Inspection on 08/10/07 for Oakfield

This inspection was carried out on 8th October 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

Oakfield 30/05/07

Oakfield 11/05/06

Oakfield 11/11/05

Oakfield 30/05/05

Oakfield 08/03/05

Oakfield 07/11/04

Oakfield 18/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Oakfield Weston Park Bath Bath & N E Somerset BA1 4AS Lead Inspector Melanie Edwards Key Unannounced Inspection 8th October 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 Oakfield DS0000020247.V348635.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. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakfield Address Weston Park Bath Bath & N E Somerset BA1 4AS 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) 01225 335645 01225 336498 Acegold Limited (a wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Naomi Elizabeth Drewe Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate 28 Patients aged 50 years or over Staffing Notice dated 3/12/2001 applies Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 30th May 2007 Brief Description of the Service: Oakfield is a converted older property, which provides nursing care for up to 28 people over 50 years of age . A short distance from Baths city centre. Oakfield is located in the leafy, Victorian suburb of Weston Park. The accommodation is provided on three floors, all served by a lift, and comprises both single and double rooms. Fees range from £465-£585 per week. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over one day. Nine of the twenty-six residents were consulted to find out their views of the Home and what daily life is like for them. The registered manager, Mrs Drewe, the deputy manager, two care assistants, and a cook were consulted about their roles, responsibilities, training needs, and how they assist and support residents. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. A range of resident’s care records and care plans were also reviewed. The majority of the environment was seen; the only areas not viewed were a small number of resident’s bedrooms. There were a number of pre inspection feedback forms sent back to us from residents, and relatives. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: Residents’ benefit from the effective leadership of the registered manager Mrs. Drewe who is well supported by a very experienced deputy . The management team run the Home in the best interests of the residents. Residents are provided with a good standard of care and staff work hard meeting their needs and wishes. Residents’ plans of care demonstrate needs are met. Residents are cared for by staff who are provided with training to assist and support them in their work. The environment and surrounding garden is of a high standard, and appreciated by residents. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 6 Residents are provided with a good standard and variety of food and a range of social and therapeutic activities. 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. The summary of this inspection report can be made available in other formats on request. Oakfield DS0000020247.V348635.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 Oakfield DS0000020247.V348635.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): 1,3,4. Quality in this outcome area is good. Residents’ assessed needs are well met by the Home. People have the information they need to make an informed choice about living at the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide was reviewed. Each resident is given their own copy of the guide so they have access to helpful information about life in the Home. The guide includes photographs of the Home, and the community. There is information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain about the service. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 9 Three residents assessment records were reviewed to find out how well needs are assessed. The assessments include information about each resident’s range of complex care needs, as well as evidence that the person’s health is being assessed. There was a nutritional assessment for each resident to show what his or her dietary and nutritional needs are. There was a falls assessment for each resident. The falls assessments show the risks of falling and harming them. There was also a skin vulnerability assessment completed for each resident. There are risk assessments in place to help residents to maintain their own safety. The benefit of these risk assessments is that they should help residents to maintain some level of independence in their daily lives. The deputy manager explained how they like to work closely with all residents. They said they spend time providing care to residents to be able to know directly all about their needs. This was confirmed by a number of residents who commented on how, `very kind’, `caring’ and `helpful’ the deputy manager is. There were many comments of satisfaction expressed by residents about the care they receive. Examples of comments made included, ‘ I don’t think anyone could be better looked after anywhere else, they pay attention to small details which is very important ’, `they take note of what you are saying, ’ ` the staff are very good ’,and ` yes they are doing a reasonable job ’. These comments were reflective of all the comments made by residents, and demonstrate residents are satisfied with the service. One comment was made about how busy staff often seem to be however, they also said staff were caring and hard working. Oakfield DS0000020247.V348635.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): 7,8,10. Quality in this outcome area is good. Residents’ needs are met and care plans help demonstrate how they are met. Residents are treated with respect and their privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were reviewed, to find out how residents are supported by staff to meet their care needs. The care plans were informative and detailed how to meet the health care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. Care plans had been reviewed and updated regularly by registered nurses. This demonstrates residents’ health needs are being monitored and kept under review. In discussion with the deputy manager they explained that they very regularly work closely with care staff providing care and support to residents. This helps to demonstrate the deputy manager is closely monitoring residents needs and how well they are met. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 11 The deputy manager was asked about how they support residents to meet their health care needs. They explained they constantly assess and monitor residents’ health needs, and will call a GP if required at the earliest opportunity. There was supporting information in residents’ care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. Staff were observed knocking on residents bedroom doors before entering them and assisting residents in a polite and respectful manner. This was particularly noticeable at lunchtime when all staff helped and assisted residents with their meals in a discreet and respectful way. Oakfield DS0000020247.V348635.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): 12,15. Quality in this outcome area is good. Residents are provided with a range of social and therapeutic activities, and a well-balanced appealing diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home employs an activity coordinator who works for four days a week. There is also a volunteer who visits regularly and runs games afternoons. There is a copy of a timetable of social activities on display in the entrance hall of the Home. This helps to ensure residents are aware of current activities taking place. Activities that are planned for the near further include, `film afternoons’, bingo, board games, a visit from a therapeutic dog, and musical afternoons. A group of residents were watching a film together in the lounge in the afternoon .The residents looked as if they were enjoying themselves. There is a mobile library with a range of `big print’ books for residents to read. The Home has two cats, which are a source of obvious pleasure for residents based on their comments. There is a hairdresser who attends to residents on a regular basis. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 13 A portion of the lunchtime meal was sampled. This was a homemade beef stew with creamed potatoes; followed by apple crumble and custard .The meal was tasty and nourishing and was well presented. Residents commented positively about the food served at the Home. The residents menu was checked to find out if residents are provided with a varied and well balanced diet .The meal options seen were nutritionally well balanced and varied. There are choices available each day, and staff ask residents what they wish to eat each day. Special diets are also catered for and there are a variety of special meals provided for residents who need them. These include diabetic residents, and residents who requires a `softer’ diet. Oakfield DS0000020247.V348635.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): 16,18. Quality in this outcome area is good. Residents’ complaints about the service are responded to promptly. Residents are protected from abuse by the systems in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 15 There is a copy of the complaints procedure on display by the reception. This is an area well frequented by residents and visitors. This helps to make sure they see the information . The complaints procedure includes the up to date contact information for the Commission if a person wants to complain directly to us. Several residents said that they see Mrs Drewe regularly and she walks around the Home daily. Residents commented that they would speak to her or to the deputy manager about any concerns. There were also several comments made about how the kindness and the caring attitude of Mrs Drewe and the deputy manager. One resident said when talking about Mrs Drewe, `Naomi’s very kind’. This helps to demonstrate residents feel well supported by the management in the Home. Staff are provided with training to in the understanding of the principle of the protection of vulnerable adults from abuse. . The company have their own in house training booklet on the subject of the protection of vulnerable adults. There is an up to date policy in place relating to the issue of protection of vulnerable adults from abuse. There is also a copy of a guidance document published by the Department of Health about the protection of Vulnerable Adults. Mrs Drewe said that she finds the information in the guidance document helpful. Oakfield DS0000020247.V348635.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): 19,20,21,24,26. Quality in this outcome area is good. The Home is safe well maintained, and generally suitable for meeting the needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Oakfield Care Home is a large detached property that is a listed building in the village of Weston near Bath. The Home is built over three floors, which can be accessed by stairs or lift. The building is over two hundred years old and is about a ten-minute car ride away from Bath City Centre. There are local shops a library, a church, pub and Bath Royal United Hospital is nearby. A number of residents commented that they liked the environment of the Home, and the views of the large self-contained garden. Specialist equipment and adaptations are in place throughout the Home, to assist residents and visitors who may have reduced mobility. There is also a lift Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 17 giving access to all floors of the Home, as well as a stair lift, for people with reduced mobility. However those residents who live in the bedrooms on the ground floor, and have reduced mobility, do not currently have easy access to the patio. Providing wheelchair access such, as suitable ramps would mean residents could use the patio area more easily. The bedrooms and all the communal areas were viewed. Bedrooms are for single occupancy, however there are two double rooms. Rooms were satisfactorily decorated and maintained. The environment was clean and tidy throughout. Bedrooms have been personalised to reflect the tastes of residents with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory. Bedrooms have en suite facilities. There are also bathrooms and toilets located within close proximity to rooms that do not have these facilities. There is also a washbasin in each bedroom. There is a dining room, and a spacious television lounge. Residents were observed sitting in communal areas looking very relaxed and comfortable in the surroundings. There are toilets located close to the dining room and lounge. Communal bathrooms were clean and well maintained and were free of any unpleasant odours. The Home is well ventilated and warm with plenty of natural light. Radiators have been fitted with guards to protect residents from being scalded. Oakfield DS0000020247.V348635.