Inspection on 08/08/06 for Palm Nursing Home

This inspection was carried out on 8th August 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

Palm Nursing Home 17/02/06

Palm Nursing Home 09/05/05

Palm Nursing Home 20/01/05

Palm Nursing Home 22/09/04

Palm Nursing Home 17/03/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Palm Nursing Home 79 Glengall Road Woodford Green Essex IG8 ODP Lead Inspector Ms Gwen Lording Key Unannounced Inspection 8th August 2006 10:00 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 DS0000025958.V307017.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. DS0000025958.V307017.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Palm Nursing Home Address 79 Glengall Road Woodford Green Essex IG8 ODP 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) 0208 505 4577 0208 504 0747 Palm Nursing Home Ltd Mrs Marie Lilette Ebrahimkhan Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (20), Terminally ill (20) of places DS0000025958.V307017.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2006 Brief Description of the Service: Palm Nursing Home is a privately owned care home with nursing for up to twenty residents. It is registered to provide nursing and personal care and accommodation for both younger adults (18 to 65 years) and older people (65). The property is an adapted detached house, situated in a residential area of South Woodford, in the London Borough of Redbridge. The home is approximately 1/2 mile from shops, public transport and other community facilities. Accommodation is provided on 3 storeys, with lift access to all floors. Bedrooms include single and double rooms. Several of the single rooms have ensuite showers and toilets. One of the proprietors, Mrs Ebrahimkhan is also the registered manager. On the day of the inspection the fees for the home were between £450.00 and £800.00 per week. A copy of the Statement of Purpose and Service User Guide is made available to both the resident and the family. A copy of the most recent inspection report is available on request. DS0000025958.V307017.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.am. It took place over five and a half hours. The proprietor/ registered manager was on holiday but the inspector was able to speak to her by telephone at the start of the inspection. Senior nursing staff and the home’s administrator were available throughout the visit to aid the inspection process. This was a key inspection visit in the inspection programme for 2006/207. Discussion took place with nursing and care staff, the cook, domestic and the administrator. Nursing and care staff were asked about the care that residents receive, and were also observed carrying out their duties. The Inspector spoke to a number of residents, and where possible residents were asked to give their views on the service and their experience of living in the home. All parts of the home were visited and a number of staff, care and home records were looked at. The inspector would like to thank the staff and residents for their input and assistance during the inspection. What the service does well: What has improved since the last inspection? Regulation 26 visits are being undertaken regularly by the responsible individual and a copy of the report is being sent to the Commission. DS0000025958.V307017.R01.S.doc Version 5.2 Page 6 All complaints made, whether verbal or formal written are being recorded and include details of investigation, any action taken and the outcome for the complainant. 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. DS0000025958.V307017.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 DS0000025958.V307017.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are being undertaken for all residents prior to them moving into the home. Care plans are drawn up from the information in this assessment, ensuring that the needs of the residents are identified, understood and met. The home does not offer intermediate care. EVIDENCE: Individual records are kept for each resident and a total of five files were examined. All records inspected have assessment information recorded and the information had been used to continue assessment following admission to the home and develop written care plans. Where appropriate, information provided by the placing authority was also on file. DS0000025958.V307017.R01.S.doc Version 5.2 Page 9 Prospective residents and their relatives/ representatives are provided with information about the home and there is always the opportunity to visit the home prior to making any decision to move in. The Care Homes Regulations 2001 have been amended with effect from the 1st September, 2006 for new residents, and for existing residents with effect from the 1st October, 206, so that more comprehensive information is to be included in the service users’ guide. Details of information to be included are contained within the amended regulations. Therefore, the service users’ guide must be reviewed and amended by the stated timescales. DS0000025958.V307017.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal care and social care needs are set out in individual care plans and provide staff with the information they need to satisfactorily identify and meet residents’ needs. There are clear medication policies and procedures for staff to follow. However, there are some inconsistencies in the recording of medication, which may result in unsafe practices. EVIDENCE: A total of five residents were case tracked and their care plans and related documentation inspected. All residents had comprehensive care plans, which covered health and personal care needs. There was evidence that care plans DS0000025958.V307017.R01.S.doc Version 5.2 Page 11 were being reviewed on a monthly basis and updated to reflect changing needs. As part of case tracking the documentation/ health records relating to wound management; the management of a resident with diabetes and a recently admitted resident, were examined. The records for these residents were detailed and being adequately maintained. Risk assessments are routinely undertaken on admission for all residents around nutrition, manual handling, falls, continence and pressure sore prevention; and reviewed on a regular basis. Fluid monitoring charts were all up to date. Nutritional screening is undertaken on admission and weights are monitored monthly, including weight gain or loss with appropriate action being taken where necessary. Records indicated that residents are seen by other health professionals such as optician, dentist and optician. There was also evidence of individual residents having attended routine appointments for breast and cervical screening. There was no evidence in the files of “End of Life” care plans and the importance of developing these was discussed with the nurses, during the inspection. However, from conversations with staff, entries in care