Inspection on 11/10/05 for Owston View

This inspection was carried out on 11th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Owston View 22/05/07

Owston View 31/05/06

Owston View 26/10/04

Owston View 26/04/04

Owston View 26/08/03

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

CARE HOMES FOR OLDER PEOPLE Owston View Lodge Road Carcroft Doncaster South Yorkshire DN6 8QA Lead Inspector Mike Hamstead Unannounced Inspection 11th October 2005 07:45a 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 Owston View DS0000031963.V253390.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. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Owston View Address Lodge Road Carcroft Doncaster South Yorkshire DN6 8QA 01302 730924 01302 724019 None 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) Doncaster Metropolitan Borough Council Mrs Susan McNair Turton Care Home 36 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (24) of places Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: Owston View is a purpose built care home for older people situated on Lodge Road Carcroft, in a residential area close to many local facilities. It is also on the bus route to Doncaster. The home provides care for 24 older people service users in the main part of the home, and for 12 service users who have a mental infirmity in a specialist unit known as The Croft. The Home also provides a day care service in both sides of the home. The home has two floors, and has a shaft lift to enable service users to access the second floor. In addition, tea making facilities are provided for service users and visitors who wish to make their own drinks. Externally the home has extensive grounds, and there are facilities for service users and visitors to walk around them and also to sit out, where a number of benches and garden furniture is available. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection methodology consisted of interviews with the care manager and staff on duty, and an examination of the homes records and the progress made since the last inspection. It also included a tour of the building to observe the accommodation. Additional information of the overall situation had been gained from previous inspection visits. The inspection was commenced at 07:45 and finished at 16:20 and included talking to members of staff, residents, and visiting relatives. What the service does well: Obtains an accurate assessment of residents needs including specialist needs, and prepares a plan of care and develops this based upon the experience and changing needs of residents living there over time. Provides a good standard of accommodation suitable for residents lifestyles and ensures privacy and dignity for residents when required. Encourages residents to be involved in the day to day running of the home, and to be involved in decision making to the level of their capabilities. Provides a flexible approach to daily living activities and provides ample activities and opportunities for residents to become involved in the local community. A wide range of opportunities and leisure pursuits are available for residents to choose from should they wish to do so. Provides a well trained and motivated staff team sufficient to meet residents needs, and has a comprehensive staff training programme. Consults with residents and relatives and ensures that residents views are listened to, and acts to safeguard their interests at all times. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Manage the home in accordance with the Statement of Purpose for the benefit of all residents living there. Be flexible in the approach to mealtimes to meet residents needs. Continue the investment in the furnishings and fabric of the building for the benefit of residents. Do not wedge doors open against the advice of the Fire Officer that may endanger the lives of residents and staff. Review staffing levels and staff deployment to ensure the needs of all residents are met. Obtain information on foundation training for staff to equip them with the necessary skills to provide a high standard of care for residents. Encourage staff to undertake the nationally recognised NVQ training to ensure residents are safeguarded at all times. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 7 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. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 4. The home is not complying with its Statement of Purpose in that there is a resident accommodated who is inappropriately placed. Staff undertake a range of training options to ensure that they can meet residents needs at all times. EVIDENCE: The home is not operating within its Statement of Purpose, in that there is a resident accommodated in the main home who was initially placed on a short term interim care basis on the 26/08/05, pending returning to her own flat with a home care package. This resident is still accommodated despite repeated efforts by the care manager to have the matter addressed. The care manager is still attempting to obtain residents views of their life in the home with limited success as part of a quality assurance system, and is now considering including the minutes of residents meetings in the Service User Guide as an alternative attempt to inform prospective residents/representatives of what existing residents think about Owston View. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 10 Owston View cares for older people with a variety of needs including some with dementia who are cared for in a specialist unit known as The Croft. The care manager acknowledges that the needs of service users are changing, and tries to organise relevant staff training to meet these changing needs. All staff have undertaken dementia care training and training in the care of Vulnerable Adults within the last 12 months, and some staff have had training on caring for people with an associated learning difficulty in an effort to meet all the needs of residents. Owston View is not involved in intermediate care and therefore this standard was not assessed on this inspection. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 ,9,10 & 11. General health and personal care needs are being met and the residents privacy and dignity was seen to be respected by observation of care practices and comments received from residents. Attention must be paid however to meet the wishes of those residents who prefer to eat breakfast earlier than most other residents in the home. EVIDENCE: A random selection of care plans was inspected, and found to contain key personal / health information, and an assessment of residents needs and detailed information as to how these will be met. A named key worker ensures all staff know who has lead responsibility for meeting each residents’ needs. Since the last inspection risk assessments have been updated and reviewed, and where possible the signature of residents/representatives have been obtained to indicate that they agree with the content of the plan of care. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 12 A shift manager has the responsibility for auditing the care files to ensure that the above procedures are followed, and she is also responsible for weighing all residents on a monthly basis. Medication procedures were observed and improvements have been made since the last inspection, in that all PRN’s administered are now recorded. The drugs refrigerator temperature is also now recorded daily to safe guard the interests of all residents. Residents were seen to be treated with dignity and respect in the different aspects of their daily care, but a small nucleus of residents wondered why if they were early risers and had gone to the dining room for a cup of tea, they then had to wait over an hour for their breakfast to be served, and this was referred to the care manager for attention. There is a policy and procedure on how to deal with residents who are ill and in the later stages of their lives and where the funeral arrangements are unknown, the staff group will tactfully try to obtain this information from residents/relatives where possible and record this in their files. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 14. Residents can enjoy a lifestyle suited to their particular expectations and preferences and receive staff support to achieve this aim. EVIDENCE: Relatives and friends are welcomed at any reasonable time, and a number of visitors were present during the inspection who spoke highly of the care provided. There is a comprehensive notice board inside the main entrance to the home, and all planned events are displayed here and keep residents and relatives aware of the homes activities. In addition there were photographs of a recent trip to Bridlington by residents and staff, and a number of residents commented that they had “thoroughly enjoyed the day” There is a Halloween party at the end of the month, followed by a bonfire night party with fireworks, crackers, jacket potatoes and bonfire toffee. Arrangements are also being made for Christmas, and staff try to ensure that all residents enjoy a lifestyle that meets their expectations and preferences. Internal activities include baking, quizzes, bingo, movie nights, fish and chip suppers, and visiting entertainers, and contact is maintained with the local Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 14 community via trips out to garden centres, shopping trips to Doncaster, and an occasional barge trip. There are still seven residents who maintain some aspect of their financial affairs, and all residents are entitled to bring their personal possessions into the home. An advocacy service would be arranged for any residents in need if necessary to ensure their interests are protected. Access to personal records is available for all residents, but the current experience is that little interest is shown and residents appear happy to place their overall care in the hands of staff. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 & 18. The care manager and staff have acted positively to address the issue of obtaining, recording, and dealing with residents complaints when they arise, and staff have a knowledge and an understanding of Adult Protection issues that promotes the protection of residents, EVIDENCE: There have been 4 complaints recorded since the last inspection that have all been satisfactorily dealt with to the complainants satisfaction. The care manager has addressed the issue of complaints at a staff meeting, to ensure that staff are acting proactively to obtain residents complaints/comments as a means of improving the overall services provided. The document ‘Viewpoint’ still does not make a direct reference to CSCI, but the care manager provides information on its notice board that complaints can be made directly to CSCI to promote the rights of residents. All residents are made aware of their right to vote, and many still do so by postal votes rather than visiting the polling booth, which was the case at the general election in May 2005. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 16 There is an Adult Protection policy and procedure, and also a whistle- blowing procedure, and the care manager is aware that any incidents of abuse have to be recorded and investigated. Staff use “Counsel and Care” guidelines on restraint, and procedures for dealing with physical and/ or verbal aggression by residents is covered at the staff induction stage. There is a policy and procedure regarding residents monies and financial affairs, and the monies of three residents monies were checked at random and were all found to be correct. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 17 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. The home has benefited from continuing investment and presents as a welcoming and homely setting with suitable furnishings and decorations to meet the majority of resident’s individual tastes. Some improvements are still necessary, and doors must not be wedged open possibly endangering the safety of residents and staff. EVIDENCE: Further work to improve the condition and safety of the premises for residents has continued including providing additional heating in 4 bedrooms, and installing new thermostatic valves on all wash hand basins in the home. It was noticed however that the ground floor corridor carpet is showing signs of wear and tear and either needs a good clean or needs replacing. The steamer in the kitchen that has been reported on 4 occasions has still not been Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 18 repaired, a broken cupboard handle also reported has not been replaced, and two doors in the kitchen were wedged open against Fire Service advice. The accommodation was measured prior to the 1st April 02, and meets all the spatial requirements of the standard. The home has safe and comfortable indoor communal facilities, with space set aside for smokers. The toilet, washing and bathing facilities all meet the needs of residents, and are situated close to dining areas and lounges. The home has 5 bathrooms including a shower room, which meets the requirements of this standard. There are sluice facilities in the home that are located separately from bathrooms and toilets observing infection control procedures for residents. The outside grounds are pleasant with seating available and a number of residents were sat outside enjoying the fresh air in safe and comfortable surroundings. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 19 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 28 29 & 30. Staffing levels and staffing deployment needs to reflect the dependencies of residents at all times. Recruitment and selection procedures are satisfactory, and there is an improvement in the input to staff training needs with the exception of foundation training. Attention needs to be paid to staff undertaking their NVQ Level 2 training in an effort to obtain this qualification. EVIDENCE: A recent change to the management structure of the home has been the appointment of a shift manager that enables the care manager to focus on other aspects including developing staff skills to continually improve the care given to residents. The rotas were examined that identified that a Senior and 2 care staff per shift in both the main home and The Croft are deployed during the waking day, and a Senior, and 2 care staff per shift at nights for the whole home. The care manager tries to employ a fifth carer in the waking day where possible to “float” between the main home and The Croft, because as witnessed on this inspection and confirmed by a number of staff, there are occasions when 4 staff per shift is not enough. Observations in The Croft before breakfast revealed that residents were unsupervised on some occasions because the two staff working on that unit Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 20 were busy, and were both involved in getting others residents up who required double handling. This pressure is compounded by the fact that the Croft takes 2 additional people on a day basis as well as the 12 permanent residents when the Croft is full. Staff also said that there is a need to provide additional staff cover in both the main home and the Croft, particularly at peak times, to ensure the needs of all residents are safely met. The care manager is aware of this problem and tries to respond by asking either the housekeeper, an assistant care manager or the shift manager dependent upon who is on duty to be present whenever they can but this is clearly not the case at all times as confirmed by staff. An additional problem identified at the present time is that all staff are required to attend a “Values Workshop” at The Dome as directed by the Managing Director of DMBC, as part of the councils restructuring plans, that is also taking staff away from caring for residents. The home currently has 2 care vacancies and 2 domestic vacancies with staff already appointed but awaiting CRB clearances. The recruitment procedures ensure that CRB checks are undertaken for all new staff before they start thus ensuring the safety of residents and the file of one new member of staff employed since the last inspection was examined and found to be satisfactory. There is a personal staff profile for all staff containing all the training undertaken by them, and future training needs designed to ensure that the changing needs of residents are met are identified at supervision sessions. The care manager is aware that the homes staff training and development programme needs to meet NTO training targets, but whilst induction training is being done foundation training is not that may have implications for the care of residents. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 21 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 34 35 36 37 & 38. Residents benefit from a home run well and in their best interests where their health and safety is generally promoted. Relationships between staff and the manager are very good and this contributes to the overall care provided to residents. EVIDENCE: The care manager has considerable experience in the management of this client group and is suitably qualified for this task. The introduction of a shift manager has reinforced the capacity of the care manager to focus on key responsibilities to improve the overall care of residents, and she has set targets to improve care standards for residents that were examined on this inspection. All staff undertake statutory training in the protection and safeguarding of residents, and the manager should continue to obtain further advice and support about undertaking an NVQ Level 4 qualification in management and care. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 22 The home has a part-time administrative/clerical support post which enables the homes management to spend more time in resident care. All the staff interviewed spoke freely and positively about the care manager and her open door and inclusive approach and said that they had confidence in her ability and were happy to be working under her leadership and management. There were regular staff meetings, supervision and appraisal sessions, and plenty of opportunities to “say their piece” Senior staff felt that they were always kept informed of external yet related events to the home and that they also received day to day support in their care of residents. The home has its own informal quality assurance system, and the line manager is undertaking Reg 26(4c) monthly visits to the home and supplying the CSCI with copies as required by the regulation. The care manager has devised her own annual development plan, and she is also continuing trying to obtain the views of residents via a formal questionnaire, with little success, having used residents meetings, and a suggestions box as an alternative approach to obtaining their views on key aspects within the home. The former homes service manager was also involved in obtaining the views of relatives but has now left the service and this task should be resurrected by the care manager/line manager in the protection of residents interests. Evidence of public liability insurance and buildings cover was seen which safeguards users and other members of the public visiting the home. Supervision of staff, and staff appraisals is now being undertaken to the required frequency of the standard in the protection of residents and all the residents records are kept up to date and secure. The health, safety and welfare records demonstrated that the management and staff ensure the protection and safety of residents. The fire records, servicing of the gas boiler, PAT testing, Legionella testing, and a “Thorough Examination” of the shaft lift and handling equipment were checked and found to be satisfactory. The electrical hard wiring was tested on the 14/07/03, and is still within the 5 year re -testing period. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 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 2 x x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 3 2 3 3 x x x x x STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 4 Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The registered person must ensure that all residents are accommodated in accordance with the homes Statement of Purpose. The registered person must ensure that mealtimes are planned around the wishes of residents. The registered person must ensure that residents live in a safe well maintained environment. The registered person must ensure that doors are not wedged open, contrary to the Fire Officers advice. The registered person must ensure that staffing numbers are appropriately deployed to meet residents needs. The registered person must ensure that all staff receive foundation training within the first 6 months of appointment. Timescale for action 30/10/05 2. OP10 12 30/10/05 3. OP19 23 30/10/05 4. OP19 23 15/10/05 5. OP27 18 30/10/05 6 OP30 18 31/12/05 Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP28 OP31 Good Practice Recommendations The registered person should ensure that a minimum ratio of 50 trained members of staff NVQ Level 2 or equivalent is achieved by 2005. The registered person should ensure that the Care Manager, achieves a qualification at Level 4 in management and care or equivalent by 2005. Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Owston View DS0000031963.V253390.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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