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. Residents are supported by enough staff on duty at any time to meet residents needs. The Homes’ recruitment practices are robust and protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of staff on duty was reviewed to find out if there is enough staff to meet residents’ needs. There is a minimum of one registered nurse on duty at all times and five care assistants in the morning, with three care assistants and one registered nurse in the afternoon. At night there is one registered nurse and two care assistants on duty. There are two domestic staff on duty most days a cook and a kitchen assistant and a full time maintenance person .The number of staff on duty meets the legally required minimum staffing levels that are conditions of the Home’s registration. Mrs Drewe works nine to five hours she also spends time every day with residents supporting them .Mrs Drewe is also assisted in her role by a full time administration assistant. The staff were observed assisting residents with their care needs in a courteous and patient manner. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 19 The training records of two registered nurses and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that registered nurses and care staff had attended training sessions, and updating over the last twelve months. Many of the care staff have either completed National Vocational Qualification in care awards to Level 2 or Level 3.A National Vocational Qualification trainer was at the Home during the inspection. They were reviewing the work of care staff who are studying for their Award. They also awarded a certificate to a one of the carers who had just completed their National Vocational Qualification in care award training. This demonstrates a commitment by the Care staff to developing the skills that they have. The staff recruitment records of three care staff on duty were checked to see if the Home carry out the required employment safety checks on all staff before they start work .The staff records demonstrated the necessary checks before employing new staff are being carried out. Specifically there were two written references taken up for all new staff before they start work as well as Criminal Records Bureau Disclosures checks and Protection of Vulnerable Adult (POVA) first checks. This demonstrates residents are protected by the Homes recruitment procedures. Oakfield DS0000020247.V348635.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): 31,33,37,38. Quality in this outcome area is good. Residents’ benefit from the management and leadership of Mrs. Drewe and the deputy manager. The health and safety of residents and staff is protected in the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Drewe is a first level registered nurse with many years of experience caring for people with a range of nursing needs. A number of residents said they see Naomi (Mrs Drewe) every day and she will walk round the Home and make time for them. This demonstrates Mrs Drewe makes herself available for residents. Mrs. Drewe was also observed spending Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 21 plenty of time with a new resident, and was helping them to settle into the Home. Mrs Drewe and the team have been auditing different areas of the service, using an audit tool devised by the Company who run the Home, for use in Care Homes. An action plan has been devised to address any weaknesses in the Home. Mrs Drewe and the team have worked hard to review and audit the care The team have implemented the actions set in the Homes action plan that Mrs Drewe wrote. Residents clearly benefit from the Home improving its standards based on the result of these audits. Residents’ records were satisfactorily maintained, up to date, legible and in order. The records relating to the management of the Home were also satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked safe and satisfactorily maintained throughout. The maintenance man carries out a health and safety audit of the whole environment on a very regular basis. A copy of the document that is used to carry out the audit was checked. It was detailed and aimed to address health and safety areas through the Home. Staff are being provided with regular training in health and safety matters including first aid, food hygiene training and moving and handling practises. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. The fire logbook records showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of residents and staff. To further protect the health and safety of residents, staff, and visitors there is an up to date fire safety risk assessment for the Home setting out how fire risks will be assessed and what actions will be taken to minimise them. The kitchen was tidy and organised when viewed. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food safety guidance levels. However there were dairy products, cooked meats, and cooked food stored in the fridge that had not been dated. This must be done for these foods so they are used within a safe timescale. There were records to demonstrate that `high risk’ foods are temperature probed before serving to ensure the food has reached above minimum required temperature. Staff who are directly involved in personal care were observed serving food to residents and going into the kitchen wearing suitable protective clothing over Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 22 their uniforms to minimise the risks of cross infection from their uniforms onto food or surfaces in the kitchen. Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 23 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 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard OP22 Good Practice Recommendations The bedrooms on the ground floor with patio doors should have with wheelchair access onto this area. All cooked food stored in the fridge as well as being covered should have the date on it. This is to make sure it is used within a safe timescale. OP38 Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Oakfield DS0000020247.V348635.R01.S.doc Version 5.2 Page 26 - 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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