plans and the inspector’s knowledge of the home, it was apparent that staff dealt with a person’s dying and death in a sensitive manner, both for the individual and relatives. Staff were observed to treat residents with respect and the arrangements for their personal care ensure that their right to privacy is upheld. Palm Nursing Home consider maintaining the mobility of residents and keeping them ambulant as a high priority. All of the current residents’ are either weight bearing; able to mobilise independently, or with the aid of walking frames. In addition the home engages the services of a physiotherapist who visits the home once a week. Currently there are no residents who require being transferred by hoist whilst downstairs and this was also apparent through observation during the inspection and discussions with staff. However, due to the current arrangement of the seating in the lounge it would be difficult to use the existing hoist if required. It is strongly recommended that the registered provider review the use of a hoist downstairs which may be necessary in the future due to current residents increasing dependency, or any prospective resident. Since the visit the inspector has had the opportunity to discuss this issue with the registered provider. She is considering the purchase of either a smaller hoist or a standing hoist and will review the arrangements of the furniture in the lounge. There are policies and procedures for the handling and recording of medications. An audit was undertaken of the management of medications and a random sample of Medication Administration Records (MAR) charts were examined. The records for controlled drugs and temperatures of the medicine DS0000025958.V307017.R01.S.doc Version 5.2 Page 12 refrigerator were in order. The following issue was discussed with the nurse in charge: • Hand written entries on MAR charts must be signed and dated by the person making the entry. The entry must also include the source of the information e.g. GP DS0000025958.V307017.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 &15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a general programme of activities available but more consideration needs to be given to planning activities, which are suitable to the needs of individual residents. This will ensure that all residents have a sufficiently stimulating and varied choice of activities. Visiting times are flexible and people are made to feel welcome in the home so that residents are able to maintain contact with their family and friends. EVIDENCE: The home does not employ an activity co-ordinator and care staff undertakes activities with residents. There is a programme of general activities for all residents and regular visits by professional entertainers. Some of these activities are individual and some small group activities. One resident enjoys gardening and showed the inspector the tomato plants he was growing. On the day of the visit some residents were observed to be reading or watching TV, but it was apparent that some residents would not be able to do this, and generally were just sitting and not occupied or engaged in any meaningful activities. Nursing staff spoken to said that activities mainly take place in the afternoon however, this was not evidenced on the day. More consideration DS0000025958.V307017.R01.S.doc Version 5.2 Page 14 must be given to provide meaningful activities for those residents who lack the capacity to be involved in the general activity programme for the home. Relatives are encouraged to visit the home and there are no restrictions on when relatives and friends can visit. Visiting can be undertaken in the lounges or in the privacy of the resident’s room. From observation and talking with several residents it was evident that the routines of daily living are flexible and varied to suit the differing needs and preferences of residents. All residents have an individual ‘night care plan’ which details preferences such as number of pillows, night light to be left on during the night and times for getting up/ going to bed. The serving of the lunchtime meal was observed and provided residents with a varied, appealing and nutritious meal. Residents can choose to eat in the lounge/ dining room or in their rooms. However, the extension to the conservatory, that has facilities to be used as a separate dining area, does not appear to be used and most residents still sit in lounge chairs and eat from small lap tables. The use of this extension needs to be reviewed so as to best utilise all available communal space for residents. Pureed meals were presented in an attractive and appealing manner and residents who required assistance were not hurried. Staff were seen to offer assistance where necessary and this was done discreetly and individually. A visit was made to the kitchen and the inspector discussed the storage and preparation of food and menus with the cook in charge. She was aware of those residents requiring special diets for example diabetic diet; and those residents with cultural dietary needs. A new fridge and freezer have been purchased since the last inspection. DS0000025958.V307017.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff make every effort to sort out problems or concerns and makes sure that residents and their relatives feel confident that their complaints and concerns are listened to and will be acted upon. Staff working in the home have received training in Adult Protection/ Abuse Awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints policy/procedure and the records inspected indicated that one verbal complaint had been received since the last inspection. A requirement was made at the last inspection for all complaints made, whether verbal or written, to be recorded and include details of investigation, any action taken and the outcome for the complainant. The inspector was able to evidence that this requirement has been met. Those residents spoken to were aware of how to complain and to whom. One resident commented: “If I have any problems I speak to the boss(registered manager)”. Another resident commented: “I would speak to one of the nurses”. There is an in house training programme for all staff in adult protection and this has been extended to include all administrative and ancillary staff and for DS0000025958.V307017.R01.S.doc Version 5.2 Page 16 all new staff during their induction. Those staff spoken to during the inspection were aware of the action to be taken if they had concerns about the safety and welfare of residents. DS0000025958.V307017.R01.S.doc Version 5.2 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): Standards 19, 20, 24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The overall atmosphere in the home is welcoming with access to indoor and outdoor communal facilities. However, the refurbishment programme for the home must be progressed to ensure