Inspection on 14/06/06 for Redclyffe

This inspection was carried out on 14th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Redclyffe 20/04/07

Redclyffe 13/12/05

Redclyffe 23/06/05

Redclyffe 28/01/05

Redclyffe 26/04/04

Redclyffe 22/12/03

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 Redclyffe 6/8 Aldrington Road London SW16 1TP Lead Inspector Davina McLaverty Unannounced Inspection 14th & 19th June 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 Redclyffe DS0000010220.V300478.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. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redclyffe Address 6/8 Aldrington Road London SW16 1TP 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) 020-8769 6200 020 8769 6200 yvonne.wallace2@btinternet.com Richard Cusden Homes Ms Yvonne Wallace Care Home 22 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (22) of places Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Redclyffe, is a residential care home for older people that is owned and operated by the voluntary organisation, Richard Cusden Homes (non profit provider) and is located in a leafy, residential area of Streatham. The property comprises of two attached, but formally detached, large Victorian houses in their own grounds. A small car park is available. Public transport and local shops are nearby. The home is registered for twenty-two service users, six of whom may suffer with dementia. Sixteen of the bedrooms have en-suite facilities. The atmosphere is homely and relatives are encouraged to visit and take part in the life of the home. At the time of this inspection the manager of the home reported that the weekly fees were between £483.00 - £500.00 per week. Additional charges are made for toiletries, newspapers and some outings. Residents are made aware of the inspection report at the residents meeting as well as a copy being displayed in the hallway. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days by one regulatory inspector. The inspector met the majority of the residents, the manager, one senior staff, and six support staff and briefly with the Chair of the Management Committee. A number of records were examined, which included residents care plans, medication records, staff and residents meeting minutes staff records and health and safety records. A tour of the premises took place. Many of the residents told the inspector how much they liked living at the home and said that the staff are kind and caring. Two visiting relatives were very positive about the home. Prior to the inspection taking place, questionnaires were sent to the home to distribute to all the residents and involved relatives. Seven questionnaires were returned from residents. All seven residents had been supported by staff in the home to complete the forms. Four questionnaires from relatives and three professionals were received. On the whole, comments received were positive from residents, staff and professionals. Their comments are reflected throughout the report. What the service does well: What has improved since the last inspection? The home has been allocated a care manager from Wandsworth Social Services who will be responsible for carrying out all the residents’ reviews as well as maintaining regular contact with the home. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 6 Criminal Bureau Checks for all staff are in place, as well as a system ensuring that appropriate checks has been carried out on agency staff. The garden is much tidier, although this is on going. Recording in care plans and monthly reviews, although there is still room for improvement. All staff have received training in adult protection. The office has been repainted. 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. Redclyffe DS0000010220.V300478.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 Redclyffe DS0000010220.V300478.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): 1,3,4, 5 & 6 Quality in this area is adequate. This judgement had been made using available evidence, including a visit to this service. Prospective residents have the information they need to make an informed choice about where they live. The needs and wishes of prospective residents are assessed before they move into the home. This makes sure that staff are aware of, and can meet these needs. EVIDENCE: The manager reported that each resident is provided with a copy of the Service User Guide, which provides information on what they can expect from the home. A new resident confirmed this. A copy of the Statement of Purpose, which sets out the aims, and objectives of the service is also available. Both these documents had been updated and copies were given to the inspector during the inspection. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 9 The manager ensures that a copy of the latest inspection report is displayed in the entrance to the home so that any resident or visitor can read a copy. A copy of the report can be provided if requested. The majority of referrals to the home are made via social services, and staff from the social services carry out an assessment of the needs of the person. A copy of this assessment is supplied to the home. It is practice for the manager or senior staff to carry out their own assessment on prospective residents unless they are admitted in an emergency when the information will be obtained within 5 days of admission. Assessment reports were seen on all three files examined. Prospective residents and their friends and family are welcome to visit and meet staff and other residents before making a decision to move in. The first few weeks of stay are seen as a trial period after which a review takes place to ensure that the resident is happy to stay and that staff are able to meet their needs and expectations. Intermediate care is not provided in this home. Redclyffe DS0000010220.V300478.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): 7, 8, 9 & 10 Quality in this area is adequate. This judgement had been made using available evidence including a visit to this service. Care plans and risk assessments are in place for individual residents and contain more ‘person centred’ information regarding the resident. The health care needs of individual residents are met. There are satisfactory arrangements in place to make sure that medication is safely administered to residents. Residents reported that staff respects their privacy at all times. EVIDENCE: Four care plans were examined, which varied in information held. The plans seen contained basic information necessary to plan the individual’s care and included a general risk assessment. Three of the four plans had been reviewed on a monthly basis, although in discussion with the manager, she reported that this is a on-going issue with the staff team to get them to record all changes, which occur. However, improvements were noted from the previous inspection Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 11 but this area still needs developing and greater consistency in recording. Where possible, care plans should be signed by residents and by the staff member completing