two units within the home for this service user group; the Acorn unit and the Oak Leaf unit. The Oak Leaf unit is the newest edition to Oak Trees. The home is located on a housing estate in Bridgwater, accommodation is provided in single rooms on two levels. There is ample communal space in a variety of settings. In the centre of the home is an attractive courtyard garden and there is further secure outside space attached to the Acorn and Oak leaf unit. Oak Trees is owned by Somerset Care and the registered manager is Julie Watts. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Jane Poole and Kathy McCluskey over a 6 hour period. The home was warm, clean and beautifully decorated for Christmas. The inspectors were given unrestricted access to all areas of the home, were able to talk with staff and service users and observe care practices. The managers and deputy were available throughout the day and made available all records requested. Some service users were unable to express their opinions to the inspectors but all appeared comfortable in their surroundings. What the service does well: There is a clear management structure and the registered manager gives a clear sense of direction to the home. There is a commitment to ensure that staff receive the appropriate training and support to meet the needs of service users. There is a specialist liaison nurse from the Somerset Partnership NHS and Social Care Trust who provides advice and support with mental health issues. Service users spoken to stated that they continue to have choice and control over their lives. There are no set routines and people are free to choose how they spend their time. There are organised activities daily which service users are able to choose to join in with or not. Bedrooms seen showed that people are able to personalise their rooms to their own tastes and needs. The newest part of the home, the Oak Leaf Suite, has been designed taking into account up to date research on the environmental needs of people with a dementia. Excellent signage is available throughout the home to assist people to orientate themselves and maintain their independence. Aids and adaptations are in place to assist all service users and meet specialist needs. All areas of the home have access to pleasant outside space. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5. All prospective service users are assessed by the home and other relevant professionals to ensure that Oak Trees is able to meet their needs. Service users have opportunities to visit the home prior to making a decision to move in on a permanent basis. EVIDENCE: There has been no change to the statement of purpose since the last inspection. Each person moving to the home receives a welcome pack, which incorporates the service user guide and the home’s complaints procedure. Service users who are assisted with their fees by the local authority have a financial agreement with the relevant Social Services department. Those who are paying privately for their care have a contract with the home. The inspector saw a copy of a contract that had been signed by one of the newer service users and a representative from the home. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 9 Before moving to Oak Trees all prospective service users are assessed by a senior member of staff. All service users who are hoping to move into one of the specialist residential units are also fully assessed by the community mental health team. The inspectors saw evidence of both types of assessment. People have the opportunity to visit the home before making a decision to move in. The home also offers day care and respite care to enable service users to spend time in the home before making a decision to make it their home. A variety of environmental aids and adaptations are provided to enable people to move independently around the home. There is clear signage in the units for people who have a dementia to assist them to orientate themselves and maintain a degree of independence. Each unit has an orientation board where staff write the day and date and significant events for the day. The home is owned by Somerset Care who have a commitment to providing staff training appropriate to the service users living at the home. All staff at Oak Trees undertake training in dementia awareness and additional training in this area is provided by the specialist liaison nurse from the Somerset Partnership NHS and Social Care Trust. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 the following standard(s): 8, 9 & 10 Service users privacy is respected and people are able to spend time in communal areas or in their personal rooms. Service users living at the home have access to healthcare professionals appropriate to their needs. EVIDENCE: The home has recently begun piloting a scheme to change the recording system for care plans and other personal information. All information will now be computerised. Due to the change the inspectors did not fully view care plans on this occasion but will do so at the next full inspection. A requirement of the last inspection was for the home to ensure that they had records of individual likes and dislikes, especially for those people who are unable to express their views. The inspectors saw evidence that this information had been recorded for people living in the Acorn and Oak Leaf units. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 11 All service users are registered with local GPs and other healthcare professionals appropriate to their individual needs. The local district nursing team visit some service users on a regular basis and the Acorn and Oak Leaf unit are supported by a specialist liaison nurse who offers advice and support in respect of mental health issues. Service users spoken to stated that their privacy was respected. The inspectors noted that people were assisted in a kind and respectful way. People are able to choose whether to spend time in communal areas or in their private rooms. All rooms in the new Oak Leaf suite have en suite facilities which include level access showers. There are also communal assisted bathroom facilities around the home where personal care is carried out in private. The home uses the Boots Monitored Dosage System for medication. The Medication Administration Records were viewed and found to be wellmaintained and appropriately signed when administered or refused. There is appropriate storage for medication including medicines that require refrigeration. The inspectors noted that on the specialist residential unit the actual temperature of the medication fridge is recorded and not the minimum and maximum temperature. This was discussed with the manager at the time of the inspection. All staff who administer medication are currently undertaking a five unit training pack entitled “Level 2 certificate in the Safe Handling of Medication.” An additional visit by the CSCI pharmacist inspector was made on the 19th October 2005 and all requirements made at this visit have been actioned. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 the following standard(s): 12, 14 & 15. Since the last inspection the menu’s in the home have been reviewed and all service users spoken to were complimentary about the food. Organised activities are arranged daily and people are free to join in if they wish to. EVIDENCE: Service users are able to maintain choice over many areas of their lives. Personal rooms seen by the inspector showed that people are able to bring possessions with them when they move to the home, which gives them an individual homely feel. Visitors are always made welcome and there is information about how to contact outside agencies including independent advocates. Some service users continue to control their financial affairs, some are assisted by relatives and some by the home. The inspectors viewed the financial records in respect of a sample of service users. All seen were extremely well maintained. All transactions are accompanied by two signatures and receipts are maintained in respect of purchases. There are no set routines and people are able to choose when they get up, when they go to bed and how they spend their day. As previously stated Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 13 individual service users are able to choose to spend time in company or alone or with visitors in their personal rooms. There are a variety of communal lounges with different atmospheres and activities. An electronic keypad is fitted to separate the main part of the house from the specialist residential units. People living in Acorn or Oak leaf are able to move freely around the two units and have unlimited access to an enclosed garden. The home employs two activity workers who carry out a variety of organised activities including trips out. The inspectors were pleased to see that in addition to the organised activities care staff were spending time chatting and carrying out one to one activities with service users. At the previous inspection many people commented that they did not always like the food. Since this time the menus have been reviewed with input from nutritional professionals. All service users spoken to at this inspection were complimentary about the meals. Each area of the home has its own dining room and food is delivered from the main kitchen in hot trolleys. The inspectors viewed lunch being served in the main part of the home. There was a choice of main course and desert. All was well presented and appeared nutritional. In the afternoon of the inspection a Christmas party was being prepared with an extensive selection of food and drinks. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 the following standard(s): 16, 17 & 18. All complaints and concerns are taken seriously and appropriate action taken. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Staff spoken to were aware of the ability to take serious concerns outside the home. Since the last inspection a senior staff meeting has been held to discuss how to appropriately raise concerns within the home and externally. The CSCI has received one complaint since the last inspection. This was fully investigated by the Commission’s Pharmacist Inspector and found to be unsubstantiated. Service users spoken to stated that they would be comfortable to raise any concerns or complaints with the manager or a member of staff. The manager gave assurances that all service users are registered to vote and would be assisted to do so if appropriate. The Acorn and Oak Leaf unit are separated from the home by an electronic keypad, which restricts the freedom of movement of some service users. All the people living in these parts of the home have been assessed by outside professionals as requiring this level of security. The inspectors observed that Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 15 all service users are able to move freely around their area of the home and all have unrestricted access to outside space. The inspectors viewed the recruitment files of the two most recently appointed members of staff. One did not contain a Criminal Records Bureau check and there was no evidence that they had been checked against the Protection Of Vulnerable Adults register before commencing work. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24 & 25. The home provides a variety of indoor and outside space for service users. All areas of the home are comfortably furnished. EVIDENCE: There are three separate units within Oak Trees, the main unit provides care to up to 36 older people, Acorn unit is able to accommodate up to 15 people who have a dementia and the newly opened Oak Leaf unit has 16 rooms for people who require care due to a dementia. The home was purpose built some years ago and the Oak Leaf unit was built and opened earlier this year. Accommodation is provided on two levels with passenger lifts between. Other aids and adaptations have been put in place to assist people to move independently around the home. There are assisted bathing facilities, raised toilets and appropriately placed grab rails. The newest unit has been built Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 17 using the latest research in respect of the environmental needs of people who have a dementia. All areas have excellent signage to assist people to orientate themselves around the home and again promote independence. A call bell system is fitted throughout the home. All personal rooms in the home are for single occupancy, many in the main part of the house are under 10 square meters in size but there is a variety of communal seating areas where service users are able to spend time. The inspectors viewed a sample of the personal rooms and noted that service users had been able to personalise them with their own possessions and small items of furniture. All bedrooms in the Oak Leaf unit are above 12 square meters and have en suite facilities of toilet, wash hand basin and level access showers. Rooms without en suite facilities have wash hand basins. All bedrooms are lockable and service users are able to choose whether or not to lock their