that all parts of the home are well maintained and provided people living in the home with comfortable surroundings. EVIDENCE: The building was toured by the inspector, unaccompanied, at the start of the visit, and all areas were visited again later during the day. Some bedrooms were seen either by invitation of the resident, or with permission, whilst others were seen because the doors were open or being cleaned. There were no offensive odours in the home and generally the home was clean and tidy. Whilst some improvements have been made, including the conversion of the triple rooms to double; decoration of some bedrooms; and decoration of the DS0000025958.V307017.R01.S.doc Version 5.2 Page 18 lounge, the décor in other areas of the home looked quite “tired” with chipped paint and marked walls. Some furniture such as chest of drawers, wardrobes and armchairs need replacing and the floor covering in bedroom 4 is badly stained and requires replacing. Both upstairs bathrooms also require redecoration/ refurbishment. The planned refurbishment programme for the home must be progressed, as this will greatly improve the environment for all current residents and any prospective residents. In addition the extension to the conservatory does not appear to have been utilised as widely as planned. (See Daily Life and Social Activities) The laundry area was visited and this was found to be clean, with soiled articles, clothing and foul linen being stored appropriately, pending washing. The London Fire and Emergency Planning Authority undertook an inspection of the premises on 26/06/06. The report states that the workplace was complying with fire regulations at the time of the visit. DS0000025958.V307017.R01.S.doc Version 5.2 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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the residents. EVIDENCE: Staffing rotas were inspected and the staffing levels and skill mix of qualified nurses and care staff was sufficient to meet the assessed nursing and personal care needs of residents. The home has a relatively stable staff team and effective team working was observed and evidenced throughout the inspection. Staff interacted well, both with each other and residents. Where possible residents were asked to give their views on the service and the care they were receiving. One resident commented: “ I am happy here the home is clean, people are friendly, food is good – and plenty of it”. Other comments included: “It’s nice here, staff are friendly and kind”…….I haven’t been well recently but the staff have looked after me well”. DS0000025958.V307017.R01.S.doc Version 5.2 Page 20 Staff had received training in essential areas such as fire safety, moving and handling, adult protection and health and safety. Staff have also received specific training in dementia awareness; management of diabetes; pressure sore prevention and management; and compression bandaging. The pre- inspection questionnaire completed by the registered manager stated that 97 of care staff are qualified to NVQ level 2 or above. A random sample of staff personnel files were inspected and these were found to be to be in good order with necessary references, criminal records bureau disclosures and application forms duly completed. The most recently recruited staff are nurses who are trained overseas and are employed by the home as carers whilst they do adaptation training, which will then allow them to practice as nurses in this country. This requires the registered manager and the RGN’s to supervise their nursing practice and to assess them. Through discussion with two adaptation nurses on duty and information on the off duty it was evident that theses staff are supernumerary to staffing levels of both nursing and care staff. DS0000025958.V307017.R01.S.doc Version 5.2 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): Standards 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietor/ registered manager of the home is a well qualified and experienced person and the residents benefit as the home is run in their best interests. Residents benefit from a committed staff team who have the skills and training necessary to meet their needs. EVIDENCE: The registered manager is also the joint proprietor of the home and is a qualified nurse. Policies and procedures are regularly reviewed and updated to reflect changing legislation and good practice advice. DS0000025958.V307017.R01.S.doc Version 5.2 Page 22 Currently the manager does not act as an appointed agent for any resident. Resident’s financial affairs are managed by their relatives/ representatives. The home has responsibility for the personal allowances for a small number of residents. Secure facilities are provided for the safe keeping of money and valuables held on residents’ behalf and written records are maintained. Regulation 26 visits are undertaken regularly by the responsible individual and a copy of the report is sent to the Commission. A wide range of records were looked at including fire safety, water temperature checks, accident/ incident reports, lift and hoist maintenance/ servicing. These records were found to be up to up to date and accurate. DS0000025958.V307017.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 2 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 3 X X 3 DS0000025958.V307017.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. 1. Standard OP9 Regulation 13 Requirement All hand written entries on Medication Administration Records (MAR) charts must be signed and dated by the person making the entry and include the source of the information. “End of Life” care plans must be developed for all residents. The registered persons must provide a more varied programme of activities, which are suitable to the needs of individual residents. The refurbishment programme must be progressed to ensure that all parts of the home are well maintained. Timescale for action 08/08/06 2. 3. OP11 OP12 15 16 30/09/06 30/09/06 4. OP19 OP24 16 & 23 5. OP19 23 A programme of renewal of the 30/09/06 fabric and decoration of the premises must be produced, with timescales, and a copy sent to the Commission. The registered providers must 30/09/06 review the use of all communal facilities in the home to utilise them to the best advantage of residents and make them accessible. DS0000025958.V307017.R01.S.doc Version 5.2 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. Refer to Standard OP8 Good Practice Recommendations It is strongly recommended that the registered providers review the use of the hoist downstairs which may be necessary in the future due to current residents increasing dependency, or any prospective resident. DS0000025958.V307017.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 DS0000025958.V307017.R01.S.doc Version 5.2 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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