Inspection on 12/05/05 for St Lawrence

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Lawrence 18/09/08

St Lawrence 20/03/08

St Lawrence 23/07/07

St Lawrence 02/06/06

St Lawrence 01/11/05

St Lawrence 25/01/05

St Lawrence 28/07/04

St Lawrence 25/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE St Lawrence Churchill Drive Crediton Devon EX17 2EF Lead Inspector Louise Delacroix Unannounced 12 May 2005 10:00 th 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 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 Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Lawrence Address Churchill Drive Crediton Devon EX17 2EF 01363 773173 01363 774121 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Devon County Council Ms Karen Louise Fereday-Jaskowski Care Home 29 Category(ies) of DE Dementia (29) registration, with number OP Old age (29) of places PD(E) Physical disabilities - over 65 (29) St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The manager must obtain the Registered Managers Award by December 2005 Date of last inspection 25 January 2005 Brief Description of the Service: St Lawrence is a local authority care home situated in Churchill Drive in Crediton providing a range of services for older people. It has 29 rooms spread over three floors, including an intermediate care and short stay unit on the ground floor. Access from outside is level, and there is a connecting lift to all floors. The home itself is easy to locate, being fairly near to the town centre. The home has limited parking. This home also provides a fifteen place day service for local older people on weekdays. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced by three inspectors and took place in the evening. The pharmacy inspector concentrated on the management of medication in the home, while the remaining two inspectors were able to speak to a large number of residents, both in groups and individually in their rooms to gather their views on the service. A number of staff also helped with the inspection, as did a visitor. During the inspection, a group of seven residents chose to watch television together in a communal lounge, while others said they preferred to read or watch television in their own rooms. Another person was entertaining a visitor and another playing dominoes with a staff member. However, two residents were sitting in a lounge and expressed their dissatisfaction at this arrangement as they were waiting to go to their rooms. During the inspection, care plans, staff files and health and safety checks were looked at and a tour of the building took place. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose does not contain all the necessary information to inform residents about the service. The management of medication and the content of staff files still need to be improved to promote residents’ safety. The home needs to inform the CSCI in writing of any events adversely affecting the St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 6 well being of service users. Provision for hand-washing facilities in a sluice room and laundry room must be made to ensure adequate infection control. These are all outstanding requirements. Areas for further improvement are providing specialist dementia training for staff, maintaining a consistent standard of information in care plans and publishing the results of the quality assurance survey to interested parties. Currently the internal and external environment does not enable all residents to be independent within the home’s surroundings. Staffing levels in some areas of the home are still problematic resulting in low morale for some staff. This report was first published 20th July 2005 Republished with minor amendments 19th August 2005 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. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 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 standard(s) 1,4,6 The statement of purpose does not contain all the required information necessary for prospective residents to make an informed choice. Not all staff are suitably trained in dementia care which means that service users’ needs are not always met appropriately. People, who stay on the respite/reablement unit, benefit from being involved with their plan of care and their ultimate goal of independence. EVIDENCE: The statement of purpose is well presented and available in each resident’s room but is still missing necessary information. This includes the number, relevant qualifications and experience of staff, the number and sizes of rooms, and emergency admission procedures for the home. Some information is inaccurate as the garden is not fully enclosed and the name of another home is used on page fifteen. The home is registered to care for people with dementia but few staff have received any specialist training to help them recognise the different stages within dementia type illnesses. Two residents in wheelchairs were alone in a lounge and calling for help. There was no call bell, and they were distressed and disorientated. Three members of staff for the middle floor were having coffee in the dining room further down the corridor with the door shut. They St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 9 said that the residents’ behaviour was following a usual pattern and that they would assist them shortly, which happened. Specialist training could also provide staff with further insight into the experiences of this client group. Two people temporarily staying on the respite/reablement wing were positive about the care and were clear about the aims of their stay. One person praised the support of staff, which included those working on the unit and visiting professionals i.e. occupational therapist. They said they felt staff were able to help them in their goal to return home. The residents using the reablement facility are accommodated in a wing, which operates separately from the rest of the home, and is well equipped to promote independence. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 A lack of continuity in care plans means the home cannot evidence that the staff have the information they need, and that residents are involved in their care. Although improving, some practices in the home for the handling of medication has the potential to place service users at risk of harm. Personal support at the home is offered in a respectful manner and promotes residents’ dignity. EVIDENCE: Three care plans were inspected and contained a wide range of information, including religion, dietary needs, oral hygiene, preferred name and risk assessments. Paperwork showed that residents are consulted about being checked at night. However, the resident or their representative had not signed two of the three care plans. In two care plans, monthly reviews had not taken place since January 2005 and residents’ weights were last recorded in June 2004, including two frail residents. Seven residents in a group discussion said they had not been involved in reviews and were unclear about their care plans. In contrast, one person on the reablement unit commented that they felt fully involved in their plan of care and praised the attention to detail. One resident on the second floor unit had also been involved in the decision to self medicate. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 11 The home’s medication management was inspected. The actual dose administered is not always recorded for medicines prescribed with a variable dose. Unsecured medicines were seen being carried on the medication trolley. Some medicines were being administered to service users other than they had been prescribed for. Records not present to indicate the receipt of “Homely Remedies” into the home. The Pharmacist Inspector is to send an additional letter detailing the findings. Twelve residents all said that their privacy and dignity were respected, which included seeing visitors in private, care for their clothes and in the sensitive way in which help with bathing was provided. One person described staff as kind, whom they could have a laugh and a joke with. Another described the care as ‘marvellous’. A member of staff gave clear examples of how they worked to enable residents to make decisions and choices. One other staff member gave very clear descriptions of how to care for one of the residents and fully understood their needs. This member of staff, on the second floor, had a very good understanding of how to care for people with dementia. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 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 standard(s) 13,14,15 Residents benefit from living in a home that is open and inclusive, where they can influence how they spend their time, and which promotes contact with families. EVIDENCE: Residents said that visitors were made welcome by staff. They said they could see them in private and that there were no restrictions on their visits. The sitting room layout of some residents’ rooms encourages visitors. A visitor confirmed this and said they were also kept informed about the well-being of the resident they visited. Twelve residents, spoken to in a group and individually, said that they could establish their own routines in the home and gave examples of choosing which lounge they sit in, when they have their bath and when they get up and go to bed. As the inspection took place in the evening, it was evident from observation and discussion with residents that people were choosing where to spend their time and making their own decisions as to when they went to bed. The general consensus from the residents who helped with the inspection was that the quality of the food was good and that choice was offered. One person said that the food was ‘too good!’ and ‘good food, couldn’t be better’. People commented that they had been involved in contributing ideas to a new menu, which was confirmed by minutes from a residents’ meeting. They were also satisfied with the atmosphere of the dining room and said staff knew their likes and dislikes. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 13 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 standard(s) 16,18 People who use the service have access to a satisfactory complaints system and are confident about approaching staff with a problem. Staff show awareness of their duty to challenge poor practice, illustrating the effectiveness of staff training. EVIDENCE: The manager has devised a format to record complaints, which is kept in a secure place. The policy regarding complaints has been introduced by the manager and is written in a simple format. It also refers the complainant to the Social Services Helpdesk as an external source of help. An individual copy has been placed in residents’ rooms. Nine residents all said that they would feel able to make a complaint to either staff or the manager, if necessary. The manager and the unit leaders have promoted the whistle blowing and protection of vulnerable adults polices to staff as a result of the dismissal of two care staff last year. A member of the care staff could give examples of poor practice and knew what to do if this was witnessed in the home. A member of staff is currently suspended. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 14 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 standard(s) 19,20,21,23,25 The home is well maintained and clean, with personalised and well-decorated residents’ rooms that promote residents’ safety and privacy. However, the current use of space and the lack of enclosed garden prevent a safe and enabling environment for all of the residents. EVIDENCE: A tour of the building showed that it was clean and odour free. The layout is over three floors, with residents with a dementia type illness mainly being cared for on the top floor, which can be accessed by stairs or a lift. There is a risk of isolation for this client group because of its location. A risk assessment carried out by Devon County Council highlighted that access to the stairs for people with a cognitive impairment could be a risk but no changes to the environment have currently been made. The garden is not fully enclosed. The home has a lounge and dining areas on each floor and in addition there is a larger communal area, which can be used by people attending day care, as well as people living at the home. The furnishings of the communal areas are domestic with a range of lighting and one lounge is soon to be re-decorated. Adapted toilets are accessible to residents and are situated close to St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 15 dining/lounge areas and residents’ bedrooms. The home has five assisted baths, which have been pleasantly decorated. Seven residents’ rooms were visited during the inspection. These were all well decorated and personalised, with window restrictors, covered radiators, lockable storage and appropriate locks on doors. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 Since the last inspection, the standard of carrying out appropriate checks for new staff has not improved, potentially putting residents at risk. Appropriate staffing levels still remain a concern, while staff morale is variable, although this does not appear to have a direct impact on the well being of residents. EVIDENCE: Due to recruitment difficulties, the home employs agency staff on a regular basis, although there were none on duty on the evening of the inspection. Care staff and residents said that there was continuity with agency staff and that they knew what to do. Care staff on duty said that on the evening of the inspection, staffing levels were working well. This was because the ‘floating’ member of staff could stay permanently on the upper floor because of there only being two residents staying on the reablement wing and therefore requiring only one member of care staff on the ground floor. A team leader was also on duty, who administered the medication. On the last inspection, staff morale was low. During this inspection, some staff were extremely positive about their job and the support they received from management, while others still felt that the current staffing levels in comparison with the high dependency needs of some residents and the layout of the building led to stress and low job satisfaction. The manager in a later phone call and a team leader said they have been working with staff to improve morale and gave examples. Low staff mood or staffing levels was not raised as a problem by any of the residents spoken to. Three staff files were inspected, which contained most of the required information, such as written references and appropriate identification. However, on the files for three recent members of staff there was no St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 17 verification that a POVA check had taken place to enable them to start work without a current CRB being in place. Most of the recruitment process, including POVA and CRB checks is managed centrally. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,38 Residents’ meetings and subsequent outcomes are valued by those who attend, although without the results of the quality assurance survey being published full involvement in an audit of the running of the home has not been achieved. Safety records are well managed but adverse events in the home are not correctly reported to evidence the steps taken to protect residents. Poor hand washing facilities place staff and residents at risk of infection. EVIDENCE: The manager was not on duty at the time of the unannounced inspection. A subsequent phone conversation with her illustrated her focussed commitment to improving the service. This was also seen during conversations with the team leader on duty at the time of the inspection, who ably gave examples of how good practice was promoted within the home and poor practice challenged, which echoed the vision of the manager. Residents were positive about the role of regular residents’ meeting and the favourable outcomes. One of which has been consultation over the reSt Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 19 decoration of a lounge, which was confirmed in the displayed minutes. As yet the outcome of a quality assurance survey have not been published. Fire training records are up to date, as is staff fire training. Accident records are well recorded and appropriately stored. However, the Commission is still not informed of adverse events in the home. See standard 18. Since the inspection, the manager has provided some retrospective information about an adverse event. This must be supplied in more detail at the time of the event and the outcome sent to the Commission. Staff meeting minutes showed that the manager raised findings from the last inspection with the staff. One sluice room on the upper floor has no hand-washing facilities, which must be rectified. On the ground floor, the laundry room only has one sink, which doubles for staff washing their hands and washing commodes, which must be addressed. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x 2 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 2 3 x x 3 3 x STAFFING Standard No Score 27 2 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 2 x x x x 1 St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4,5,6, Schedules 1&4 13(2) Requirement Produce an up to date, accurate statement of purpose, and service users guide containing all the required information. Timescale for action 30/9/05 2. 9 The registered person shall make 30/6/05 arrangements for the recording, handling, safekeeping, safe adminisatration and disposal of medicines received into the care home. (The actual dose administered must be recorded for all medicines prescribed with a variable dose. Medicines prescribed for an individual must only be administered to the person for whom they have been prescribed.) The registered perosn shall make 31/7/05 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. (All medicines must be stored securely if the trolley is left unattended.) Staff records must contain all the 31/8/05 information and documents required in Schedule 2. Version 1.30 Page 22 3. 9 13(2) 4. 29 Schedule 2 St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc 5. 38 37(1)(2) 6. 38 13(3) The registered person shall give 31/8/05 notice to the Commission without delay of any event in the care home, which adversely affects the well-being or safety of any service user. Any notification made in accordance with this regulation, which is given orally, shall be confirmed in writing. The registered person shall 31/8/05 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. (One sluice room on the upper floor has no handwashing facilities, which must be rectified, and on the ground floor, the laundry room only has one sink, which doubles for staff washing their hands, washing clothes ans washing commodes, which must be addressed.) 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 4 Good Practice Recommendations A training course should be provided to care staff and activities staff, which could provide an understanding of the different stages of dementia type illnesses and provide insight for care staff into the experience of this cleint group. Care plans should be reviewed on a monthly basis and be signed by the residents or their representatives. Residents should be offered the opportunity to be involved in reviews. A regular record should be maintained of residents nutrition, including weight gain or loss. It is recommended that for all hand written entries on the Medication Administration Record chart that the person signs and dates the entry, and this is then checked and signed by a second person. D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 23 2. 7 3. 4. 8 9 St Lawrence 5. 6. 7. 19 20 27 8. 33 Consideration should be given to relocating the rooms for people with a dementia type illness to a more central position within the home. The home should have an enclosed garden, which is safe and accessible to all residents. Staff levels should continue to be monitored and records kept if the levels impact on service users and there are instances of unmet need. For example, if staffing levels impact on activities and allocation of a keyworker. The results of the homes quality assurance survey should be published and be made available to current and prospective residents, their representatives and other interested parties, and the CSCI. St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 St Lawrence D54 D06 S33100 St Lawrence V219346 120505 stage 4.doc Version 1.30 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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