Inspection on 25/06/07 for Queens Lodge

This inspection was carried out on 25th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Queens Lodge 28/06/06

Queens Lodge 27/02/06

Queens Lodge 13/09/05

Queens Lodge 20/12/04

Queens Lodge 15/07/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Queens Lodge 3b Queens Road Colchester Essex CO3 3NP Lead Inspector Jane Greaves Key Unannounced Inspection 25th June 2007 09:30 Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 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 Queens Lodge DS0000017914.V344165.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 Adults 18-65. 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. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Queens Lodge Address 3b Queens Road Colchester Essex CO3 3NP 01206 575410 01206 575410 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) www.mencap.org.uk Royal Mencap Society Mrs Virginia Anne Still Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of a learning disability (not to exceed 6 persons) Persons of either sex, aged 45 years and over, who require care by reason of a learning disability (not to exceed 6 persons) The total number of service users accommodated in the home must not exceed 6 persons 28th June 2006 Date of last inspection Brief Description of the Service: Queens Lodge is owned by the Royal MENCAP Society. The home provides residential care for 6 individuals with learning disabilities, some of whom may be over 65. Accommodation is offered in a bungalow situated in a residential area on the outskirts of Colchester whereby service users can access local facilities. The premises have been extended to provide extra communal space. All rooms are single occupation. There is parking to the side of the property and a pleasant garden to the rear. A Copy of the most recent inspection report from the Commission for Social Care Inspection was accessible to service users and their representatives on a corkboard in the dining room. The range of fees charged for the care, support and accommodation provided at Queens Lodge range from £1098.60 per week to £1432.20 per week. This information was provided by the registered manager subsequent to the site visit of 25th June 2007. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection visit took place on 25th June 2007. There were no visitors to the home on this day; as part of this inspection process survey questionnaires were sent to the people living at Queens Lodge, their families and various healthcare professionals to obtain their confidential views of the care and facilities provided for the people living at the home. A sample of staff and individuals’ records and important paperwork was looked at together with direct and indirect observation. This report has been written using evidence gathered prior to and during the inspection. 22 of the 43 National Minimum Standards and the intended outcomes of these were assessed at this visit: Some shortfalls were identified resulting in 3 requirements and 1 good practice recommendation. What the service does well: What has improved since the last inspection? The kitchen facilities have been refurbished since the previous visit making it a clean bright and fresh place more accessible to people in wheelchairs. Refresher training in the safer administration of medicines has been provided for some staff members since the previous visit. Some support staff have received refresher training in the control of infection and other staff members are booked to attend this training. The manager has successfully completed her application for registration with the Commission for Social Care Inspection. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives have the information needed to choose a home that will meet their needs. EVIDENCE: The service has a Statement of Purpose specific to the individual home and the people they support clearly stating the objectives and ethos of the service. The Service User Guide is available in various formats depending on the needs of the individual and details what people can expect giving a clear and comprehensive account of the services provided, accommodation and staff. There had been one admission into Queens Lodge since the previous visit. This had been a transfer from another MENCAP home that no longer met the needs of the individual. Significant time and effort had been spent ensuring that the admission process was personal and well managed. A family member reported being involved and visiting Queens Lodge prior to their relative moving in permanently. The prospective individual was given the opportunity to spend time in the home, for both daytime visits and an overnight stay. The registered manager was able to demonstrate that the services pre admission arrangements were a very ‘real process’ ensuring that the home would be able to meet the needs of the person considering making Queens Lodge their Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 9 permanent home and that the individual would fit into the established ‘family’ residing at the home. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and are supported to play an active role in planning the care and support they receive. EVIDENCE: The service involved individuals in the planning of care that affected their lifestyle and quality of life. Individuals were supported to make their own decisions and choices. People spoken with understood the content of their care plans and had some involvement with formulating them however some inappropriate phrasing included in the care plans demonstrated that they were not fully involved in their development. The registered manager reported that key workers have been designated to support individuals in developing more person centred support plans. Care plans included comprehensive risk assessments covering many aspects of daily life, the service has a ‘can do’ philosophy that uses the risk management framework to support people to take assessed and managed risks as part of Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 11 daily life. One individual is supported by the risk management framework to enjoy horse riding. Any limitations on freedom, choice or facilities are always in the person’s best interests and clearly recorded and kept under review. People living at Queens Lodge are constantly consulted about how their home runs and encouraged to influence decisions in the home. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Queens Lodge are supported to make choices about their lifestyle. EVIDENCE: The home is strongly committed to enabling the people living there to develop their social, emotional, communication and independent living skills. Individuals are encouraged and supported to maintain important personal and family relationships. People who use the service are involved in meaningful daytime activities according to their interests and capabilities. On the day of this visit one person was attending college and another went away for their annual holiday supported by staff. Three people had been enrolled for college courses for the forthcoming academic year. People living at Queens Lodge are supported to access and enjoy the opportunities available in the local community. One person described how they enjoyed trips to the Castle Park for picnics and outings to the local pub. The Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 13 home has secured a new vehicle that is more appropriate to the needs of the people living at the home. The registered manager gave examples of where the vehicle had been used to facilitate family contact for individuals. Family members reported how the service had provided transport for one individual to share their birthday with family members away from the home using this vehicle. The people living at the home chose the menus and where possible some individuals contributed in minor ways to preparing the meals. A picture book system was used to enable people to select their choices. Fridges, cupboards and freezers contained stocks of good quality food in sufficient quantities to meet the identified menu options. The kitchen facilities had been greatly improved by refurbishment since the previous visit. There was a ‘pull out’ counter top that enabled wheelchair users to be able to undertake activities such as help make a cup of tea and prepare vegetables. Four support staff had undertaken basic food hygiene training since the previous visit. People living at the home said “The food is good, if I don’t like something I say and they get me something else” and “most of the staff are really good cooks”. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people living at Queens Lodge receive is based on their individual needs. EVIDENCE: Personal healthcare needs, including specialist health and dietary requirements were clearly recorded in each persons care plan. The delivery of personal care was individual and flexible according to changing needs and preferences. Support was provided to secure healthcare professional expertise where required. A ‘daily monitoring’ chart for each person living at the home was part of the daily reporting process. This form indicated what food and fluids had been consumed, what activities had taken place and what personal care had been delivered. The personal care element took the form of a task based tick list and did not incorporate any detail. The manager reported ‘work in progress’ to make these monitoring forms specific to the needs of individuals and to include clear detail of the personal support provided. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 15 Healthcare professionals reported via surveys undertaken as part of the inspection process ‘The care planning is very individualised’ and ‘People receive support according to their care package’. The home operated under MENCAP medication policy and procedures, however there were some gaps evident in recording in the Medication Administration Records (MARs). Evidence was available to confirm that 12 of the 13 support staff members working at Queens Lodge had received medication training within the previous 12 months. The organisation had developed a system of continuous competency assessment for all staff responsible for administering medications. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to express their concerns and be confident they will be listened to and taken seriously. EVIDENCE: The service had an open culture, which supported the people living there to express their views and concerns through a variety of methods. Family members and representatives spoken with as part of this inspection process reported “I am very, very happy that my relative is there, it is a marvellous place” and “They always have the residents’ best interests at heart”. The home had a clear complaints policy and procedure. No complaints had been received by the home or the Commission for Social Care Inspection since the previous visit. The home understood the procedure for safeguarding vulnerable adults and training had been provided for the staff team. The policies and procedures relating to recruitment promoted the safety of the people living at Queens Lodge by including obtaining enhanced Criminal Records Bureau disclosures and two written references before new staff members started to work at the home. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Physical design and layout of the home does not allow all people living there to access all areas of the home safely. EVIDENCE: The physical environment of the home was homely, clean, safe and comfortable. People were encouraged to personalise their bedrooms and involved in decisions about décor throughout the house. Visitors were able to meet with people in the communal areas of the home or in their private rooms. Bathrooms and toilets contained the appropriate adaptations required by individuals to promote their safety and independence. It was reported that bathrooms are not large enough to easily facilitate use of hoists and wheelchairs and the service is having discussions around having ceiling tracking installed from individuals’ bedrooms to bathroom. