Inspection on 02/09/05 for St Oswalds Nursing & Residential Home

This inspection was carried out on 2nd September 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 Oswalds Nursing & Residential... 23/04/09

St Oswalds Nursing & Residential... 18/08/08

St Oswalds Nursing & Residential... 19/12/07

St Oswalds Nursing & Residential... 17/07/07

St Oswalds Nursing & Residential... 29/06/06

St Oswalds Nursing & Residential... 02/02/06

St Oswalds Nursing & Residential... 04/01/05

St Oswalds Nursing & Residential... 27/05/04

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

CARE HOMES FOR OLDER PEOPLE St Oswalds 2 Crowhall Lane Felling Gateshead, Tyne and Wear NE10 9PX Lead Inspector Tom Moody Unannounced Friday 2 September 2005 at 10:00am nd 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 Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Oswalds Nursing and Residential Home Address 2 Crowhall Lane Felling Gateshead NE10 9PX 0191 495 0585 0191 438 1722 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) Four Seasons Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Care Homd with Nursing 70 Category(ies) of OP Old age (64) registration, with number PD(E) Physical Disability over 65 (52) of places SI(E) Sensory Impairment over 65 (9) DE(E) Dementia over 65 (18)) St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 One person under the age of 65 who also has a physical disability. Date of last inspection 4 January 2005 Brief Description of the Service: The home is in an urban setting close to local facilities. The home extends to four stories. It is contains 70 registered beds. Social care is provided on the ground floor and social care for service users with dementia is provided on the top floor. The middle two floors provide nursing care. The home is of traditional appearance with a tiled roof. It has one passenger lift and because it is built on rising ground there is access to the outside from the two lower floors. For the same reason views from some of the lower floor windows are restricted. There is a lounge and dining room on each floor with additional lounge space close to the first floor entrance. The home has a patio area and a large care park. The grounds are landscaped. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day in September commencing at 7am. Two inspectors were present throughout the day. The manager and staff were spoken to, from day and night shifts, as well as service users and relatives. Care plans and other documentation were examined and a tour of the premises took place. Verbal feedback was given to the manager, on the day, on the main findings of the inspection. The home is reasonably well equipped with appropriate aids and adaptations in bathrooms and toilets. The decor is suited to the client group’s age and lifestyle preferences. The home has plenty of space in all areas. It is popular with service users and their families. What the service does well: What has improved since the last inspection? The patio area has been provided with garden furniture, a canopy and container planting. This has transformed a rather neglected area into a useful amenity space. The majority of staff demonstrate a better attitude towards service users and morale has improved within the home. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 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 Oswalds B52-B02 S18178 St Oswalds V222763 020905 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) 3, 4, 5 Some of the assessment of service users clinical needs is not accurate and the home may not be meeting all of the service users needs. Service users and their relatives do have the opportunity to visit the home and make their own assessment of the facilities before making the decision to stay there EVIDENCE: Care plans were examined. Recording was of variable quality. Unfortunately some of the information recorded about service users was, either not included in the assessment of their pressure damage risk, or inaccurately scored. One of the service users who spoke to inspectors expressed a wish to have a hot drink. Although staff were present they did not take the opportunity to provide this. Similarly 5 frail residents with communication difficulties were only given cold drinks. Although staff maintain this was their choice it seemed unlikely to inspectors, and the manager, that this was an accurate assessment of their preferences. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 9 Relatives spoke of visiting the home before their relatives were admitted, and the manager confirmed that this was always offered to prospective service users. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 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 The inaccurate assessment of service user’s needs and unsatisfactory plans of care does not indicate that all of the service users health care needs will be properly met. Although most care practice takes into account service users rights to privacy and dignity there were some exceptions to this. These exceptions indicate that privacy and dignity may not be upheld in respect of all service users. EVIDENCE: As noted in the previous section, some of the information recorded about service users was, either not included in the assessment of their pressure damage risk, or inaccurately scored. This was the case in all of the care plans sampled by the inspectors including one in which the service user had developed pressure damage. Other service users seem to have had their risk overestimated. Some care plans indicated poor care strategies. One example did not record preventative strategies for pressure damage risk but merely indicated signs of damage would be reported when they occurred. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 11 In the case of the service user with pressure damage, the Tissue Viability Nurse had noted that the type of mattress used for the service user was not appropriate. There were a number of practices observed which indicated that staff try to promote privacy and dignity for the service users. Staff were seen to knock on bedroom doors and wait for a response before making entry. All the service users who were spoken with said they feel the staff respect their privacy. They also confirmed that visits from GPs and other health professionals take place in the privacy of their rooms, thus ensuring their confidentiality, dignity and privacy. However, one service user was lying in bed with a quilt cover that was badly soiled with faeces. Although the bedroom door was propped open with a chair to allow staff continue to observe him through the night. However, the staff failed to notice the state of the quilt cover. This situation did nothing to preserve the service user’s privacy or dignity. The type of lock fitted to bedroom doors can be opened by anyone with a coin. This type of lock does not ensure privacy, or security, for service users. Staff spoke of having a good relationship with the local doctors and other members of the primary healthcare team. Care plans indicate the involvement of clinical specialists dieticians and other health care professionals. Storage of medication is secure and drug fridges are available. Recording of medication is accurate and administration was appropriate. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 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) 12, 13, 14, 15 Although some service users have had accurate assessments of there needs and preferences the lifestyle of the most vulnerable, and least able, service users may not match their expectations and preferences. These people have limited choice and little control over their lives. There is a variety of social events organised that includes the opportunity to go into the local community or have contact with family friends and others from outside the home. Service users are offered a varied diet that is wholesome and appealing, however the dining environment is deteriorating and does not enhance mealtimes. EVIDENCE: The manager told inspectors that some service users were able to choose holidays away from the home and that this had included a trip to Lourdes for two service users. The manager and the cook both told of a party organised on the top floor of the home to enable service users to view the fireworks display that took place for the recent Tall Ships event. Service users confirmed this and spoke highly of the quality of meals. Unfortunately the dining rooms, and the attached kitchenettes, were not well St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 13 cleaned and maintained. There were soiled tablecloths on tables and food splashes on walls, skirting and radiators. Tables and chairs were scuffed and there was food debris left on the floor from the previous evening. Some care plans include the possibility of service users becoming isolated and “institutionalised” but there is little management strategy for this other than “encourage interaction”. In some cases there is little recorded information about hobbies and previous interests, although others have more details. Several plans note the service user’s preferred term of address. There is a programme of activities displayed on the notice board and the manager spoke of small scale activities being organised in addition to these. A number of service users on one floor were left in wheelchairs in the lounge for several hours. Staff stated that it was easier to take them to the dining room and to the toilet. Staff explained that some of these service users had to be strapped into their wheelchairs to prevent falls, although no such restraint was necessary when they were placed in armchairs. Staff also told inspectors that there was only one hoist suitable for these service users and this was shared with other floors. This was partly instrumental in the decision to leave these people in their chairs. These service users were only given cold drinks before breakfast time. Although staff believed this was their choice this seems unlikely to both inspectors and the manager. It seems as though these frail service users had little control over their lifestyle. The manager spoke of visiting being without restriction and service users and relatives confirmed this. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Most service users and relatives told inspectors they would be happy to bring problems to the attention of staff or the manager. Some staff lack confidence in whistle-blowing policy. Lack of disclosure and poor communication could lead to increased vulnerability of service users. EVIDENCE: A number of staff told inspectors they have received training in the Protection of Vulnerable Adults (POVA) procedures, and the home’s whistle blowing policy. Staff were aware of the various forms of elder abuse and how these could be prevented. Such training and awareness amongst staff has been effective in reducing the likelihood of abuse to service users. However the company’s whistle blowing policy encourages written disclosure. This may discourage whistle blowing by concerned staff. Some staff informed inspectors that they did not want to disclose or discuss their perception of bad practice with some senior staff. They lacked confidence that this would be effective. In discussions with the manager it became apparent that she was unaware of past disciplinary incidents of some staff employed in the home and some who were proposed to transfer there. Junior staff had alerted her to some of this as did inspection staff. The lack of communication within the company about staff disciplinary records could be putting service users and staff at risk. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26. The main systems in the home are maintained in a safe condition and service users are safeguarded. Service users have access to communal facilities that meet their needs. Service users bathroom and lavatory facilities are not kept tidy and clean enough to ensure service user’s safety. The lack of sufficient lifting equipment on each floor does not ensure service users independence or safety. Service users have bedrooms that are furnished to their own taste and meet their needs. The home is not well cleaned in many areas and this presents problems for hygiene and infection control. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 16 EVIDENCE: The home has improved some aspects of maintenance. The manager confirmed that the hot water system is now adequate on all floors. The lift is due to be taken out of service for planned maintenance. This could have an impact on the availability of hoists. Staff maintain that one type of hoist has to be moved between floors. There is a wide variety of communal space and the patio area at the back of the home has been developed. The procurement of a canopy and garden furnishing has transformed this area to a useful amenity space. The home was not well cleaned in many areas. The remains of last evenings meal was found on the floor in a number of dining rooms. Although cleaning staff were busy vertical surfaces were stained in many areas with food or other organic matter. Many surfaces were scored and damaged and this would not allow proper cleaning to take place. There is very bad impact damage around dining room doors to the extent that inspectors wondered if the fire integrity would be maintained. When these frames are replaced though should be given to widening the doorways. The small kitchens on each floor were in need of refurbishment. Sealant around sinks was discoloured or badly damaged. Microwaves