Inspection on 12/06/07 for St Andrew`s Care Home

This inspection was carried out on 12th June 2007.

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

St Andrew`s Care Home 11/02/06

St Andrew`s Care Home 15/06/05

St Andrew`s Care Home 26/01/05

St Andrew`s Care Home 08/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE St Andrew`s Care Home St Andrew`s Nursing Home Main Street Ewerby Sleaford Lincs NG34 9PL Lead Inspector Vanessa Gent Key Unannounced Inspection 9:30 12th June 2007 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 St Andrew`s Care Home DS0000059766.V308921.R02.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. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Andrew`s Care Home Address St Andrew`s Nursing Home Main Street Ewerby Sleaford Lincs NG34 9PL 01529 460286 F/P 01529 460286 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) Jasmine Healthcare Limited Care Home 41 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (41) of places St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This service is registered to provide personal care with nursing for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) 41 Dementia - Over 65 years of age DE(E) 8 The maximum number of service users to be accommodated is 41 Date of last inspection 11th February 2006 Brief Description of the Service: St Andrew’s is privately-run and provides nursing and personal care for up to forty-one people of both sexes over the age of 65 years. It is situated next to the church in the village of Ewerby in Lincolnshire. The former Victorian vicarage has two single storey extensions which provide further bedrooms and communal areas. Residents are accommodated in 37 bedrooms of which 22 are ensuite and 4 are used as double rooms. Communally, there are two lounges with dining areas, three bathrooms, two shower rooms and five separate toilets. A passenger lift gives access to the upper storeys. The gardens extend to one acre and are beautifully maintained. The ‘front’ garden is spacious. Outside the patio windows of the main lounge, bench seats and a water fountain feature provide a tranquil outdoor corner. At the back of the home, a further garden allows a calm, secure area. A curving drive gives access to ample car parking facilities. The home’s philosophy of care is that residents are cared for according to their wishes within as much a homely atmosphere as possible. The provider keeps copies of the statement of purpose, service user guide and the latest inspection report available for people using or enquiring about the service. The fees range from £338 for low to £575 for high dependency residents. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home as part of a key inspection. It started at 14.00 and lasted 5 hours. Information already held on file was used to plan the visit. The main method of inspection used is called ‘case-tracking’, which involves selecting a proportion of residents, and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. Sixteen cards commenting on the service were received from residents with all saying how staff give an excellent or good service. All are positive about the level and quality of care given. All say that staff always listen to them and that they receive the medical support they need. There are mixed feelings about the activities provided: four feel there are always enough activities, five say ‘usually’ and four say ‘sometimes’. Most say that the meals provided are good with plenty of choice. The site visit focused on whether key standards have been met and how the residents feel about the service provided. Four residents’ assessments and care plans were examined to ensure the health, safety and welfare of the residents is checked and that residents are allowed dignity, autonomy and choice. A partial tour of the home was made and a sample of other records examined. Four staff on duty, six of the thirty-six residents and two relatives spoke with the inspector. The manager and deputy managers were present throughout this inspection. What the service does well: The home provides a safe, happy and comfortable environment for its residents. Staff are thoughtful and well-trained and led by providers who are supportive and encouraging. Staff treat the residents with respect and dignity. Two of the home’s staff team are designated as training managers to ensure that there is a ‘rolling programme’ of training available and staff are further encouraged to keep up-to-date with their knowledge and practice. The home is meeting and in some areas, exceeding, the National Minimum Standards. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. St Andrew`s Care Home DS0000059766.V308921.R02.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 St Andrew`s Care Home DS0000059766.V308921.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good admissions procedure and residents are assured that their needs will be met. EVIDENCE: The statement of purpose and service user guide have been updated, and are made available for each resident and people interested in coming to live at the home. All sixteen residents who completed a Have Your Say’ say survey said they had enough information before deciding to come to live at the home. “As a [retired] social worker, I already knew about the home and was happy to accept a vacancy.” St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 9 The manager or a qualified staff undertakes a full pre-admission assessment before any new resident is accepted, so that the home can ensure it can meet all their needs. Pre-admission assessments and letters to confirm that the home can meet the needs of new residents are in the care plans examined. One resident said the staff visited her in hospital before she came to the home. There are 4 intermediate care beds. St Andrew`s Care Home DS0000059766.V308921.