Inspection on 05/06/07 for Sycamore Cottage

This inspection was carried out on 5th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Sycamore Cottage 09/12/08

Sycamore Cottage 16/06/08

Sycamore Cottage 17/12/07

Sycamore Cottage 04/10/06

Sycamore Cottage 25/10/05

Sycamore Cottage 05/05/05

Sycamore Cottage 07/10/04

Sycamore Cottage 15/04/04

Sycamore Cottage 30/09/03

Sycamore Cottage 23/01/03

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

CARE HOMES FOR OLDER PEOPLE Sycamore Cottage Skippets Lane West Basingstoke Hampshire RG21 3HP Lead Inspector Peter McNeillie Unannounced Inspection 5th June 2007 08:45 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 Sycamore Cottage DS0000011821.V339115.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. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Cottage Address Skippets Lane West Basingstoke Hampshire RG21 3HP 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) 01256 478952 Mr A Vanderslott Mrs K Vanderslott Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (6) of places Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: Sycamore Cottage is a privately owned and managed care home registered to provide accommodation personal care and support for up to twenty residents over the age of sixty-five years with dementia. The home is situated in a private residential lane close to public transport within easy travelling distance of the main centre of the North Hampshire town of Basingstoke. The current fees charged ranged between £387- £420 per week. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In compiling this report we considered information/evidence from a number of sources both external and internal to the home. Apart from a visit to the home and observations made during the site visit previous reports, examining residents /staff records, talks with residents, staff, the registered manager by telephone and visiting health professionals. An annual quality assurance assessment completed by the manager and responses to a C.S.C.I. resident’s satisfaction survey sent to the home as part of the pre inspection process had not been returned to C.S.C.I. prior to the inspection. As a result of this key unannounced visit which was the first inspection for the year 2007/08 and took place on 05/06/07 between the hours of 08.45am and 01.45 pm all previous requirements were checked, the majority of which were complied with. Following this visit additional requirements and recommendations were made. The results and findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? Requirements relating to: ∗ Risk assessments. ∗ Storage of medication. ∗The activity programme. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 6 ∗ The protection of vulnerable persons. ∗ Maintenance of the environment. ∗ Staffing and the deployment/ training of staff. have all been complied with. 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. Sycamore Cottage DS0000011821.V339115.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 Sycamore Cottage DS0000011821.V339115.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 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The system for assessing resident’s needs prior to admission ensures residents needs can be met but did not include evidence to confirm residents or their representatives had been consulted during the assessment process.. Intermediate care is not available. EVIDENCE: Three residents’ records chosen by the inspector were viewed. The records did not include evidence that residents or their representatives had been consulted and participated in the assessment but did confirm external health and social care professionals such as doctors, district nurses, community psychiatric nurses, and care managers had been involved. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 9 All of the records viewed indicated that prior to an admission the manager had undertaken an assessment of needs of the potential resident that ensures all identified needs could be met. No assessments of risk were available. This matter is referred to in the following section of this report. “Health and Personal Care”. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All residents have an individual care plan that should ensure their medication, health care needs are met and their dignity respected. However, risk assessments in compliance with a previous requirement were not available and records covering the administration of drugs and medication were incomplete EVIDENCE: Following the last inspection a requirement was made that “The registered person must ensure that care plans are in place for all the residents which include risk assessments as appropriate”. A sample of three residents records/care plans were viewed. All of the records viewed included care plans based on assessments of need but as at the previous inspection there was no individual assessments of risk Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 11 included, no evidence to demonstrate residents or their representatives had been consulted and of the records checked only one care plan had been reviewed within the previous month, the second not since 14/09/06 and the third not at all. The registered manager assured us by phone risk assessments had been carried out on all residents but they could not be located. The manager gave a verbal undertaking these will be collated into resident’s individual files as a matter of urgency. Files indicated good communication and consultation between the home and external health/social care professionals such as doctors, district nurses, and community psychiatric nurses, care managers and other disciplines as required. Records viewed and comments by care staff indicated that up to 75 of residents were suffering with dementia, consequently the validity of some of the verbal responses received by us could not be totally relied upon. We spoke with a number of residents both individually and in groups. Residents that were able to respond said they liked the home, staff were kind and there was plenty to eat and drink and they felt safe. Care staff who were observed to deal with residents in a kindly and pleasant manner, knocked on bedroom doors and waited before entering and generally treated residents with respect, warmth and dignity. A visiting community psychiatric nurse commented to us how satisfied she was with the service her patient had received and how they had benefited both mentally and physically from living in the home. Following the last inspection a further requirement in this section of the standards was made that: “The Registered person must ensure that the handling, safe- keeping and disposal of medication are managed safely for the welfare of the residents.” This requirement was in response to findings that indicated that a number of ointments and topical creams were found in residents’ rooms, communal bathrooms and cleaning cupboard. Some were prescribed to residents and others did not have any labels on. This matter had been dealt with and the original requirement satisfied. On inspecting the daily records of drugs and medicines administered to residents these were found to be incomplete as there were a number gaps despite medication having been given. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 12 At the time of the inspection no residents were self-medicating, however there were no risk assessments available to confirm why and who was responsible for the administration of the residents drugs and medication. Staff, confirmed residents were free to choose the source of all personal services such as chiropodists, dentists and opticians and gender of doctor from seven doctors from two local practices were visiting the home. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The social activities, family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: Following the last inspection a requirement was made that: “The provider must ensure that the activity programme meets with the expectations and needs of the service users”. During the inspection we witnessed residents and staff taking part in a singsong. Most of the residents singing along were obviously enjoying themselves as demonstrated by, dancing smiling and generally tapping of feet. Staff informed us this is a regular activity and seems to get the best response from residents. Apart from singsongs residents are able to participate in bingo, listening to music, playing cards, reading knitting and other sedentary activities. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 14 Residents spoken with stated they were satisfied with the activities on offer. Staff felt they would like to provide more appropriate and varied activities for persons with dementia but lacked the training /expertise. To assist in ensuring that more appropriate activities are arranged for person with dementia we would suggest the home consults the local Alzheimer’s Society for guidance. In view of the comments made by residents and our observations the previous requirement is deemed to have been met. The home has an open visiting policy and a record of all visitors to the home was maintained that showed that there was no restriction on visiting times. Residents informed that they could see their visitors in private and in the large lounge or the dining room. A daily menu was available but only in a written format. To ensure that residents with dementia understand what meals are available and are able to exercise choice the menu should be produced in a format that residents can understand e.g. pictures or photographs. All of the residents spoken to expressed satisfaction at the quality, quantity and choice of food available. During a tour of the home it was observed that all staff ensured that residents had a drink available of their choice i.e. water, squash, tea, or coffee. Residents confirmed drinks were always available at all times. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that residents are able to complain and are protected from abuse. EVIDENCE: Following the last inspection a requirement was made that” The registered person must ensure that staff training in the prevention of abuse is put in place for all staff to ensure that residents are protected”. Staff training records was not available but all staff spoken with confirmed they had received training in the protection of vulnerable adults as part of a recent dementia care course they had all attended. They were also able to demonstrate the correct procedure to follow should they witness or suspect any person was being abused in accordance with an in house adult protection policy/procedure that operates in tandem with the policy and procedure produced by Hampshire County Council. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 16 The homes complaints procedure, which was displayed, included information on how to contact The Commission for Social Care Inspection (C.S.C.I). The manager informed us by phone, a record of complaints is maintained in a book format but this record could not be located. Residents stated they felt comfortable in discussing any concerns they had with the homes management or staff and were confident any matters raised would be dealt with fairly and promptly. Staff also stated they were confident in raising any concerns on behalf of any resident. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are accommodated in a safe and comfortable environment that meets their needs however an offensive odour still persists in some areas of the home. EVIDENCE: Following the last inspection three requirements relating to the environment were made. 1) “The care home is kept free from offensive odours”. This is a repeated requirement, as timescale of November 2005 has not been met. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 18 2) “The provider must ensure that there is a programme of routine maintenance and the home is kept in good state of repair. 3) “The registered person must ensure that staff adhere to infection control procedures for the safety of the service users”. A tour of the home indicated it was fit for its stated purpose, accessible, clean and safe. Furniture was comfortable and homely and in keeping with the décor. Residents commented how satisfied they were with the accommodation. With regard to the previous requirements. Requirement1). The offensive odour still persists. We were informed by a visiting health care professional it has improved but was still very noticeable. Staff assured us the furniture and flooring was washed every night but the odour still persists. Requirement 2). At the time of the inspection the home was in a good state of repair. A programme of maintenance was not viewed as it was not available. Requirement 3) All staff informed they had been on an infection control course. Throughout the home gloves, aprons and disinfectant gel/soap was available which staff were seen to use. We are satisfied requirements 2 and 3 had been addressed and complied with but despite the efforts of management and staff requirement 1 remains outstanding. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 19 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. Quality in this outcome is good. This judgement has been made using available evidence including a visit to the service. That residents needs are met by sufficient staff who are trained and understand their needs. EVIDENCE: Following the last inspection three requirements relating to staffing were made. Requirement 1) The registered person must ensure that there are adequately trained staff and in sufficient numbers at all times in order to meet the assessed needs of the service users. These must include domestic staff as appropriate. A review of staffing level must be undertaken and adequate staffing implemented. Requirement 2) The registered person must ensure that the duty roster reflect the hours worked by staff and in what capacity. Requirement 3) Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 20 The registered person must ensure that all staff involved in food preparation have the appropriate training to protect the service users and records of these are kept. Due to the absence of the registered manager we were not able to access confidential staff employment and training record consequently the inspector was unable to confirm the recruitment and selection procedure and what training staff had been received. There were three members of care staff on duty as per the rota, which was displayed and clearly indicated the role of all persons on the shift. As the cook who had been employed since the last inspection was off sick, one member of care staff was cooking. During the morning an additional member of staff came on duty to clean the home. All of the staff spoken to confirmed there were sufficient staff available to meet the needs of the residents, a situation on the day of the inspection we would (following observations) agree with. Residents who were able confirmed the staff always available and they rarely had to wait. Since the last inspection the night staffing arrangements have been increased to ensure two waking staff are available at all times. Staff spoken with confirmed they had received food hygiene, dementia training but records available could not confirm this. This matter will be followed at a future visit to the home. Staff informed us they were all encouraged to participate in a National Vocational Qualification (N.V.Q.) training programme. The manager reported that 75 of staff had been trained to at least N.V.Q. level 2 and of these 16.7 to level 3.The remaining 25 of staff are due to commence training in the near future. Due to the unavailability of records we were unable to substantiate this claim. From information available and records seen we are satisfied all of the requirements relating to staffing have been complied with. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 21 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): 31,33,36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. There is a lack of guidance for staff in the absence of the manager. There is a lack of structured supervision for staff and their practices are not monitored as part of their work. There is a programme in place for the servicing of equipment in order to ensure the safety of the service users. EVIDENCE: Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 22 At the time of the inspection and for some weeks prior to the inspection the Registered manager had been unwell. Whilst she has been available for consultation on the telephone has not been able to attend the home day to day. As a result the staff within the home lacked day-to-day leadership and guidance. It is to their credit they have performed so well. Due to the absence of the manager we were not able to access some records and others could not be located. Whilst it was acceptable that confidential staff records were locked others should have been accessible. Prior to this inspection C.S.S.I sent out satisfaction survey forms for residents to complete. These forms were seen in an office and clearly had not been distributed. This is an example of the lack of management control and input currently available within the home as staff informed us they were unaware forms should be distributed. The last inspection found “There is a lack of guidance for staff in the absence of the manager “ A situation that remains unchanged and still existed at this visit. As a result of these and other findings a requirement was made that: “The registered person must ensure that all staff have formal supervision as part of their work on a continuous basis”. In a telephone conversation with the manager she informed us this requirement has not been met. The manager also informed us that resident’s views are sought using an internal satisfaction survey. We were unable to confirm this statement, as written confirmation could not be located. It is understood currently the survey does not include relatives /representatives of residents or visiting social and health care professionals. A health and safety policy and procedure was in place, which is designed to protect residents and staff from harm. A tour of the building indicated no obvious hazards. Substances hazardous to health C.O.S.S.H i.e. cleaning fluids etc were all locked away, radiators were all covered, hot water supplies to baths were temperature controlled by pre set valves and all equipment was serviced on a regular basis. All staff had been trained in infection control and were seen to use gloves, aprons, and antiseptic hand gel/soap. Staff confirmed and were able to demonstrate to us they were aware of the procedure to follow in the event of fire (including Evacuation). Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 23 Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X 2 X 3 Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 1 OP3 14(c) There must be evidence available to confirm that residents or their representatives 05/06/07 had been consulted during the initial assessment process. A review of all care plans must be undertaken involving the resident or their representative where possible. Thereafter reviews of plans must be monthly with the involvement of the resident or their representative where possible. All drugs and medication must be recorded when administered. The home is to be kept free of unpleasant and adverse odours. This is a repeat of requirements made on 25th October 2005 and 4th October 2006 2 OP7 15(1)(2) 31/08/07 3 OP9 17(1) (a) Schedule 3 05/06/07 4 OP19 16(2) (k) 31/08/07 Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 26 5 OP36 18(2) All staff must receive supervision at least six times in a 31/08/07 calendar year. This is a repeat of a requirement made following visits on the 4th Oct 2006. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12(2) Good Practice Recommendations That consultation takes place with the Alzheimer’s Society for guidance in providing suitable and fulfilling activities appropriate for persons suffering with dementia. Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Sycamore Cottage DS0000011821.V339115.R01.S.doc Version 5.2 Page 28 - 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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