in some of these areas were dirty. There were food remains on tablecloths and cigarette ash on dining room floors. Used ashtrays and deposits of cigarette ash were found in several areas that were not designated as smoking areas for service users. Some staff members confirmed that not all staff stuck to the home’s policy on smoking. Bathrooms were untidy and numerous toiletries were found as well as prescribed creams, and a comb and brush. If these are used for individuals they should be returned to their bedrooms after use. Paintwork in these areas is stained and worn. Some toilets were not cleaned promptly, this and soiled paintwork would discourage service users from using these facilities. A number of carpets were worn and stained. Although some corridor carpet has been replaced this has been done with a uniform black colour that gives a drab and “industrial” effect. It is far from “homely”. Service user’s bedrooms were well furnished and contained personal items. They reflected the taste of the occupants. It was noted that the type of lock in use did not ensure privacy for service users St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 30 There were sufficient care staff on duty, however the home has a shortfall in domestic hours and, therefore, may not meet all the needs of service users. Staff receive suitable training and induction to enable them to meet service user’s needs EVIDENCE: The manger confirmed the homes staffing levels had not been changed from earlier inspections. In that report it was noted that it was difficult for one RN to be in charge at night to cover a home with 70 registered beds spread over four floors especially when these areas of the home that are carrying out care practice autonomously. The registration of this home as a Care Home Providing Nursing does not seem to reflect the way the home operates or the staffing levels. It was suggested in the last inspection report, staffing levels and the current registration of the home should be reviewed in light of these difficulties. There have been no changes in this. There were sufficient nursing and care staff on duty to meet service user’s care needs. The manager confirmed that extra staff will be deployed when the lifts are out of service. The manger also confirmed that not all of the domestic hours allocated to the home were being used. This was reflected in the lack of cleanliness seen in the home. A number of staff spoke of having received training in the Protection of Vulnerable Adults (POVA) procedures and prevention of elder abuse. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 18 The manager confirmed that she had had training, as a trainer, for tissue viability and that this was being passed on to staff members. Staff, on the floor housing service users with mental health problems, have attended Positive Dementia Care course at Newcastle College. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 The home is managed by a competent and conscientious manager who has a good approach to running the home. However the size and layout of the home may mean the managers best efforts do not always produce the best levels of care. Although the homes philosophy and statement of purpose indicates that the home should be run in service users best interests there are examples of staff not sticking to the homes policies. This may not be in service user’s best interests and may compromise their health and safety. EVIDENCE: The home is still in the charge of an experience temporary manager. No permanent manager has been recruited. As noted in the last inspection report the retention of a suitable manager has been problematic in this home for a number of years. Although the manager is well motivated, a number of past St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 20 managers have commented on the difficulty of managing this home and further instances of this were seen during this inspection. Although care plans are supposed to be audited care planning in relation to pressure damage prevention was not adequate. As noted in an earlier section service users were placed in wheelchairs for long periods because management was easier for staff. Some staff members expressed concerns about the lack of discipline amongst some of the care staff. Some were described as casual in their approach and blatantly ignoring the “no smoking” policy in the home. The staff and manger generally show a good awareness of health and safety issues but the operation of the smoking policy does not seem safe in light of these comments and the physical evidence referred to in earlier sections of this report. There was obvious discontent among some staff in terms of their relationship with carers and trained staff. The manager was advised to open dialogue with them to ascertain their views. St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 3 2 2 3 3 2 2 STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 2 2 x x x x 2 St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 22 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 14 Regulation 4, 7, 8 Requirement Assessments must be thorough to ensure that all aspects of the service users’ care needs have been identified and care plans formulated to address those needs. Service users needs and preferences must form the basis of the care provided and they must be allowed reasonable autonomy and choice in relation to their care. Service users must be served food in a congenial setting, in a hygienic way, at a suitable temperature, and with a choice of beverage. The home must ensure staff and relatives are aware of how to use complaints and disclosure policies and work to ensure confidence in their effectiveness is restored. The home should be maintained in a safe condition suitable for it’s stated purpose and all precautions taken to prevent accidents or hazards to occupants. The home must be kept clean and sufficient staff employed to Timescale for action 28/10/05 2. 12 12, 14 28/10/05 3. 12, 16 15 28/10/05 4. 13, 18 18 28/10/05 5. 16, 23 25, 22 28/11/05 6. 13, 16, 18 26, 27 28/10/05 Page 23 St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 7. 8, 9, 10 31, 32, 33, 38 maintain it in a hygeinic condition. The home must recruit a permanent registered manager and ensure that management arrangements permit the home to be run in a way that reflects it’s stated aims. 28/10/05 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 Good Practice Recommendations St Oswalds B52-B02 S18178 St Oswalds V222763 020905 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne and Wear NE34 9PT 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 Oswalds B52-B02 S18178 St Oswalds V222763 020905 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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