Inspection on 30/11/06 for Oulton Abbey Nursing Home

This inspection was carried out on 30th November 2006.

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

Oulton Abbey Nursing Home 05/11/08

Oulton Abbey Nursing Home 30/12/05

Oulton Abbey Nursing Home 23/08/05

Oulton Abbey Nursing Home 22/02/05

Oulton Abbey Nursing Home 12/10/04

Oulton Abbey Nursing Home 26/03/04

Oulton Abbey Nursing Home 29/09/03

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Maple Lodge

Heathlands

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

CARE HOMES FOR OLDER PEOPLE Oulton Abbey Nursing Home Oulton Stone Staffordshire ST15 8UP Lead Inspector Pam Grace Key Unannounced Inspection 30 November 2006 13:00 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 Oulton Abbey Nursing Home DS0000022359.V317297.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. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oulton Abbey Nursing Home Address Oulton Stone Staffordshire ST15 8UP 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) 01785 814192 01785 812421 Our Lady and St Benedict`s Mandy Jackson Care Home 26 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (7), of places Physical disability (26), Physical disability over 65 years of age (26) Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 26 - PD Physical Disability - Minimum age 60 years on admission 1 DE(E) - Dementia over 65 years for one named service user. Date of last inspection 30th December 2005 Brief Description of the Service: Oulton Abbey Care Home is a grade 2 listed building converted to a nursing home in 1989. Prior to this the home had been a retreat house and a boarding school. St Marys Church was built in 1853 and forms part of the home. The building has been home to a community of Benedictine nuns since 1853 (St Marys Abbey, also known as Oulton Abbey). The home is situated within the village of Oulton near to Stone in Staffordshire and can be accessed by public transport. The bus stops about 200 yards away and the train station is in Stone (approximately one mile away). Oulton Abbey is registered to take twenty-six elderly service users over the age of 60 years with care and nursing needs. This includes individuals referred through care management either from social services or hospital as well as privately funded individuals. Cultural and religious beliefs are a particular consideration and members of all denominations are welcomed. Current fees are £347.00 minimum to £650.00 maximum. These are subject to annual review. Additional charges apply for hairdressing, chiropody, newspapers and toiletries. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 6 hours. The Registered Care Manager Ms Mandy Jackson RGN assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, the Pre-Inspection Questionnaire that had been completed by the provider, and comment cards received from residents, relatives, and the GP. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, residents and visiting relatives. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the care manager, and to the Responsible Person - Dame Benedicta, outlining the overall findings of the inspection. Residents spoken with were very positive about the care they were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. There had been no complaints received by CSCI since the previous inspection, and no complaints received by the home. Residents are protected from abuse of all types, by appropriately trained staff. The inspector had received 3 ‘Have your say’ documents, and a total of 5 comment cards, which the Commission for Social Care Inspection (CSCI) issue to relatives, social workers and health professionals. Feedback and comments received were generally very positive, and included, comments such as `the GP is contacted immediately when required,’ and `the activities co-ordinator is most hard working, her dedication to the residents is outstanding’. `The staff do their utmost best to keep the home fresh and clean’. `Staff are always happy to discuss my mother’s care, and have been very supportive’. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 6 conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. There were no requirements, and no recommendations made as a result of this unannounced inspection. What the service does well: What has improved since the last inspection? What they could do better: Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 7 There were no requirements or recommendations made as a result of this unannounced inspection. 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. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 8 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 Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 9 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, 2, 3 and 6 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users receive the information they need in order to make an informed choice. They are able to visit the home, assess the facilities, and undergo a pre-admission assessment before a decision to move is made. A written contract was in place for each resident. EVIDENCE: The recently reviewed Statement of Purpose and Service User Guide were discussed with residents as part of case tracking, and with visiting relatives. Residents and/or their relatives confirmed that the home had assessed residents’ needs, and had provided information about the home, prior to their visiting, with a view to moving into the home. Although information had been sent, this was not noted within those residents’ files examined by the inspector. Information about the home is also made available to the Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 10 Commission for Social Care Inspection (CSCI), social workers, prospective residents and their families. Pre-admission assessments were in evidence within care plans seen. These had been undertaken either by the care manager or deputy matron. Residents and relatives spoken with confirmed that they had received a contract on moving into the home, and that the contract had not changed during the time they had been living at the home. The standard contract between the home and the individual resident was inspected and evidenced that all required elements were contained. Contracts were seen as signed by the resident and the proprietor, Dame Benedicta. The previous inspection report is also available to read at the home. The inspector sampled and case tracked 5 residents’ care plans. Pre – admission assessments were present in all care plans seen, and had been comprehensively completed. The care manager confirmed that Intermediate Care is not provided at this home. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 11 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. Residents’ health and social care needs are being met. Residents are protected by the home’s policies and procedures for dealing with medicines. Residents and their relatives are very satisfied with the services they and their relatives receive from the home. EVIDENCE: A random sampling of 5 residents’ care plans was undertaken. In line with case tracking, residents and staff were spoken with. Appropriate risk assessments were evident in care plans seen. Wound treatment records were clear and up to date, and visits by health professionals were well documented. Care plans seen were signed, and contained arrangements in the event of terminal illness. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 12 The GP visits the home on request. Requests for the GP would be documented in the diary, highlighting which residents need a medical review. Service users are protected by the home’s policies and procedures for dealing with medicines. Medication is appropriately stored, administered and recorded. Residents are able to self-medicate if they wish to, following appropriate risk assessment. This is then documented and recorded in the resident’s care plan. Staff demonstrated a personal empathy with residents through a respectful, yet friendly discourse. Following the case tracking of five individual residents, examination of individual care plans identified that their personal and nursing care needs were being planned and subsequently met on a continuous basis. Discussions with these residents and/or their relatives, confirmed the above. All of the residents spoken with felt very happy with the care they were receiving in the home. Residents who could not communicate appeared comfortable and well cared for. Feedback and comment cards returned to the inspector totalled 3`Have Your Say’ documents, 3 comment cards from relatives, and 2 comment cards from the General Practitioner (GP). Feedback and comments received were generally very positive, and included, comments such as `the GP is contacted immediately when required,’ and `the activities co-ordinator is most hard working, her dedication to the residents is outstanding’. `The staff do their utmost best to keep the home fresh and clean’. `Staff are always happy to discuss my mother’s care, and have been very supportive’. When asked whether dignity and privacy were upheld at the home all of the residents and relatives spoken with confirmed this and commented that the staff treated them with `respect’. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 13 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. The quality and choice of meals for residents are very nutritious, wholesome and appealing. Residents exercise choice and control, and maintain contact with family, friends, their representatives and the local community as they wish. EVIDENCE: Activities within the home were highly commended by relatives and residents spoken with. The home provides social activities for residents each day, and employs an activities co-ordinator. There was evidence from talking to residents and visiting relatives that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. The care manager confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. There are regular Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 14 visits made to the home by the Minister for Oulton Abbey, and by Ministers from other Churches/denominations. Visitors were able to see a relative in private if they needed to. Residents were able to bring in small items of furniture and bedrooms seen were comfortable, and personalised with residents’ possessions. Staff and residents spoken with said that the routines within the home were quite flexible although meals needed to be taken within a time framework. Residents were able to get up when they wanted. Residents were able to spend time in their rooms or in the communal areas. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures had been appropriately documented and recorded. The quality and variety of food served at the home is of a very good standard, and the rotational menus reflected the wishes of service users, as well as the changes in season. Fresh vegetables are grown in the home’s own gardens. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 15 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. Residents feel safe, and their complaints are listened to and acted upon, in a timely way. EVIDENCE: There had been no complaints received by CSCI since the previous inspection, and no complaints received by the home. The care manager said that she would take all concerns and complaints seriously and address them according to the policy and procedure. Residents and relatives spoken with, confirmed that they would know who to approach should they have any concerns or complaints. A copy of the home’s procedure is contained within the home’s Statement of Purpose, which is given to all prospective residents and their relatives/representatives. A copy of the complaints procedure is also clearly visible on the wall in the main entrance to the home. There is a clear and accessible protection of vulnerable adults policy and procedure in place at the home. Residents are protected from abuse of all types, by appropriately trained staff. Staff had received appropriate training on the Protection of Vulnerable Adults (POVA), this starts with their induction, and then during NVQ training, and is ongoing with in house refresher training. Oulton Abbey Nursing Home DS0000022359.V317297.