rooms. Each room has a lockable facility for the storage of valuables, medication or money. The main part of the house has a large dining room, which easily accommodates all service users and can be used for social functions. In addition there are a variety of communal seating areas ranging from a large conservatory to small quiet lounges. In the Acorn unit there is a lounge and small dining room. The Oak Leaf unit has a large lounge/dining room. All areas of the home have direct access to outside space which service users have unrestricted access to. All areas of the home are centrally heated and radiators are either cool wall type or have been guarded to minimise risks to service users. Hot water is thermostatically controlled to prevent the risk of scolding. Windows above ground floor level have been restricted in line with health and safety guidelines. Some areas in the older part of the home have been redecorated since the last inspection and there are plans to up grade further areas. The inspectors again noted that there are no hand-washing facilities for staff in bedrooms where they assist service users with personal care. At the last inspection an immediate requirement was made in respect of the cleanliness of the main kitchen. This has been deep cleaned and an ongoing system put in place. An environmental health visit was made on the 15th November 2005 and only minor recommendations were made. The manager stated that the company are planning to refurbish the kitchen and the inspectors consider this a priority for the coming year. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30. Staff morale in the home appeared good with lots of interaction between staff and service users. Staff receive training appropriate to the needs of the service users. EVIDENCE: There is a clear staffing structure in the home. There is always a senior member of staff on duty who co-ordinates other staff and supervises the smooth running of the day. There is a member of the management team based in the Oak Leaf Unit who oversees the care offered here and in the Acorn unit. The inspectors noted that staff morale in the home appeared good. Staff were seen to interact with service users in a friendly respectful manner. The management team are committed to ensuring that staff receive appropriate training to meet the needs of the service users. All staff who commence work in the specialist residential unit are given comprehensive information about caring for people who have a dementia and additional training is provided by the specialist liaison nurse who supports the unit. All staff receive induction training and ongoing statutory training. The home’s policy is to ensure that all staff receive training in moving and handling once a year. Some training in respect of this was overdue but reassurances were given that this would be completed in the very near future. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 19 The inspectors viewed the recruitment files of the two most recently appointed members of staff. One did not contain a Criminal Records Bureau check and there was no evidence that they had been checked against the Protection Of Vulnerable Adults register before commencing work. This was discussed with the manager at the time of the inspection. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38. The home is well managed and there is a clear structure of accountability and responsibility. EVIDENCE: The registered manager of the home is Julie Watts. She has a wealth of experience in the care of older people and demonstrates a good understanding of the needs of both staff and service users. Julie has an NVQ level 4 in care and management and a Higher National Diploma in managing health and social care. Staff and service users felt that the manager was open and approachable and the majority of people stated that they would be comfortable to approach her with any worries or concerns. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 21 There is a clear management structure in the home. In addition to the registered manager there is a deputy and a specialist manager for the specialist residential unit. Each shift has a care supervisor and team leader who are responsible for the day to day co-ordination of the staff. There are regular staff and service users meetings which are an opportunity to share information and discuss ideas. The home carries out a yearly survey of service users and relatives views on the home. A relatives and friends meeting was held in September but unfortunately this was poorly attended. The manager and deputy have made links with local professionals and are currently looking at ways to seek their views on the quality of service offered at the home. Appropriate steps have been taken to minimise environmental risks to service users. All hot water outlets in communal areas are thermostatically controlled to reduce the risk of scolding, radiators have been guarded and windows above ground floor level have been risk assessed and restricted, where appropriate, in line with health and safety guidelines. A fire detection system is fitted throughout the home and records show that this is regularly tested. There are up to date certificates in respect of the equipment in the home. All accidents are recorded and audited by the manager on a monthly basis. As previously stated the home provides safe storage for some service users personal finances. Records in respect of these monies were clearly written, up to date and well maintained. All transactions are accompanied by two signatures and receipts are maintained in respect of purchases. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 3 2 3 3 X STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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. 1 Standard OP29OP18 Regulation 19(1)[b] Requirement All staff must be checked against the Protection Of Vulnerable Adults register BEFORE commencing work at the home. The home must provide suitable staff hand washing facilities in personal rooms where they assist with personal care. Timescale for action 13/12/05 2 OP26 13(3) 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP19 OP38 Good Practice Recommendations The main kitchen should be updated and refurbished. All staff should receive training in moving and handling a minimum of once every twelve months. Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Oak Trees DS0000015988.V266987.R01.S.doc Version 5.0 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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