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for safely and with dignity. Their needs are met by clear care plan documents, good liaison with other professionals and safe medication practices. EVIDENCE: Four care plans were examined; all are indexed, orderly and well-completed. The care plans describe the ‘whole’ person in good detail, including asking relatives and family to provide a ‘Pen picture’ of the person to give the reader a good overall image of the resident. Residents, in the Have Your Say surveys say, “The care is as individualised as possible in a nursing home for 30 people.” Two relatives said they did not remember being asked for their input in creating their relative’s care plans nor have they been asked to review them since she came to live at the home. But they say they are very happy with the St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 11 “wonderful progress” the resident has made and say that staff discuss verbally with them their relative’s progress and changing needs. The care plans are reviewed monthly but fuller details would enable staff to trace more thoroughly the progress or deterioration of the issue highlighted. Care plans show that staff liaise with other professionals in regards to the residents’ health needs. One relative says the staff always refers the resident to healthcare professionals when a need has arisen. A letter from a hospital consultant, in one resident’s care plans, says that the good care a resident with diabetes has received at the home has meant significant improvement so that the patient was discharged from the clinic for staff to monitor in future. A relative comments, “Concerns about health have often been noticed before I actually mention them – very reassuring. Family always well informed of concerns of staff.” The medication practices are excellent with attention paid to detail in every aspect. On the front sheets of each residents’ individual medicine recording sheets are details of the resident including a photograph, allergy details and the method that the resident prefers and is able to take the medicines. Residents say they are treated well and respected by the staff. Comments from the Have Your Say surveys include, “The staff are very good. If you need attention they are always there to help you. I’ve been happy since I’ve been here.” Relatives say they have total confidence in the staff. They say, “We know she’s looked after and we have no concerns about her whatsoever.” St Andrew`s Care Home DS0000059766.V308921.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Returning to a more varied, fuller programme of individual and group activities, that have been available in the past, would keep the residents more occupied and interested during their waking hours. Visitors are welcome and integrated in the life of the home. Meals are enjoyable, varied, nutritious and home-cooked. EVIDENCE: There are mixed responses as to whether enough activities and entertainment are provided regularly that are interesting and what they want and like. In the Have Your Say surveys residents say, “We have entertainment and we play bingo and other things” and “I am very happy and settled and well impressed by the outside events that they bring in to us regularly.” However, another says activities are, “Not as regular these days.” The provider is aware of this issue and is currently looking into it. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 13 Residents were keen to tell in inspector about the trip they had been on recently to the Embassy Centre in Skegness and for a fish and chip supper on the way back. Several residents say the entertainers who visit the home are super and they have a good sing-a-long. A relative says, “it’s the only time you can really get any words out of [the resident] that you can understand”. A visitor said, “I sometimes have my meal here and they always make me feel very welcome.” Residents say they have full choice in all aspects of their lives, that they can do what they want and when. A relative says the staff are very thoughtful of the resident’s needs and preferred time for getting up in the morning. Residents say the food is good and they enjoy the meals. “The standard is excellent – good variety, well presented.” “The meals here are very good. We get a choice of what we want each day.” “Good variety, well cooked.” “Very good.” Fresh produce is used whenever possible. Plenty of drinks are available all day whether in their rooms or in the lounge, where a choice of flavours of squash are on display. St Andrew`s Care Home DS0000059766.V308921.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and investigated in a proper manner. Staff care appropriately, thoughtfully and safely for the residents who feel happy and content to live there. EVIDENCE: The pre-inspection questionnaire, completed by the provider, says that three complaints have been received in the past twelve months, one of which was substantiated. All were responded to within the advised timescale and to the satisfaction of the complainants. The home receives many letters of gratitude and compliments. One, written after the death of the resident, says that they felt fortunate to secure the “much sought-after” room at St Andrew’s. The daughter-in-law had opportunity to visit daily and was able to witness “the exemplary care” given to the resident. Another letter states that the staff showed “general care and thoughtfulness; no-one could have been more kind or helpful”. Comments from the residents’ Have Your Say surveys include, “Fortunately haven’t really had much if any exercise in this.” “I have never had to make a complaint.” “Up to now the need has never arisen.” “If I am unhappy I speak to the lady in charge. They are very nice I wouldn’t go to another home. I like St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 15 it here.” “Senior staff are very helpful.” “Just a big thanks to all concerned, not only for their hard work but also for being as appropriate as possible.” Staff say, and their files confirm, that they are trained in safeguarding adults. They say they would not hesitate to ‘whistle blow’ on any unsafe or abusive practice they observed. The manager/provider says there is ‘zero tolerance’ for any abusive or disrespectful practices. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents enjoy living in a comfortable, attractive and safe environment. EVIDENCE: Residents say the home is kept clean and tidy. All say they are comfortable, both in their own rooms and in the communal areas. Two visitors say that whenever they visit, it always smells fresh and looks clean. Two residents said, “Yes; it’s always nice. The cleaners work very hard. They’re helpful too.” In the Have Your Say residents’ surveys, eleven people say the home is always fresh and clean; four say it usually is. Comments received include, “Very high standards of cleanliness everywhere.” “This is difficult to manage with people requiring very different levels of care.” “All staff are very helpful including the cleaners.” St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 17 A new extension has been added since the last inspection; the outside has been tidied up and the car park improved and extended. The extensive gardens have been landscaped: a small fountain plays outside the patio window and garden seats have been arranged for residents to enjoy the peace and tranquillity of their surroundings. Another garden at the back of the property provides a secure, safe area for residents to sit in, walk round and enjoy. Maintenance records show that the home is kept in a good state of repair. A maintenance person and gardener are employed. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by staff who are skilled, safely recruited and well trained enough to meet their needs and wishes at all times. EVIDENCE: The duty rota shows that in the mornings, seven staff are on duty, always including a trained nurse; in the afternoons there are five; in the evenings, six. At nights there are three staff. The deputy manager has calculated that 700 hours are required from staff per week; 820 hours are provided. In the past eight weeks, the rota has included thirty shifts of agency care staff. There is a good ‘overlap’ of staff between handovers and at ‘busy’ times to ensure that residents are given an adequate level of care at all times. One resident writes, in the Have Your Say survey, “The ration of staff to clients could be better, never really got up to scratch since new wing opened. The permanent staff who have been here all along are above excellent – worth their weight in gold.” Others state, “[Staff are] Very swift.” “Always on hand including nights.” “The girls here look after you well. If you need help they are always there to help you.” “Everyone is very helpful and cheerful.” A relative says, “I am very impressed with the level of interest in individuals to ensure we all know the care offered is personal as well as routine.” This relative, who St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 19 visits regularly, feels the level of staff is “fine”. Residents say that staff are always available when you need them and that call bells are answered promptly. Another relative wrote after the death of his mother, “The care has been exemplary”. The provider encourages staff to take national vocational qualifications (NVQ). The pre-inspection questionnaire (PIQ) completed by the manager, states that 50 per cent of staff already have NVQs. One staff is currently taking NVQ level 3 and three are studying for level 2. Staff records show that the home’s staff recruitment practices are adequate to ensure that residents are cared for safely. Staff say, and their files confirm, that induction is thorough and lasts until the new staff feels confident to provide care without supervision. One new staff, who has had extensive previous experience in the care sector, says his induction was ‘tailored’ around his needs for caring for older people. Two staff are designated for overseeing all staff training. On the staff notice board are the notices of soon-coming training sessions, including ‘managing challenging behaviour’, ‘palliative care’ and ‘safeguarding adults’. Some training is provided ‘in-house’, some by distance learning and the rest from external sources. Staff say they feel supported enough in their training programme to care safely for the residents at all times. Certificates for training undertaken are held in staff files. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safe, happy and enjoy living at the home whilst staff are happy with their jobs, are well-supported and enjoy coming to work. Quality assurance and auditing covers all aspects of gaining and acting on the views, opinions and wishes of residents, relatives and staff. This ensures that residents are happy and satisfied, and are cared for in accordance with their wishes and needs at all times. EVIDENCE: One of the directors of the business is registered as the manager. She also oversees the home along with the other homes in the company. Two senior, nurse-trained staff have been managing the home between them on a St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 21 probationary basis. It has been explained to the director that this is not an option for legally or efficiently running a care home if she is not to be available for full-time management of the home. Residents and staff speak highly of the manager/director. They say she is someone you can always talk with. She displayed a thorough knowledge of all the residents during the inspection visit. The deputy manager is also highly regarded by residents, relatives and staff. Monthly unannounced visits to the home are made by the Directors, whilst the Responsible Individual regularly visits the home to oversee the management and ensure standards are maintained. At the previous inspection, it was noted that few residents’ personal monies are held for safe-keeping by the home. The practices for handling residents’ allowances have not changed; they continue to be handled and secured appropriately. Staff say they are supervised roughly every three months. They say they feel very supported by the providers, who are lovely. Maintenance and health and safety checks are well attended-to. The PIQ states policies and procedures are in place and kept updated. The Fire safety Officer and the Environmental Health Officer have visited and written reports within the past twelve months, with no problems or issues reported. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 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 3 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Not applicable 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. Standard Regulation Requirement Timescale for action 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 OP12 Good Practice Recommendations Activities should be provided in sufficient quantity and variety to meet the needs and wishes of the residents at all times. St Andrew`s Care Home DS0000059766.V308921.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 St Andrew`s Care Home DS0000059766.V308921.R02.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. 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