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): 19,21,23 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 clean, comfortable and well presented. Bedrooms have been adapted to suit the needs of the residents. The home is safe and well maintained. EVIDENCE: The inspector toured the building, spoke with residents, and with visiting relatives. The home was found to be clean and well presented. Bedrooms seen were personalised, and had been adapted to suit the needs of the residents. The inspector confirmed during a tour of the building, that all wardrobes were either fitted, or fixed to the wall for safety. Bedrails were used following a risk assessment, and appropriate bumpers were in place. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 17 Various aids and adaptations were in place including assisted baths, mobile hoists and other equipment used for moving and handling of service users. There was a nurse call bell in operation, which was seen and heard to be working at the time of the inspection. The laundry area was clean and tidy. The inspector noted that there were adequate supplies of flat linen. The kitchen area was clean and tidy. The up to date cleaning schedule evidenced that tasks are undertaken and signed off when completed. Oulton Abbey Nursing Home DS0000022359.V317297.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 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to do their jobs. Residents’ needs are kept under review, in relation to the numbers of staff on duty. Residents are supported and protected by the home’s recruitment policy and procedures. Residents are in safe hands at all times. EVIDENCE: Staff rotas were examined, and 4 members of staff were interviewed. Staffing levels were discussed with the care manager, rotas showed that existing staffing levels had been maintained. Staff spoken with confirmed that they had received supervision, and had undertaken training, including moving and handling, health and safety, fire, and POVA. Kitchen staff confirmed that they had undertaken Food Hygiene training. The care manager provided the inspector with a copy of the home’s training schedule for 2006. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 19 The care manager confirmed in the Pre Inspection Questionnaire that approximately 30 of care staff at the home had achieved their NVQ level 2 award or above. Oulton Abbey Nursing Home DS0000022359.V317297.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): 31,33,35,36 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff had received supervision as per the National Minimum Standards (NMS). Residents benefit from the way in which the home is managed, and the home is run in the best interests of the service users. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The inspector had received 3 ‘Have your say’ documents, and a total of 5 comment cards, which the CSCI issue to relatives, social workers and health professionals. The general theme of these was that residents and relatives Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 21 were happy and satisfied with the service that they and their relatives receive in the home. The home’s Statement of Purpose and Service User Guide is available to prospective residents and their relatives. Care Plans were signed, and recorded arrangements made in the event of terminal illness. The Registered care manager is very well qualified and experienced to oversee the running of the home. The Registered care manager is well supported by a deputy matron and ten qualified staff. The care manager and staff spoken with confirmed the staff training undertaken in the past year. Approximately 30 of care staff had achieved their NVQ level 2 award or above. The care manager confirmed in the Pre Inspection Questionnaire that records relating to the testing of fire alarms and servicing of equipment were up to date and documented. Financial issues were found to be in good order due to the robust recording systems in place and positive management. Staff spoken with stated that they had received formal supervision, as per the National Minimum Standard required. Staff rotas confirmed that staffing levels had been maintained. Accidents had been recorded as required. There was also a system in place for the auditing of Accidents. There had been no complaints received by the home since the previous inspection. Residents and their relatives are aware of how to make a complaint if they wish to. The home has a clear complaints procedure and policy in place. Residents are protected from abuse of all types, by appropriately trained staff. Staff spoken with confirmed that they had received Protection of Vulnerable Adults (POVA) training. This is undertaken during induction for new staff, and during the NVQ course, as well as in house refresher courses each year. The care manager, staff, and residents spoken with confirmed that resident and staff meetings are being held. The inspector noted that a staff meeting was held during the inspection visit. Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 22 There is a quality assurance system in place at the home. This is co-ordinated and managed by the care manager. Residents, relatives and/or their representatives are invited to express their views at least twice yearly in a written format. This information is then collated and acted upon. There is a rolling programme of maintenance of the home, and the home employs a part time maintenance person. The home’s central heating boiler has recently been replaced. Oulton Abbey Nursing Home DS0000022359.V317297.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Oulton Abbey Nursing Home DS0000022359.V317297.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Oulton Abbey Nursing Home DS0000022359.V317297.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. 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