Inspection on 09/05/06 for Rocklee

This inspection was carried out on 9th May 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

Rocklee 08/07/09

Rocklee 18/11/08

Rocklee 10/07/08

Rocklee 06/11/07

Rocklee 09/10/05

Rocklee 18/04/05

Rocklee 08/10/04

Rocklee 12/05/04

Rocklee 13/02/04

Rocklee 19/09/03

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

CARE HOMES FOR OLDER PEOPLE Rocklee 341 & 343 Stone Road Stafford Staffordshire ST16 1LB Lead Inspector Dawn Dillion Unannounced Inspection 9 May 2006 13:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rocklee Address 341 & 343 Stone Road Stafford Staffordshire ST16 1LB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01785 602347 F/P baugha1@aol.com.uk Ms Jacqueline Downes Ms Jacqueline Downes Care Home 11 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (7), Mental disorder, excluding learning of places disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (4) Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 7 Dementia (DE) - Minimum age 60 years on admission 4 Mental Disorder (MD) - Minimum age 40 years on admission Date of last inspection 9th October 2005 Brief Description of the Service: Rocklee is a residential home that provides a service for older people. The home is also registered to provide a service for individuals who suffer with dementia and other mental health problems. The home is located on the Stone Road (A34 leading to Stafford Town), having easy access to local transport and amenities. The property consists of two semi-detached houses, the interior structure of which has been altered to allow access throughout. The exterior of the property had been maintained as two semi-detached houses in keeping with the local community. Rocklee provides accommodation for eleven service users, having seven singleoccupancy and two shared bedrooms. En suite facilities were not provided. Bathrooms and toilets are located throughout the home and are in close proximity to bedrooms and communal areas. The home also consists of two lounge areas, which are equipped with essential furnishings and fitments to provide a comfortable area. There are two kitchens in operation, one of which is equipped with a large dining table. There was also a compact laundry area at the rear of the property. A garden is located at the rear of the property; limited car parking is also available. The current scale of charges is £294.00p – £348.00p. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection of Rocklee was undertaken in six hours. The methodologies used to ascertain the quality of the service delivery and the effectiveness of the management of the home involved the interviews of service users and staff. Records with reference to the home policies, procedures and practices were examined, in view of establishing the robustness of care and support provided to service users. A tour of the premises was undertaken with reference to the suitability of the environment in meeting the needs of the service user group and to ensure that equipments in use complied with health and safety, to promote the welfare of individuals accessing the service. There was a marked improvement with regards to the quality of care and support provided to service users since the last inspection visit. Service users expressed their contentment with regards to the service and the assistance provided by the staff team. What the service does well: What has improved since the last inspection? With reference to the last inspection report, it was pleasing to see that the majority of requirements had been addressed within the timescale identified. Discussions with service users confirmed that social activities within the community were more frequent, enabling them to have a positive presence within their local community. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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 Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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): 3 and 5 The quality in this outcome area is “good.” This judgement is based on the examination of records relating to new admissions and discussions with the Deputy Manager. The homes policies and procedures in relation to the admission process ensured that prospective service users were provided with sufficient information to enable them to establish whether the service provided at the home would be suitable to meet their identified needs. EVIDENCE: Discussions with the Deputy Manager and information derived from the preinspection questionnaire identified that the home had had three new admissions in the past twelve months. The examination of files identified that prospective service users were subject to a full assessment prior to admission. Prospective service users were given written confirmation with regards to the home’s suitability to meet their needs. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 9 The homes admission procedure also incorporated a trial visit to the home prior to admission, giving the prospective service user the opportunity to view the premises, meet the existing service users and to establish the home’s suitability to meet their needs. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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 and 10 The quality in this outcome area is “adequate.” This judgement is based on the examination of care plans and the home’s medication system, and discussions with both the service users and the Deputy Manager. Care plans did not provide sufficient information relating to the degree of support and assistance required to promote the health and independence of the individual service user. Service users had access to relevant healthcare services to monitor their physical and mental health. The home’s medication system had improved to ensure that service users received their prescribed medication as directed by the General Practitioner. EVIDENCE: Two care plans were randomly selected for examination, which provided information relating to the individual’s care needs. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 11 Care plans did not provide sufficient detail relating to the degree of support and assistance required to maintain the individual service user’s physical, mental health needs and to promote independence. The examination of one care plan identified that the service user was admitted to the home on 9 March 2006, and the care plan pertaining to this individual had not been reviewed since the date of admission. In compliance to regulation 15 of the Care Homes Regulations, the Registered Manager is required to ensure that care plans are reviewed on a monthly basis to reflect the changing care needs of the service user. More emphasis should be focused on service users’ involvement in the development and review of their plan of care. Records evidenced that service users had access to relevant healthcare services when required. Records were maintained in relation to the intervention of the General Practitioner, Community Psychiatric Nurse and Consultants. All service users in residence were mobile and there was no required treatment