Inspection on 13/11/08 for Taunton House

This inspection was carried out on 13th November 2008.

CSCI found this care home to be providing an Poor service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Taunton House 27/02/07

Taunton House 04/10/05

Taunton House 08/06/05

Taunton House 07/12/04

Taunton House 15/06/04

Taunton House 17/02/04

Taunton House 03/06/03

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Taunton House 26 Marlborough Road Ryde Isle Of Wight PO33 1AB     The quality rating for this care home is:   zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anita Tengnah     Date: 1 3 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Taunton House 26 Marlborough Road Ryde Isle Of Wight PO33 1AB 01983611250 F/P01983611250 davjak@dialstart.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs J Knowles Type of registration: Number of places registered: Mr David John Knowles care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: One named person who is over 65 years of age may be accommodated in the home in the category (MD/E) Date of last inspection Brief description of the care home Taunton House is a family run care home registered to provide care and accommodation for up to five adults who have mental health difficulties. The house is a detached period building in Ryde and has been converted to provide single bedroom accommodation for the residents and separate accommodation for the provider. There is parking space at the front of the building and a large garden to the rear of the property. The home is close to public transport or residents can walk to the nearby shops or town centre. Mr David Knowles is the registered provider and Mrs Jackie Knowles is the registered manager. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: An unannounced inspection was carried out over one day on the 13th November 2008 and lasted five hours. As part of the visit we met with all the four service users who were at the home at the time of the visit. We walked round the home and observed the accommodation and visited two of the bedrooms with the service users consents. We observed that the service users were relaxed and appeared content at the home and had developed good relationships with the staff and the provider. Care was provided in a friendly, respectful manner and positive comments were Care Homes for Adults (18-65 years) Page 5 of 29 received from the service users about the care that they were receiving. We also looked at the care plans and records of care, staff records. Information that had been provided in the Annual Quality Assurance Assessment (AQAA) was also used as was information that we have received since the last inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The pre admission assessment is good and ensures people are assessed prior to care being provided. Evidence: We looked at the pre admission record of one of the service user who had been admitted since the last visit. The manager discussed that as part of the pre-admission assessment, the service users are offered the choice of visiting the home. This service user did visit on a couple of occasions, time was spent getting to know the other people living at the service and having meals with them. Records of a recent review was available in the care records seen and this indicated that this person had settled in well and was supported as required. The care records seen contained a list of medication on admission and the home provided them with the terms and conditions of residency. The manager reported that part of the process is also ensuring that the new service Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: user is compatible with the other residents in order to maintain harmony. The two service users we spoke to were complimentary about their move and a comment was that this was the best place that they had lived at so far. Care Homes for Adults (18-65 years) Page 10 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users are assisted to make decisions about their daily lives. This included supoprtv to take risks as part of an their independent lifestyles. Evidence: The care records of three service users was looked at as part of this visit. The records showed that these were recently reviewed. We found that service users who were on care programme approach were reviewed by the supporting agency and with the involvement of the service users. The care records contained information about their medical and also their social interests and activities that they undertook. The four people we spoke to, discussed that they had individual tasks that they undertook such as their laundry and maintaining their rooms as part of their activities of daily living and learning new skills. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: One of the service users said that they always cleaned their bath as like to keep their room tidy and clean. There is a planned list of tasks and the days that are allocated for each service user such as changing beds and laundry days. The manager stated that this worked well and the service users said that they did not mind doing these. All the service users were independent with their personal care. The manager showed us the record book that the home maintained for the service users where any activity that was out of their normal routine was recorded. As discussed the risk assessment and care plan should be developed for one of the service users who needed support with their financial outgoing in order to inform practice and protect the service user. The manager was not acting as appointee for any of the service users at the time of this visit. Care Homes for Adults (18-65 years) Page 12 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a planned programme of activities that met with the service users needs and lifestyles. The service users are happy with the meals provided. Evidence: The manager discussed that the service maintained an activity programme that the service users pursued in the community. This included attending day care centres, this occurred on different days of the week. Some of them attended the day care service a couple of times a week. One of the service users told us that he had joined the local running club and regularly went out running and with the support of a club member. The manager had arranged and supported two of the service users to deliver local Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: maagazine and had the opportunity of earning some extra cash. We spoke to another of the service users who said that he went out to the day centre and enjoyed making ceramics. The home supported the service users in maintaining contacts with their family and friends and being part of the local community. The manager reported that the local people knew the service users and would come to them with any concern. The routine at the home is informal and the service users are supported to live as independently as they are able. The home did not