Inspection on 14/08/07 for St Nectans Residential Care Home

This inspection was carried out on 14th August 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 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 Nectans Residential Care Home 30/07/08

St Nectans Residential Care Home 24/05/06

St Nectans Residential Care Home 13/02/06

St Nectans Residential Care Home 09/08/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE St Nectans Residential Care Home 3 - 9 Cantelupe Road Bexhill-on-Sea East Sussex TN40 1JG Lead Inspector Gwyneth Bryant Key Unannounced Inspection 08:30 14th August 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 Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Nectans Residential Care Home Address 3 - 9 Cantelupe Road Bexhill-on-Sea East Sussex TN40 1JG 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) 01424 220030 pl.finn@tesco.net St Nectans Residential Care Home Ltd Patrick Finn Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is thirtyfive (35). Service users must be older people, aged sixty-five (65) years or over on admission. 24th May 2006 Date of last inspection Brief Description of the Service: St Nectans is situated on a residential street a short level walk from Bexhill town centre and railway station. The building has been adapted from four adjacent properties, which are now interlinked. Accommodation is provided on four floors and consists of well-sized single bedrooms with en-suite facilities. All areas of the home are accessible to all residents by means of a shaft lift. There is a lounge with open access to the dining area. There are two further areas where residents may sit on the ground and first floor and take their meals with visitors if they wish. There are assisted baths on each floor and communal lavatories with safety features. The home is registered to accommodate up to 35 older people. There is flat access to the rear of the building and steps up to the front door, though a further door on the front of the building does allow flat access to the home. There is a paved and lawn area to the rear of the home where residents may sit out. A brochure is available to all callers at the home as is the last inspection report. Current fees are between £377.00 and £510.00. The website address is www.stnectans.co.uk St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place in just under eight hours. The purpose of the inspection was to check compliance with the requirements made at the last inspection. There were thirty people in residence on the day of which one was in hospital. Five people living in the home were spoken with all of who were generally happy with the services provided. The Registered Manager, one carer, the Deputy Manager and the cook were also spoken with. A tour of the premises was carried out and a range of documentation was viewed including care plans, personnel and medication records. The Deputy Manager facilitated the site visit as she oversees the day-to-day managing of the home while the Registered Manager carries out all administrative duties and oversees the service as a whole. It should be noted that where shortfalls were noted either the Deputy Manager or the Registered Manager were already aware of them and had plans to address them in a timely manner. Comments from those living in the home included: ‘they (staff) are very kind and thoughtful’. ‘it’s so nice to have someone to look after me’. ‘I’m very happy here- staff couldn’t be kinder’. ‘I would like to get out more’. ‘staff are lovely’. Prior to the site visit information was requested from the provider; this was given and information detailed is used in this report as necessary. What the service does well: What has improved since the last inspection? Appropriate assessments are in place for those individuals under the care of community healthcare professionals and the Registered Providers visit the home monthly and the subsequent reports are available for inspection. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 6 Nutritional screening is in place and the Registered Manager is more involved in the day to practice within the home. A Control of Substances Hazardous to Health file has been created as a point of reference for staff and all electrical appliances are subject to safety checks as are hot water delivery temperatures. Staff have been trained in health and safety and infection control and there are plans in place to ensure all staff are trained in Protection of Vulnerable Adults. 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 Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4. Standard 6 is not applicable. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Satisfactory pre-admission assessments are carried out at the time of admission to ensure the home can meet the needs of people living in the home. EVIDENCE: Pre-admission documents for the last three people admitted to the home were viewed and found to include all the required information to enable their needs to be met. A pre-admission assessment is now carried out for all individuals including those people admitted for short-term respite care. Although standard 2 was not inspected the Deputy Manager said that she is ensures all people living in St Nectans are provided with service users guide and contract to ensure they are aware of the services provided in the home. Intermediate care is not provided. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 9 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 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the care planning systems to ensure they fully reflect the health, medical and personal needs of those living in the home. EVIDENCE: Five care plans were viewed and while there was the potential to record the care needs of people living in the home, not all parts had been completed and they were not always consistent with information in the pre-admission document and the daily notes. Some information in care plans was of a general nature such as asking staff to monitor people and ensure individuals have a well balanced diet. This was discussed with the Deputy Manager who is in the process of developing a more comprehensive care plan format and agreed that including direction on meeting individual care needs would ensure all staff provide high quality and consistent care. The weight of people living in the home is monitored and again more direction to staff needs to be provided to ensure they are clear on action to take if weight loss is noted. Some of the people in St Nectans have incontinence needs and individual continence management plans need to be created and implemented following assessment by a continence advisor. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 10 Although those people spoken with said that they generally follow their preferred routines, it is not always the case, therefore recording individual preferences in respect of getting up, going to bed and meals would enable all staff to provide an individualised service. Comments from those living in the home included: ‘they (staff) are very kind and thoughtful’. ‘it’s so nice to have someone to look after me’. ‘I’m very happy here- staff couldn’t be kinder’. Basic Risk assessments had been carried out but they need to be expanded, particularly for those people who are at risk of falls, tissue breakdown or if they self medicate. Risk assessment need to clearly identify the hazards and include sufficient detail for the management of risks. Care plans had been reviewed but did not always reflect the changes noted in the daily notes and this needs to be addressed to ensure care plans are accurately reflect the care needs of people living in the home. All staff who administer medication have been trained in the safe handling of medication. On viewing the medication administration charts it was found that some night medication had been signed for as being administered both at night and in the mornings. Some medication had not been signed for at all therefore it was not clear whether or not a particular medication had been administered. This was discussed with the Deputy Manager and a senior carer who agreed to address the matter with the individual member of staff. Discussion with both the Registered Manager and the deputy manager and observation of working practices indicated that some staff have a task oriented approach and this impinges on all aspects of the service and does not ensure that staff focus on the needs of those living in the home. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 11 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 and 15. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The lifestyle of people living in the home matches their expectations in respect of activities, choice and meals. EVIDENCE: The home provides daily in-house activities and on the day a game of quoits was programmed and took place as planned. The Deputy Manager explained that quoits was a game that people living in the home chose when consulted during residents meetings. Individuals spoken with confirmed that they access the wider community either independently or with family and friends. Most tended to go for walks to the nearby park, shops or to the seafront. One person said she would like to go out more but there was not always enough staff to go with her. On the day of the site visit people in the home were looking forward to the garden party due to take place at the weekend. The Deputy Manager explained that this is an annual event that was designed to widen the social networks of those living in the home and raise funds for the residents’ social fund. Currently all people living in the home have breakfast on a tray in their rooms. It is considered good practice to ensure that individual preferences in St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 12 respect of daily routines, including choice of where and when to have breakfast be recorded in care plans and actioned as required. One person spoken with said that she chooses to take her evening meal in one of the smaller communal areas and also uses this area when she has visitors. The Deputy Manager said that on Sundays the activity was a pampering session when staff provided additional care such as manicures. This was discussed with the Deputy Manager who agreed that these sessions could also be provided in the week to ensure everyone has the benefit of this activity. All of the people spoken with said the food was good and that they were always offered choices. The week’s menu was viewed and found to be varied and well balanced. Discussion with the cook found that she was knowledgeably about food and confirmed that as far as possible meals and cakes were home made. She also confirmed that she is capable of providing diabetic meals if required. One person commented: ‘the food is marvellous!’ St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is a satisfactory complaints system with evidence that those living in the home, felt confident their views would be listened to and further protection is provided by robust adult protection procedures. EVIDENCE: Information provided prior to the site visit indicated that all staff have been trained in Protection of Vulnerable Adults procedures and that all complaints are handled satisfactorily. The home has detailed policies and procedures on complaints and all complaints are recorded. The system could be improved by recording actions taken and outcomes although it should be noted that complaints tended to be of a domestic nature and usually referred to a particular meal. The home has policies and procedures on adult protection and staff are expected to be familiar with this document. The Deputy Manager confirmed that some staff have now received Protection of Vulnerable Adults training to ensure they know what action to take in the event of an issue. There is a plan to train the rest of the staff within the next few months. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with a homely, comfortable and pleasing and safe environment. EVIDENCE: Information provided prior to the site visit indicated that a new assisted bath to allow easier assisted bathing has been installed in addition to new double glazed windows in some bedrooms and communial areas. There is a plan to upgrade the call bell system and on the day of the site visit 11 had been replaced with plans to have new call bells in all parts of the home as part of the maintainence programme. There is a maintainence book in which minor repairs are recorded to ensure all parts of the premises remain in good repair at all times. A tour of the premises was carried out and generally all parts of the home were clean, tidy, attractively decorated and well maintained. Only one room was malodorous and the Deputy Manager is aware of this and is in the process of addressing this problem. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 15 People moving into St Nectans are encouraged to bring in possessions to personalise their rooms and many have done so with photographs, furniture and ornaments. Individual bedrooms are good sized and all parts of the home are nicely decorated and furniture is of good quality in both individual bedrooms and communal areas. The rear gardens are well maintained and, weather permitting, those living in the home are encouraged to walk or sit in the garden. Although there are steps leading to the front door there is an additional access point provided via the lower ground floor that facilitates disabled access as a ramp has been built. The laundry is clean and tidy and appropriate equipment is provided to reduce any cross contamination from soiled laundry. Staff were noted to work in ways that minimised cross infection by the wearing of gloves and aprons when delivering personal care. One carer was observed to not follow good practice in respect of the handling of food and this was discussed with the Deputy Manager who agreed to address the matter with the individual concerned. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. While recruitment practice is sufficiently robust to safeguard those living in the home staff practice needs to be reviewed to ensure the needs of those people living in the home are fully met. EVIDENCE: There are at least three carers on duty for each daytime shift, in addition to one senior carer, the Head of Care and both the Deputy Manager and Registered Manager. While one carer ran the activity session the other staff sat in the dining room rather than work on a one-to-one basis with those people who chose not to join in the activity. The one carer spoken with said that she felt staff did not provide the care needed for people living in the home as they were expected to carry out so many duties such as serving/preparing meals and domestic and laundry tasks. Observation of working practices indicated that staff have a task oriented approach and this impinges on all aspects of the service and does not ensure that staff focus on the needs of those living in the home. Records in the home indicated that at least two people living in the home have noticeable levels of confusion. This was discussed with the Deputy Manager who agreed that it would be beneficial if staff were trained in dementia care. Despite these shortfalls people living in the home felt that staff were kind and caring , although most said they would like staff to have time for a chat or to St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 17 take them for walks. This was discussed with the Deputy Manager who was aware of these issues and is working towards a more person centred culture to ensure the care needs of those living in the home are regarded as a priority by all staff. Of the eighteen care staff, eight have at least National Vocational Qualification level 2 in care and one is working towards it, therefore the home is on target to meet the required 50 of staff with this qualification. There is a staff training programme in place to ensure all staff have the skills and competency to deliver a consistent service. The one carer spoken with confirmed that she had undergone an induction period that included shadowing other staff. On viewing staff recruitment files it was apparent that the required level of documentation was in place for those staff that had been recently been recruited. All staff had provided a two written references of which one was from their last employer and all had supplied a full employment history with a written explanation for any gaps. All staff had an up to date and satisfactory Criminal Records Bureau check and a Protection of Vulnerable Adults First Check. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and staff benefit from good leadership and direction and all aspects of their health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager has the required qualifications and experience and the Deputy Manager also has many years of experience in the care industry. The Deputy Manager is about to begin the Registered Managers Award and both she and the Registered Manager attend training to update their skills and knowledge. Although there are no formal quality monitoring systems in place the Registered Manager carries out a number of quality assurance checks covering staff training and supervision, care planning systems, staff and resident meetings and resident surveys to ensure the home is run in the best interests of those living in the home. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 19 Information provided by the Registered Provider indicated that safety checks are regularly carried out for all gas and electrical systems and appliances. In addition this document detailed the quality assurance processes including upgrading the premises, assessing all aspects of staff training and other documentation relating to the care planning processes. The home holds small amounts of monies on behalf of some people living in the home and all transactions are recorded and receipts obtained as necessary to ensure no one is at risk of financial abuse. Not all staff have been trained in moving and handling but the Deputy Manager confirmed that these staff are not permitted to move people living in the home until the have received this training. All staff have had fire safety training and a fire safety risk assessment for the premises has also been carried out. There were records to demonstrate that regular checks are carried out on call bells, fire alarms and emergency lighting. St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 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 X 3 X 3 X X 3 St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Timescale for action 14/10/07 2 OP7 13(4) (a)(b)(c) That care plans must be maintained up to date and accurately, notably in respect of changing care needs being incorporated within the main care plan as and when necessary. (timescale of 13/08/06 not met). Detailed risk assessments need 14/10/07 to undertaken in respect of those service users who are at risk of falls, tissue breakdown or for self medication. Assessments must include the management of the risk. That service users needs in respect of continence management be assessed and actioned as required. 14/10/07 3 OP8 13 (1) (b) St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 22 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 OP18 OP27 Good Practice Recommendations That the plan to ensure all staff are trained in Protection of Vulnerable Adults is implemented. That a review of staff duties be carried out to ensure they have sufficient time to meet care needs of those living in the home. That staff are trained in dementia care. OP30 St Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Nectans Residential Care Home DS0000063996.V345753.R01.S.doc Version 5.2 Page 24 - 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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