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 18 The kitchen had been refurbished since the previous visit to good effect. Previous inspection reports have repeatedly identified the need for doorways throughout the building to be widened to accommodate people using wheelchairs, it was reported that the landlords were aware that this had to be done in the interests of the people living at the home however funding was not available. Records showed that 6 staff members had attended infection control training in the past year and evidence was available to confirm that 5 members of staff were booked to attend this training. The service has developed the MENCAP infection control policy to be specific to Queens Lodge; a support worker has taken ownership of this. All bedrooms have wash hand basins however no rooms are en suite. It was noted that two bedrooms are of ample size to be adapted to include en suite facilities. Outside there is a patio area with brightly coloured wooden furniture, gazebo and brightly coloured hanging baskets planted by individuals living at the home. The registered manager reported that the home was awaiting previously agreed support from local sponsors to develop wheelchair friendly gardens areas such as raised planters using railway sleepers so that individuals can become involved in creating the outside environment. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff working at Queens Lodge are trained, skilled and in sufficient numbers to support the people living at the home. EVIDENCE: The people who live at Queens Lodge have confidence in the staff that support them. Staffing levels reflect the needs of the people living at the home and rotas have flexibility to fit around the needs of individuals. Survey responses received from various healthcare professionals regarding the calibre of staff recruited to work at the home were positive, comments included: • All the staff were experienced and caring. • Is a very well run home. Level of staff competence seems well balanced. • There is good communication to care management and relatives. • Very committed care team. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 20 Six of the thirteen staff members working at Queens Lodge have achieved a minimum of NVQ level 2 in care. This does not meet the recommended ratio of 50 of the staff team achieving this level of qualification. A recruitment file was sampled for a person employed to work at Queens Lodge since the previous visit. Documents were available to confirm that all necessary checks had been satisfactorily completed to protect the safety and well being of the people living at the home and to ensure the right person was recruited for the job. Responsibility for staff supervisions had been divided between the registered manager and the deputy manager. The registered manager reported that staff are becoming more confident with the supervision system and feel more able to provide constructive criticism in this arena. The registered manager was able to report that the night staff are receiving supervision but could not be confident that they were yet receiving 6 structured supervisions per year. MENCAP has employed a training officer to cover Essex and Hertfordshire. It was reported that one of the initiatives being discussed is ‘user friendly’ training session times for night staff. This would involve training sessions scheduled in the early evening before the night staff go on duty. Training records identified a number of gaps in attendance for areas such as Health and Safety, Infection Control and Fire Safety however the registered manager was able to find evidence of training attended that had not been recorded. Discussion was held with the registered manager around maintaining accurate records. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified and competent manager ensuring that the home is always run in the best interests of the people living there. EVIDENCE: The manager has completed her registration with the Commission for Social Care Inspection since the previous visit and has undertaken to complete her NVQ 4 qualification by March 2008. The manager has a clear understanding of the key principles and focus of the service. She works to continuously improve services and provide an increased quality of life for the people living at the home. There is a strong ethos of being open and transparent in all areas of running of the home. The manager Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 22 has good people skills and understands the importance of person centred care and effective outcomes for the people living at Queens Lodge. The home works to MENCAP health and safety policies and guidance. Monthly evidence of organisational monitoring of all areas of practice within the home including health and safety is submitted to the commission. Record keeping was generally up to date although some gaps were found in staff training records. Surveys received from the people living at the home, their families and healthcare professionals provided evidence that the wishes and needs of the people living at the home drove the service provision. MENCAP have an annual system of quality assurance, the results of this are collated regionally giving a picture of the organisational performance as a whole but not specifically Queens Lodge. The people living at the home reported that any improvement they felt was required would be mentioned at the time and it would be acted upon. Family members spoken with said they could not identify any areas of improvement required. Queens Lodge DS0000017914.V344165.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTH3CARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Requirement When medication is administered to people living at the home it must be clearly recorded to ensure that people receive the correct levels of medication. People living at the care home who need to use wheelchairs must be able to access all areas of the home safely. Timescale for action 31/07/07 2. YA24 23(2)(a) 31/12/07 This is a repeat requirement with timescales for action not met of 30/06/06 and 30/09/06 3. YA39 24 The people in charge must develop a system of gathering the views of the people living at the home, their families, representatives and outside stakeholders to assess the quality of service the home is providing and identify areas for improvement. 30/09/07 Queens Lodge DS0000017914.V344165.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 YA32 Good Practice Recommendations It is a recommendation of good practice that staff working at the home achieve a minimum of NVQ2 qualification in care. Queens Lodge DS0000017914.V344165.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Queens Lodge DS0000017914.V344165.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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