with regards to pressure care. With reference to the home’s medication system, the home operated the Boots Blister pack. It was pleasing to see that systems and recordings in relation to the administration, storage and disposal of medicines had improved to ensure that service users receive their prescribed medicines as directed by the General Practitioner. Records relating to medication training identified that two staff members had received training by the Vocal Skills Awarding Body, November 2003 and one staff member had attended the Intermediate Certificate in Safe Handling of Medicines, 24 March 2005. In relation to promoting service users’ privacy and dignity, discussions with service users confirmed that staff members were very respectful with regards to their privacy and would knock their bedroom’s door prior to entering and that their letters were distributed to them unopened. Privacy screens were provided within one of the shared bedrooms, a sign declaration was on file with regards to service users occupying the other shared bedroom, identifying that they did not wish to have a privacy screen. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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 and 15 The quality in this outcome area is “good.” This judgement is based on discussions with service users, examination of records in relation to social activities undertaken and general observations during to course of the inspection. Service users were able to access leisure services and to have a positive presence within their local community. The appointment of an Activity Manager provided service users with additional support to access and participate in a variety of social activities. Meals provided within the home ensured that service users’ nutritional needs were met appropriately. EVIDENCE: The daily routine within the home was relaxed with service users having freedom of movement throughout, within the realms of respecting fellow service users’ privacy. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 13 Most service users were fairly active and had the capacity to access leisure services independently. Discussions with the Deputy Manager and the service users identified that one individual worked on a voluntary basis as a gardener and another service user was currently working as a waitress on a work placement. One service user accessed the QUEST undertaking craft skills and two other service users were attending Stafford College undertaking gardening, photography and English. Discussions with service users confirmed that they were able to maintain contact with their family and friends, who were able to visit the home at any time within reason. With reference to service users finances as identified within past inspection reports, service users managed their own financial affairs with very little input from the home. Discussions with service users with regards to the quality of meals provided identified that meals were “OK most of the times.” There were no special dietary requirements in relation to cultural or religious needs. The examination of menus identified that meals were varied and that an alternative choice was also offered. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 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 and 18 The quality in this outcome area is “adequate.” This judgment is based on the examination of the home’s complaint procedure and the recruitment procedure of staff to ensure the protection of service users. The home complaints procedure was accessible to all service users. The home recruitment process was not entirely robust to ensure the protection of service users. EVIDENCE: Rocklee’s complaint procedure was located throughout the home and was accessible to all service users. The document identified contact details for the Commission For Social Care Inspection; it has been identified as a recommendation within the contents of this report that the Commission’s telephone number should also be identified. Discussions with service users confirmed their satisfaction with the service provided. Service users had access to a self-advocacy service; contact details were located on the notice board within the main corridor. The examination of two files pertaining to staff working within the home identified that a Criminal Record Bureau clearance was undertaken. However, there was a lack of consistency in ensuring that two written references were obtained. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 15 The Deputy Manager informed the Inspector that all service users were registered on the electoral roll and had the opportunity to exercise their political interests. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The quality in this outcome area is “adequate.” This judgement was based on discussions with service users and a tour of the premises. The property and equipment provided was suitable to meet the needs of the service user group. EVIDENCE: Rocklee is located in Stafford, Staffordshire having easy access to public transport and all local amenities. The large mature property consisted of two semi-detached houses of which the interior had been altered to allow access through both properties. The exterior of the property had been maintained as two separate houses in keeping with the local community. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 17 The home provided seven single-occupancy and two shared bedrooms of which were located on both the ground and first floor. En-suite facilities were not provided; bathrooms and toilets were situated throughout the home and were in close proximity to bedrooms and communal areas. The Registered Manager is required to ensure that a privacy screen is provided at the identified bathroom window. The design and layout of the home would not be suitable for individuals who have limited mobility. There was no passenger lift in place or appliances to assist with moving and handling. With reference to the shared bedroom, it was noticed that the door was not closing properly. Holes were also noticed in a number of bedroom doors, which would reduce the effectiveness of protecting service users in the event of a fire. The door in a single-occupancy bedroom was also not closing properly. One service user informed the Inspector that she found her bedroom door to be quite heavy to open, which caused discomfort in her shoulder. New locking devices had been installed on bedroom doors. The Inspector raised concerns in relation to the design, which would allow anybody to access rooms due to the flat key required to operate the lock. The thick bolus handlings would not be suitable for individuals who have difficulty with fine dexterity movements. The window located in the shared bedroom was cracked and the Registered Manager is urged to replace the glass as a matter of urgency. Two lounges were provided on the ground floor, equipped with essential furnishings to provide a comfortable area. Two domestic style kitchens were in place, one of which was equipped with a large table and dinning chairs. A compact laundry area was provided at the rear of the property and current systems in place were suitable with regards to infection control. A small garden area was provided at the rear of the property and was accessible to all service users; the paving area was cracked and uneven and posed a tripping hazard. The Registered Manager is required to take the appropriate actions to ensure that the garden is safe. The cleanliness and hygiene of the home was of a good standard. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The quality in this outcome area is “adequate.” This judgement was based on the examination of staff files and working rotas. The staffing levels in relation to the number of service users in residence and their dependency level was suitable to meet the needs of service users. The homes recruitment procedure was inconsistent in ensuring that the relevant checks were undertaken to ensure the protection of the service user group. EVIDENCE: Rocklee is registered to provide residential care for eleven service users, discussions with the Deputy Manager and information derived from the preinspection questionnaire, identified that the home was currently accommodating nine service users. Information obtained from the staff rotas identified that two staff members were provided per shift, having one night care assistant. An Activity Manager was also appointed during the period of 2.00pm – 5.00pm. The Deputy Manager informed the Inspector that there were no staff vacancies and no one on long-term sick leave. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 19 Information obtained from the pre-inspection questionnaire identified that 50 of the workforce had obtained the National Vocational Qualification level two and above. Four staff members were in receipt of a current first aid certificate. The home’s registration certificate enables the home to provide a service to individuals who suffer with dementia. There was no evidence of a specific service available to meet the needs of this service user group. Staff training records identified that staff had not received any form of training relating to dementia care. Rocklee currently do not have anyone in residence that suffered with dementia. It has been identified in this instance, as a recommendation that the staff group are provided with dementia training. The examination of staff files in relation to the home’s recruitment procedure evidenced that there was an inconsistent approach in obtaining two written references prior to the commencement of employment. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The quality in this outcome area is “adequate.” This judgement was based on discussions with the Registered Manager, the examination of the home policies and procedures with regards to the effective management of the home, general observations during the process of the inspection and discussions with service users and staff. The management team were now more proactive in promoting a higher standard of care to ensure that service users had the opportunity to have valued life experiences. EVIDENCE: The Registered Manager was present for a small part of the unannounced inspection; she was experienced within social care and had obtained relevant training in relation to her roles and responsibility. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 21 With reference to quality assurance, service users questionnaires were issued on a regular basis to establish service user’s views with regards to the service and provisions provided within the home. The Registered Manager should ensure that information collated from the quality assurance questionnaires is fed back to the service user group. With regards to service users’ finances, the Deputy Manager informed the Inspector that all service users managed their own financial affairs. Records and systems examined in relation to the health, safety and welfare of both service users and staff identified the following: A fire risk assessment was in place identifying potential hazards, the risk assessment must be reviewed to provide additional information relating to the appropriate control measures to reduce or eliminate the risks identified. The last recorded fire drills were 26/03/06, 18/04/06 and 22/04/06. Six staff members had attended fire training on 09/06/05. The fire alarm servicing contract was current 01/02/06 – 01/02/06. The fire extinguishers were last serviced on 24/04/06. Portable appliance testing was undertaken on 25/04/06 The examination of water distribution temperatures accessible to service users identified that temperatures within certain areas were as low as 32 degrees. The Registered Manager is required to ensure that temperatures reach a level of 43 degrees. Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 22 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 23 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 OP7 Regulation 15 Timescale for action Care plans should be reviewed to 01/08/06 provide more in-depth information relating to the degree of support and assistance the individual service user requires to maintain their physical/mental health and to promote their independence. The Registered Manager must 01/08/06 ensure that where possible, service users are actively involved in the development and review of their care plan. With reference to the home’s 01/08/06 recruitment practice, two written references should be obtained and maintained on file for inspection purposes. Privacy screening should be 30/06/06 provided at the window in the identified bathroom. Appropriate actions should be 30/06/06 taken to ensure that the identified bedroom doors are able to close properly. Holes identified within bedroom 30/06/06 doors should be repaired or the doors replaced. The Registered Manager should 01/09/06 DS0000004995.V290798.R01.S.doc Version 5.1 Page 24 Requirement 2. OP7 12(2) 3. OP18 Schedule 3 4. 5. OP10 OP19 12(4)(a) 23 6. 7. Rocklee OP19 OP19 13 & 23 12(4)(a) & 13 8. 9. 10. OP19 OP19 OP38 23 & 13 23 & 13 13 ensure that locking devices provided on bedroom doors ensures the total privacy of service users and complies with the Fire Safety Officer recommendations. The cracked window in the shared bedroom should be replaced as a matter of urgency. The uneven paving within the garden area should be made safe. Water distributions temperatures accessible to service users should be 43 degrees. 01/06/06 01/09/09 01/06/06 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. 2. 3. Refer to Standard OP28 OP33 OP38 Good Practice Recommendations Dementia care training should be provided to all staff. Information collated from the quality assurance questionnaire should be fed back to the service user group. It has been identified as a recommendation in this instance that the fire risk assessment should be reviewed to provide information relating to the appropriate controls measures in relation to hazards identified. The complaint procedure should be reviewed to provide the Commission For Social Care Inspection telephone number. 4. OP16 Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Rocklee DS0000004995.V290798.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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