have a set menu and the service users said that they had sandwiches at lunchtime and a cooked meal in the evening that met with their needs. On other days when they are out they took pack lunches. The meal was observed to be relaxed and informal. Interaction observed indicated that they had developed and maintained good relationships with each other. The home has a small kitchen area where the service users has the facilities to get their breakfasts, and hot and cold drinks were available at all times times. Care Homes for Adults (18-65 years) Page 14 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The healthcare access for the service users was managed in a satisfactory manner. The medication management at the service is poor and put the service users at risk of harm. Evidence: All the service users are registered with the local practice. Health care needs are met and referral made as appropriate. The manager reported that the home had good relationship with the local Primary Care Trust and the mental health team and supported the service users as required. The manager was aware of the service users entitlement to National Health Service care and had recently been able to secure a dentist for one of the service users. We looked at the management of medication that the home undertook on behalf of the service users. The home was using the Monitored Dosage System (MDS) in place. The medication administered were recorded on to the Medication Administration Record Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: (MAR) sheets. We found that the service users were receiving medication that were not currently prescribed and no record could be found on their current MAR sheets. The records showed that service users had been administered the wrong dosages of medication that had been recorded on their MAR sheets. The MAR records showed tat they are prescribed 2mg tablets and they had been administered 4mg and 5mg on a number of occasions. There was no system in place to demonstrate how the home was managing homely remedies and off the counter medication. The manager reported that she purchased medication such as Paracetamol for the service users and she administered them as required. The manager was in effect prescribing and administering medication to the service users. A safeguarding referral was made following the visit as we have serious concerns that the medication management at the service puts the service users at risk of harm. We found that the manager was also dispensing medication unsafely by putting these in a bottle with only the service users first name on and the time. These bottles did not contain the name or the dosage of the medication. This was discussed with the manager as this was unsafe practice and secondary dispensing. These included sleeping tablets. The manager reported that the staff could not wait until late for the service users to take their medication. There was no assessment in place to reflect that any of the service users had ben assessed as able to administer their own medication. We found that there was no training programme in place for the staff in the safe management of medication. The manager stated that she trained the staff herself and watched them carry out the medication procedures. We found that one of the service users had 14 tablets in his room that the record on the MAR sheet showed that had been administered. These were removed and sent to the pharmacy for disposal. These presented a high risk to other people living at the service. The home was not following procedures for the safe administering and recording of medication. The record showed that the system of managing medication is poor and put the service users at high risk of harm. Although the staff had signed the MAR record to confirm that these medication had been administered, this was not accurate. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Some medication was found unlocked in the managers office at the time of the visit and immediate action was needed to ensure that all medication is managed safely at all times. The home did not have any controlled medication at the time of the visit. The manager was made aware that the medication cabinet did not meet with the current Regulation and must ensure that action is taken and a facility for the safe keeping of controlled medication is put in place. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was good complaint management process in place. There was inadequate process in place to ensure that people are safeguarded from harm and abuse. Evidence: The home has a complaint procedure that was available to the service users. A copy of this was maintained in the service users guide that the service users had access to as needed. The home has a complaint log that indicated that no new concerns had been received. The manager stated that any concerns are addressed as they arise and the service users can pop in and see her at any time. The four service users that we spoke to had positive comments about the care that they are receiving. they were confident that any concerns raised would be dealt with appropriately. The manager discussed that she had recently attended an update in safeguarding and will be accessing the updated safeguarding guidance. The manager stated that training in safeguarding wold be cascaded to the carers and she had received a DVD that she will be using. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: As previously reported in other section the management of medication does not adequately safeguard the welfare of people living at the service. The recruitment of staff was inadequate as they did not contain evidence that all checks were completed prior to employment. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users are provided with a warm and homely accommodation that met their needs. Infection control procedures were satisfactory. Evidence: We walked around the service and looked at the communal areas, kitchen and laundry as part of the visit. We also looked at two of the service users bedrooms with their consents. We found that the service users were provided with a warm and homely accommodation that met their needs. The communal areas included a comfortable lounge and dining area where the service users used all the times. The home has a small kitchen area that the service users used to prepare their breakfast and where hot and cold drinks were available as they needed. The service users commented that this worked well for them and maintained their independence. The bedrooms we saw were highly personalised and the service users said that they had all their personal belongings around them one of them talked to us about a new Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: budgie that they kept in their room as good company for them. The service users were provided with a key to their bedrooms and they said that they had the flexibility to go out and are asked to inform the staff when they go out. The home had adequate bathing facilities in place and this included showers and bath that was appropriate to the service users needs. The manager reported that they were planning to refurbish the main bathroom and change the shower facility. The home has a laundry area equipped with washing machine and drier that the service users had access to and did their washing as part of their independent living support. The laundry area was clean and accessible to the service users. As part of infection control procedures the manager should review and put in place disposable soap dispensers and disposable towels to ensure that the safety of the service users. The manager reported that one of the staff was using the communal bathroom facility at the service. The manager must ensure that an action plan is in place to ensure that this does not impinge on the people accommodated. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is inadequate evidence to support a robust recruitment process is in place to adequately safeguard people living at the home. There is inadequate evidence to support the hours that staff are working to ensure that there are adequate staff to meet the needs of the service users. There is a planned training programme , however there is a lack of record to reflect the staff skills and training. Evidence: We looked at the staff roster that the home must have in place to demonstrate the hours that people work and in what capacity. The manager reported that she did not have a roster and stated that she was at the home all the time and there was a carer who came in and worked alternate weekends when she is away. Another carer worked a few hours on two days a week. The home has an overseas carer that was employed through the local college and worked varying hours. The manager must ensure that a staff roster is developed and put in place to reflect the hours worked by carers and herself and in what capacity people were employed at Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: the service. We looked at the recruitment record of a recently employed staff. The staff records did not contain adequate information about the checks such as Criminal Record Bureau and POVA first as these must be completed prior to employment. The manager stated that the staff was employed through the college and they may have this information. The manager must ensure that staff records contain all the information as required including evidence of CRB and POVA first checks and other records as required by Regualtion to protect the service users accommodated at the home. We found that there was some training record for one of the carers. However we were unable to assess whether the staff had completed all mandatory training in health and safety as required. The manager stated that she was planning to put in place first aid training, fire safety and evacuation, food hygiene training for the carers. The manager reported that there is an induction programme in place. A training matrix should be developed to assist in recording training that staff have completed and identifying any gaps in training so that these can be addressed. There is an informal supervision process where the staff practices are observed as the manager is at the home for most of the shifts. The manager must ensure that a structured supervision programme is developed and staff receive formal supervision as required and records of these are maintained. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management system does not fully support and protect the service users accommodated with regards to their medication and recruitment. The health and safety of the service users are not adequately protected. Evidence: The registered manager and provider are both involved in the day to day management of the service and live on the premises most of the week. The manager is experienced in dealing with the current client group. She has NVQ level 4 in care and the registered managers award. She undertook regular training to maintain her skills and recent updates included safeguarding adults and mental capacity act. Observation and the service users spoken with at the time of the visit indicated that the staff and the service users had developed good relationship and care was provided in a respectful manner. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: As part of the process to consult with the service users, the manager reported that they have service users meetings. However due to the size of the home, this is carried out informally and the service users confirmed that they would go and speak to the manager as issues arose and these are addressed. A formal process to seek the views of the service users and other stakeholders should be put in place. A sample of policies and procedures was seen at the time of the visit. Information such as service users guide and complaint procedure was available to the service users including a copy of the last report. As previously reported there is a lack of clear recruitment process in place to ensure that the service users are not put at risk of harm. The medication management and staff training in medication and health and safety at the service is poor and put the service users at high risk of harm. These areas of safe practice reflect upon the managerial and organisational skills, which do not currently protect people living at the service. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The registered person must 25/12/2008 ensure that arrangements are in place for the recording, handling , safe keeping,safe administration and disposal of medication received into the care home. So that you can ensure that the service users are not put at risk of harm through poor practice. 2 31 17 The registered person must develop and put in place a duty roster for persons working at the care home and a record of whether the roster was actually worked. So that you can ensure that there are adequate staff to meet the needs of people living at the home. 26/12/2008 3 33 19 The registered person must ensure that all necessary staff checks are completed prior to employment and 26/12/2008 Care Homes for Adults (18-65 years) Page 27 of 29 records of these are maintained at the service. So that you can ensure that people accommodated are not put at risk of harm or abuse. 4 36 18 The registered person must ensure that there is a structured supervision programme in place and staff are supervised as part of their practice. staff So that you can ensure that staff fulfil their role when providing care and will assist you in identifying the carers development needs. 5 41 18 The registered person must 26/12/2008 ensure that the home complies with the care standards act and regulation to ensure the health and safety of the service users are protected at all times. So that you can ensure that the service users are not put at risk of poor practice or abuse. 26/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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