the plan. Positive comments were received from residents, relatives and health care professionals on the care provided. The care provided was described by one professional as ‘personalised’, with individual needs being met. Health and personal care needs were seen to be appropriately recorded and monitored. All residents are registered with local GP’s, and other health care professionals as required e.g. chiropodist, dietician. The same health care professional reported, “there is a caring, yet unpatronising atmosphere and staff display a great deal of patience”. Visiting chiropodists described the home as very good with caring staff who take good care of the residents. All residents spoken with said that they are well cared for. All were appropriately dressed and well groomed. There is an appropriate medication procedure in place. Only senior staff administers medication, all of whom have received appropriate training. Medication was seen to be well managed, records were up to date and medication was stored appropriately. One resident currently self medicates. A risk assessment must be in place around his self-medication. Residents informed the inspector that they felt staff made sure that they protected their privacy at all times and always knocked and waited before entering. Staff spoken to was aware of the importance of respecting residents choices. Staff said that they encourage residents to do as much for themselves as they are able, including choosing their clothes and are addressed as the resident chooses. Staff were observed to offer assistance and advice in a discreet manner. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this area is good. This judgement had been made using available evidence, including a visit to this service. Residents have access to some activities arranged at the home, although this is currently being reviewed and needs to be developed further. Residents are encouraged to maintain contact with family and friends. Residents made positive comments on the quality of the food on offer. EVIDENCE: Residents reported that some activities are provided by adult education twice a week and described the music and movement session and reminiscence session. Piano playing and singing also takes place once a week. All residents generally enjoy these activities. The inspector observed the reminiscence and quiz activity take place. Residents spoke very positively of the tutor who involved the majority of residents in some way. Unfortunately, due to the cost, one of the days is due to be cut. The tutor reported that she would like to see social services input financially to activities. A record is kept of all activities, which takes place. The mobile library also visits and the home has been loaned a number of large print books. Several residents said that they were satisfied with the level of activities offered, whereas others said that they would like to Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 13 see more. One staff member has been given responsibility to review and develop this area. Currently, only one resident can go out on their own, staff however will support residents who wish to go out. A day trip to Brighton is being arranged for residents and relatives. Staff encourage residents to maintain contact with family and friends. Visitors confirmed that they were always welcomed in the home by staff at any time. The home now has good links with a local church where the vicar comes to give communion as well as sermons at special times of the year e.g. Easter, Christmas and Harvest Festival. Discussion with residents and staff indicated that residents make their own decisions on daily living activities, such as when to get up, go to bed, and how to spend their time etc. Residents were very complimentary on the quality and quantity of food provided. Staff was aware of individuals likes and dislikes as well as the importance of meal times and a good diet. Meals were seen as a social occasion and were not rushed. Condiments were available on all tables as were jugs of drinks for residents to help themselves. Comments received on food included ‘the food is excellent’, ‘there is always a choice’, and ‘I’ve always liked the meals’. The cook said that special diets can be catered for and cultural needs are addressed as required. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. A complaints procedure is in place and is displayed in the home. Systems for the recording and monitoring of complaints are in place. Organisational policies and procedures are available to protect residents from abuse and staff are aware of their responsibilities in relation to protecting residents. EVIDENCE: The complaints book was seen, but no new complaints had been made since the last inspection. The CSCI have not received any complaints about this service. Residents spoken to were aware of the complaints procedure. Three residents spoken with stated that they were very satisfied that any issues they may raise would be dealt with satisfactorily. They said that they had no cause for complaint at present. The organisation has in place clear procedures for staff should they receive any allegations of abuse or have any concerns regarding the safety of residents. The home also has a copy of the local authority procedures for the reporting of, and investigation of abuse. All staff have received training on the protection of vulnerable adults. An organisational whistle blowing policy is also available. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 15 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, 21, 22, 23 & 26 Quality in this area is adequate. This judgement had been made using available evidence including a visit to this service. Residents are provided with a comfortable, safe and clean environment. EVIDENCE: The home is reasonable well maintained although the communal hallways require redecoration. Since the last inspection the office has been redecorated and the home has tried to make the communal hallways nicer by adding seating in the alcoves/flowers. Due to current finances the manager was not able to say when the hallways will be redecorated, as this will depend on the management committee. Carpets in the first and second floor were badly stained in places and require replacing. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 16 Bathrooms seen were functional, although not all had paper towels and liquid soap available in them. Several toilets had raised toilet seats and support aids available. A room has been designated for hairdressing. Comments received on the environment from residents and relatives was good. Residents reported that the home was ‘nicely decorated’ in particular the lounge and dining room. A small laundry area is available and key workers are responsible for laundering their key clients clothes. Staff said that this works well and no resident raised any concerns about their clothes. Residents have access to a large garden with benches suitably placed to discourage residents moving towards the back of the garden, which is overgrown. There is a patio area with flowering pots and hanging baskets. Outdoor furniture was available. A number of residents made positive comments on the garden and said that they enjoyed sitting out in the warmer weather, or just looking out on the garden from the dining room. The chair of the management committee informed the inspector that the front of the premises is due to be re-painted later on this year. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 17 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 Quality in this area is good. This judgement had been made using available evidence including a visit to this service. The staff team work well together in meeting the needs of the residents. Recruitment procedures have improved, as had supervision of staff. EVIDENCE: The staff team spoke of teamwork being a priority in the home and one of its strength. Some of the staff at the home have been there for a number of years and display a strong loyalty to the home and demonstrated a conscientious approach to the care of the residents. Four staff files were examined, two of who are agency staff. The inspector noted that the information from the agency confirmed that they had taken up appropriate references and Criminal Records Bureau checks (CRB). The manager stated that CRB checks for all staff are now in place with the exception of three, for which they have been requested, which the inspector saw evidence of. The manager is addressing staff training. Recent training includes Adult Protection, Food Hygiene, Fire Safety and Dementia Care. Training in first aid, health and safety were due to take place. Currently, four staff members have achieved their National Vocational Qualification (NVQ) level 2 and two has achieved NVQ Level 3 in care. Two staff are due to start their NVQ 2 shortly. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 18 The organisation is committed to supporting its staff to undertake the NVQ 2 qualification. Minutes of staff meetings this year were not available, although staff reported that they take place regularly. Records seen were one in January, the other in June. Staff meetings should be more frequent and a record maintained. This should be addressed. Throughout the two days the inspector saw staff communicating well with residents when assisting or offering support. Staff took time to explain what they were doing and always responded when asked a question. The inspector felt that staff created a relaxed and open atmosphere where residents feel comfortable in asking questions or just relaxing with them. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 19 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): 31,33, 35 & 38 Quality in this area is adequate. This judgement had been made using available evidence including a visit to this service. The Registered Manager provides clear direction and leadership within this home and residents benefit from a well run home. A quality assurance system is in place, which will also take into account the views of relatives and other stakeholders. Staff carry out regular checks to ensure the health and safety of residents and visitors. EVIDENCE: The Registered Manager has achieved the Level 4 in Care Management as well as the Registered Manager Award. Very positive comments were received from staff, residents and visitors regarding her practices. Visiting relatives described her as totally ‘committed to the residents’, ‘knowledgeable’, and kind. Staff at all levels said that they felt valued and that they were always treated with respect. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 20 The management structure within the home is very clear. Currently, the deputy’s post is vacant, although two staff are acting up into it. Interviews are due to take place shortly. A shift plan is used daily to ensure that all jobs get done. Staff also have responsibility for certain areas of care e.g. medication and activities. The home employs a handy person who is responsible for health and safety within the home, as well as general maintenance. Monthly regulation 26 visits take place with copies of these visits being forwarded to the Commission. The organisation has a quality assurance system in place in which the views of the residents, relatives and purchasers are sought. This must be carried out at regular intervals and comments received incorporated in the development of the home. A supervision programme is now in place and a record is being maintained. Staff spoke positively of their supervision, which is carried out by the manager or her deputy. Supervision records were seen. Managers must ensure that care staff receive supervision at least 6 times a year. Health and safety systems are in place. Records are maintained of checks on the temperature of hot water, fridge and freezers. The fire alarm system is checked weekly and regular fire drills are carried out. Portable appliance tests were seen to be in order, as were the fridge and freezer temperatures and servicing of the hoist. A copy of the landlord’s gas certificate could not be located. COSHH assessments on cleaning products used requires updating. As stated earlier, the management committee are aware of the need to plan the business activity of the home and manage the finances and resources. There are regular management meetings with the home’s manager in order to prioritise spending. An updated maintenance programme must be submitted to the Commission. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 21 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 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 3 3 3 3 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 2 Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 6 Requirement The Registered Persons must ensure that the care plans are more person centred and are updated monthly as well as incorporate decisions made following Local Authorities reviews. The Registered Person must ensure that Risk Assessments are individualised as determined by individuals need. The Registered Person must submit an updated maintenance plan for addressing premises works identified in Standard 19. The Registered Persons must ensure that paper towels and liquid soap are available in all bathrooms and toilets. The Registered Person must ensure that all staff has a training plan, which clearly evidences core training undertaken, and when refresher courses should take place. The Registered Persons must ensure that COSHH assessments are be updated. DS0000010220.V300478.R01.S.doc Timescale for action 30/07/06 2 OP9 13(6) 30/09/06 3. OP19 18(1) 30/09/06 4. OP20 16(2) (f) 30/07/06 5 OP30 18 30/09/06 6 OP38 13(4) 30/10/06 Redclyffe Version 5.2 Page 23 7 OP38 13(4) The Registered Persons must ensure that a yearly check is carried out on the gas supply to ensure safety. 30/08/06 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 OP36 Good Practice Recommendations Staff meetings should be recorded when they take place. Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Redclyffe DS0000010220.V300478.R01.S.doc Version 5.2 Page 25 - 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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